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Nurs Res ; 70(2): 132-141, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33630536


OBJECTIVE: The aim of this study was to describe computational ethnography as a contemporary and supplemental methodology in EHR workflow analysis and the relevance of this method to nursing research. METHODS: We explore the use of audit logs as a computational ethnographic data source and the utility of data mining techniques, including sequential pattern mining (SPM) and Markov chain analysis (MCA), to analyze nurses' workflow within the EHRs. SPM extracts frequent patterns in a given transactional database (e.g., audit logs from the record). MCA is a stochastic process that models a sequence of states and allows for calculating the probability of moving from one state to the next. These methods can help uncover nurses' global navigational patterns (i.e., how nurses navigate within the record) and enable robust workflow analyses. RESULTS: We demonstrate hypothetical examples from SPM and MCA, such as (a) the most frequent sequential pattern of nurses' workflow when navigating the EHR using SPM and (b) transition probability from one record screen to the next using MCA. These examples demonstrate new methods to address the inflexibility of current approaches used to examine nursing EHR workflow. DISCUSSION: Within a clinical context, the use of computational ethnographic data and data mining techniques can inform the optimization of the EHR. Results from these analyses can be used to supplement the data needed in redesigning the EHR, such as organizing and combining features within a screen or predicting future navigation to improve the record that nurses use.

Actitud del Personal de Salud , Registros Electrónicos de Salud/organización & administración , Almacenamiento y Recuperación de la Información/métodos , Atención de Enfermería/organización & administración , Carga de Trabajo/estadística & datos numéricos , Humanos , Investigación en Enfermería , Interfaz Usuario-Computador , Flujo de Trabajo
Am J Nurs ; 121(3): 21, 2021 03 01.
Artículo en Inglés | MEDLINE | ID: mdl-33625004


Editor's note: The mission of Cochrane Nursing is to provide an international evidence base for nurses involved in delivering, leading, or researching nursing care. Cochrane Corner provides summaries of recent systematic reviews from the Cochrane Library. For more information, see

Suplementos Dietéticos , Neoplasias Pulmonares/epidemiología , Neoplasias Pulmonares/prevención & control , Vitaminas/administración & dosificación , Humanos , Neoplasias Pulmonares/mortalidad , Investigación en Enfermería , Ensayos Clínicos Controlados Aleatorios como Asunto
Am J Nurs ; 121(3): 53-57, 2021 03 01.
Artículo en Inglés | MEDLINE | ID: mdl-33625012


Editor's note: This is the third article in a series on clinical research by nurses. The series is designed to give nurses the knowledge and skills they need to participate in research, step by step. Each column will present the concepts that underpin evidence-based practice-from research design to data interpretation. The articles will be accompanied by a podcast offering more insight and context from the author.

Enfermería Basada en la Evidencia , Investigación en Enfermería , Proyectos de Investigación , Sesgo , Humanos , Distribución Aleatoria
Oncol Nurs Forum ; 48(2): 131-145, 2021 03 01.
Artículo en Inglés | MEDLINE | ID: mdl-33600397


OBJECTIVES: To identify research priorities addressing COVID-19 that build on the 2019-2022 Oncology Nursing Society (ONS) Research Agenda, in alignment with ONS's mission to promote excellence in oncology nursing and quality cancer care. METHODS & VARIABLES: Priority areas were identified using a multistep approach combining rapid review of the literature; consultation with experts/stakeholders; and review of priorities from other funding agencies, public health, and cancer-focused organizations. RESULTS: The rapid research response team identified five priority areas for research related to COVID-19. IMPLICATIONS FOR NURSING: Oncology nurses are well positioned to address the research priorities and cross-cutting themes identified through this review. The use of innovative methodologic approaches and attention to disparities are necessary to advance cancer care related to COVID-19.

