Discussion 250 words. Make sure you provide 2 references and utilize APA style.. . Discussion Rubric Attached
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VIEWPOINT
ajn@wolterskluwer.com AJN ▼ May 2015 ▼ Vol. 115, No. 5 11
By Morgan Yates, BScN, RN
Research in Nursing Practice Bridging the gap between clinicians and the studies they depend on.
Research provides the foundation for high-quality, evidence-based nursing care. How-ever, there isn’t a direct flow of knowledge from research into practice. When I ask nurses where the “evidence” to guide the development of “evidence-based care” comes from, I get an in- teresting array of answers, from “researchers” to blank stares, as if there’s no connection between the worlds of researchers and bedside nurses.
If research evidence informs our nursing practice, why doesn’t it come from all of us? Nurses are inquisitive, think critically about their pa- tients’ care, and want to know the best treatments for their patients—all of which makes them perfectly suited for re- search. Though the majority of nurses don’t have the train- ing to conduct research proj- ects without assistance, they know how to ask questions and they know which questions need answering.
Yet research is often perceived as something under- taken by others far removed from the front lines of nursing practice. I believe that many nurses’ notions about who does or doesn’t do research are rooted in our identity as nurses, which often manifests in a be- lief that “good” nurses are not researchers but instead have excellent clinical skills and can manage any crisis on a unit. A 2007 study by Woodward and colleagues in the Journal of Research in Nursing found that nurse clinicians engaged in research often perceive a lack of support from nurse managers and resentment from colleagues who see the research as taking them away from clinical practice.
The distinction often drawn between nursing re- search and clinical practice is mirrored in the incon- sistent translation of research evidence into practice. Despite widespread promotion of evidence-based practice in nursing, creation of new translational re- search roles for nurses in major medical centers, and Medicare reimbursement policies in the United States tied to implementation of specific evidence-supported practices, studies continue to suggest much room for improvement. In a September 2014 article in this jour- nal, Yoder and colleagues noted that researchers have consistently found that “nurses who valued research were more likely to use research findings in practice.”
Such observations suggest a need for a much stronger link between nurse clinicians and the development of research into best practices. Though this has been dis- cussed for years, I do not yet see research as having infiltrated fundamental views of what constitutes “nursing work.”
My discussions with frontline nurses and nurses in- volved in research have led me to ask three key ques- tions that need addressing before we can fully integrate research into our professional identity. These are:
• How can nurses strive for high-quality research with- out focusing on random- ized controlled trials?
• What are the barriers to and challenges of being in- volved in research and how can we address these?
• How can nurses at varying education levels be involved in research?
Nurses could turn many quality improvement (QI) projects into research. Research may be viewed as a continuum, with formal projects at one end and QI projects somewhere along the continuum. Though nurses may not think that QI projects would be of interest to others, with increased understanding of the research process and greater institutional sup- port, some QI projects could easily become research projects.
More bedside nurses are likely to engage in research if • nursing education is strengthened. • time away from direct care is allocated for con-
ducting research activities. • consultant resources such as methodologists and
biostatisticians are available to staff. • institutional and organizational support of re-
search are strengthened. Many nurses are intimidated by research, but change is possible if we stop seeing research as someone else’s job and start making it a part of who we are and what we do. This will pave the way to evidence-based prac- tice truly becoming the norm. ▼
Morgan Yates works as an RN in the ED of Surrey Memorial Hospital, Surrey, British Columbia, Canada. Contact author: yatesmt@ucalgary.ca. The author has disclosed no potential conflicts of interest, financial or otherwise.
We need to
stop seeing
research as
someone
else’s job.