/epidemiología , Neoplasias/enfermería , Investigación en Enfermería , Enfermería Oncológica , Sociedades de Enfermería , Humanos
Metas enferm ; 23(10): 72-77, dic.-ene. 2021. tab, graf
Artículo en Español | IBECS | ID: ibc-197947


La investigación desarrollada por enfermeras en el Hospital General Universitario Gregorio Marañón (Madrid) tiene una larga trayectoria, que tuvo sus inicios en la década de 1990. La actividad docente en el área de investigación y las estructuras de apoyo a la investigación en Enfermería existentes fueron pilares básicos para el reconocimiento del Grupo de Enfermería como grupo independiente en la primera acreditación del Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM). En la actualidad, el Grupo de Enfermería está compuesto por 34 profesionales, enfermeras, matronas y fisioterapeutas, siendo doctoras el 64,7%. Las líneas de investigación se agrupan en tres ejes: Cuidados de Enfermería (Cronicidad, Críticos y Rehabilitación/Fisioterapia); Innovación y Servicios de Salud (Diseño desarrollo y usabilidad de aplicaciones, Enfermería de Práctica Avanzada y Diseño y validación de instrumentos); y Gestión (Competencias, metodología enfermera y entornos de trabajo). Desde 2011 el grupo ha obtenido un total de 288.019 (Euro) en financiación de proyectos competitivos, incluyendo la obtención de intensificaciones para la actividad investigadora y ayudas a grupos emergentes. El grupo acumula en total 187 publicaciones, habiendo publicado 105 artículos en los últimos cinco años, con un factor de impacto acumulado de 86,3. Las líneas en las que se están trabajando son la concienciación de incorporar una correcta filiación en los artículos, la búsqueda continua de colaboraciones y el reconocimiento de la participación de las enfermeras en los proyectos del hospital y del IiSGM

The research conducted by nurses at the Hospital General Universitario Gregorio Marañón (Madrid) has a long history, which started in the 1990s decade. Teaching activity in the research area and the existing structures for support to Nursing research were the basic cornerstones for the acknowledgment of the Nursing Group as an independent group at the first accreditation for the Gregorio Marañón Health Research Institute (IiSGM). Currently, the Nursing Group is formed by 34 professionals, nurses, midwives and physiotherapists; 64.7% of them are doctors. The research lines are classified along three areas: Nursing Care (Chronicity, Critical Patients and Rehabilitation / Physiotherapy); Innovation and Health Services (Design, Development and Usability of Applications, Advanced Practice Nursing, and Design and Validation of Tools); and Management (Competences; Nursing Methodology, and Work Environments). Since 2011, the group has obtained 288.019 (Euro) in total as funding for competitive projects, including achieving majors for research activity and grants for emergent groups. The group accumulates 187 publications in total; 105 articles have been published in the past 5 years, with a cumulative impact factor of 86.3. The current lines of work are: the awareness to incorporate an adequate affiliation in articles, an on-going search for collaborations, and the acknowledgement of the participation of nurses in the projects of the hospital and the IiSGM

Humanos , Investigación en Enfermería/métodos , Atención de Enfermería/métodos , Academias e Institutos , Servicios de Salud , Grupo de Enfermería/organización & administración , Proyectos de Investigación
Artículo en Inglés | MEDLINE | ID: mdl-33406715


This study identified the trends in end-of-life care and nursing through text network analysis. About 18,935 articles published until September 2019 were selected through searches on PubMed, Embase, Cochrane, Web of Science, and Cumulative Index to Nursing and Allied Health Literature. For topic modeling, Latent Dirichlet Allocation (K = 8) was applied. Most of the top ranked topic words for the degree and betweenness centralities were consistent with the top 1% through the semantic network diagram. Among the important keywords examined every five years, "care" was unrivaled. When analyzing the two- and three-word combinations, there were many themes representing places, roles, and actions. As a result of performing topic modeling, eight topics were derived as ethical issues of decision-making for treatment withdrawal, symptom management to improve the quality of life, development of end-of-life knowledge education programs, life-sustaining care plan for elderly patients, home-based hospice, communication experience, patient symptom investigation, and an analysis of considering patient preferences. This study is meaningful as it analyzed a large amount of existing literature and considered the main trends of end-of-life care and nursing research based on the core subject control and semantic structure.

Bibliometría , Cuidados Paliativos al Final de la Vida/tendencias , Investigación en Enfermería , Cuidado Terminal/tendencias , Anciano , Humanos , Calidad de Vida
Esc. Anna Nery Rev. Enferm ; 25(3): e20200494, 2021. tab, graf
Artículo en Portugués | LILACS, BDENF - Enfermería | ID: biblio-1149300


RESUMO Objetivo Discutir o uso da metodologia qualitativa da teoria fundamentada nos dados (TFD), segundo a vertente de Strauss e Corbin (2008), na pesquisa em enfermagem, utilizando dados de uma pesquisa de doutorado. Metodologia Pesquisa qualitativa, tendo como referencial metodológico, a teoria fundamentada nos dados. A coleta de dados ocorreu com 13 participantes, entre outubro/2017 e agosto/2019, em dois Centros de Assistência de Alta Complexidade em Oncologia. Resultados e Discussão A vertente de Strauss e Corbin (2008) contribui para a compreensão do método, pois propicia uma visão mais clara sobre as etapas de análises de dados. Seu uso deve ser mais incentivado, especialmente para os pesquisadores que desejam se aproximar do método. Conclusão e implicações para a prática A metodologia é aprendida experimentalmente e cada pesquisa envolvendo-a é uma oportunidade de aprender e aprimorar conhecimentos, fazendo-se um recurso que favorece a pesquisa em enfermagem, pois contribui para aperfeiçoar as práticas durante a assistência.

RESUMEN Objetivo Discutir el uso de la metodología cualitativa de la teoría fundamentada en los datos (TFD), de acuerdo con las líneas de Strauss y Corbin (2008), en la investigación en enfermería, utilizando datos de una investigación doctoral. Metodología Investigación cualitativa, sobre la base de la teoría fundamentada como marco metodológico. La recolección de datos se realizó con 13 participantes, entre octubre de 2017 y agosto de 2019, en dos Centros de Atención de Alta Complejidad en Oncología. Resultados y Discusión El enfoque de Strauss y Corbin (2008) contribuye a la comprensión del método, ya que proporciona una visión más clara de las etapas del análisis de datos. Debería fomentarse más su uso, especialmente para los investigadores que deseen acercarse al método. Conclusión e implicaciones para la práctica La metodología se aprende experimentalmente y cada investigación que la involucra es una oportunidad para aprender y mejorar el conocimiento, convirtiéndose en un recurso que favorece la investigación en enfermería, ya que contribuye a mejorar las prácticas durante el cuidado.

ABSTRACT Objective To discuss the use of the qualitative methodology of the Grounded Theory (GT), according to the strands of Strauss and Corbin (2008), in Nursing research, using data from a doctoral research. Methodology A qualitative research study, using the Grounded Theory as methodological framework. Data collection took place with 13 participants, between October/2017 and August/2019, in two High-Complexity Oncology Care Centers. Results and Discussion Strauss and Corbin's (2008) approach contributes to the understanding of the method, as it provides a clearer view on the stages of data analysis. Its use should be encouraged more, especially for researchers who wish to approach the method. Conclusion and implications for practice The methodology is learned experimentally and each research study involving it is an opportunity to learn and improve knowledge, becoming a resource that favors Nursing research, as it contributes to improving practices during care.

Humanos , Investigación en Enfermería/métodos , Teoría Fundamentada , Investigación Cualitativa
Esc. Anna Nery Rev. Enferm ; 25(3): e20200299, 2021. graf
Artículo en Portugués | LILACS, BDENF - Enfermería | ID: biblio-1149297


Resumo Objetivo este estudo teve como objetivo compreender como as Tecnologias da Informação e Comunicação são utilizadas na gestão de grupos de pesquisa de enfermagem. Método trata-se de uma pesquisa qualitativa ancorada teórica e metodologicamente na Teoria Fundamentada nos Dados (perspectiva straussiana), tendo como cenário de estudo 14 grupos de pesquisa vinculados a um Programa de Pós-Graduação em Enfermagem. A amostragem teórica do estudo foi composta por 21 pesquisadores. Os dados foram coletados por meio de entrevistas e analisados a partir do sistema de codificação. Resultados as Tecnologias de Informação e Comunicação são utilizadas pelos grupos de pesquisa para facilitar os processos de gestão e o desenvolvimento das pesquisas. Dividem-se em três funções principais: comunicação e armazenamento (Whatsapp® e e-mail), estratégias de visibilidade (site e mídias sociais) e estratégia operacional (software de análise de dados). Conclusão e implicações para a prática as Tecnologias de Informação e Comunicação constroem um elo entre a tecnologia e a construção do conhecimento científico, tecnológico e de inovação. Os Grupos de Pesquisa podem intensificar ainda mais o uso dessas ferramentas, tanto para recrutamento de amostra como para o desenvolvimento de redes colaborativas de pesquisa.

Resumen Objetivo este estudio tuvo como objetivo comprender cómo se utilizan las Tecnologías de la Información y la Comunicación en la gestión de grupos de investigación en enfermería. Método investigación cualitativa con base teórica y metodológica en la Teoría Fundamentada en los Datos (perspectiva straussiana), con un estudio realizado con 14 grupos de investigación vinculados a un Programa de Posgrado en Enfermería. La muestra teórica del estudio estuvo compuesta por 21 investigadores. Los datos fueron recolectados a través de entrevistas y analizados utilizando el sistema de codificación. Resultados los grupos de investigación utilizan las Tecnologías de la Información y la Comunicación para facilitar la gestión de la investigación y los procesos de desarrollo. Dichas tecnologías cumplen tres funciones principales: comunicación y almacenamiento (Whatsapp® y correo electrónico), estrategias de visibilidad (sitio web y redes sociales) y estrategia operativa (software de análisis de datos). Conclusión e implicaciones para la práctica las Tecnologías de la Información y la Comunicación crean un vínculo entre una tecnología y una construcción de conocimiento científico, tecnológico y de innovación. Los grupos de investigación pueden intensificar aún más el uso de estas herramientas, tanto para reclutar muestras como para desarrollar redes de investigación colaborativas.

Abstract Objective This study aimed to understand how Information and Communication Technologies are used in the management of Nursing research groups. Method This is a qualitative research based on theory and methodology in the Grounded Theory (direct perspective), with the study setting being 14 research groups linked to a Graduate Program in Nursing. The theoretical sample of the study was composed of 21 researchers. Data was collected through interviews and analyzed using the coding system. Results Information and Communication Technologies are used by research groups to facilitate research management and development processes. They are divided into three main functions: communication and storage (Whatsapp® and e-mail), visibility strategies (website and social media) and operational strategy (data analysis software). Conclusion and implications for the practice Information and Communication Technologies build a link between technology and the construction of scientific, technological and innovation knowledge. Research groups can further intensify the use of these tools, both for recruiting samples and for developing collaborative research networks.

Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Anciano , Adulto Joven , Investigación en Enfermería , Gestión de la Información , Grupos de Investigación , Tecnología de la Información , Investigación Cualitativa , Red Social , Medios de Comunicación Sociales
Am J Nurs ; 121(1): 64-67, 2021 01 01.
Artículo en Inglés | MEDLINE | ID: mdl-33350703


Editor's note: This is the second article in a new series on clinical research by nurses. The series is designed to give nurses the knowledge and skills they need to participate in research, step by step. Each column will present the concepts that underpin evidence-based practice-from research design to data interpretation. The articles will also be accompanied by a podcast offering more insight and context from the author.

Competencia Clínica , Enfermería Basada en la Evidencia/métodos , Investigación en Enfermería/organización & administración , Selección de Paciente , Humanos , Personal de Enfermería en Hospital/organización & administración , Participación del Paciente
Nurs Sci Q ; 34(1): 13-19, 2021 01.
Artículo en Inglés | MEDLINE | ID: mdl-33349176


With COVID-19 affecting all types of research, the authors of this article contribute to the discussions on how COVID-19 affects the world of qualitative nursing research in irrefutable ways. Underrepresented and vulnerable populations are faced with higher rates and severity of COVID-19, heightening the need to better address their health needs, which require their voices to be heard. Moreover, nurses' perspectives on practicing during COVID-19 are needed. These nurses are vulnerable and their voices must be heard. Qualitative research methodology is advantageous to bringing attention to the lived experience of others as they unfold. Thus, we offer suggestions to aid in the collection and interpretation of qualitative data among vulnerable populations. We also provide practical tips for qualitative researchers, including an exemplar of conducting qualitative research among vulnerable nurses in light of COVID-19.

Investigación Cualitativa , Poblaciones Vulnerables , Humanos , Investigación en Enfermería/métodos
Nurs Res ; 70(1): 67-71, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-32991528


BACKGROUND: Social media platforms are useful for recruiting hard-to-reach populations, such as caregivers of children with cancer, for research. However, there are unique ethical considerations in using social media. OBJECTIVES: The aim of the study was to describe the methods used to recruit hard-to-reach caregivers (parents of children with cancer) for research and related ethical considerations. METHODS: We used The Belmont Report tenets (respect for persons, beneficence, and justice) as a guiding framework to identify issues relevant to social media recruitment of hard-to-reach populations and to describe how we addressed these issues in our study. RESULTS: We engaged leaders of two online communities that offer peer support for caregivers of children with cancer to help with recruitment to our study on financial effect of pediatric cancer. We identified issues in using social media for recruiting hard-to-reach populations in alignment with The Belmont Report, including risk for subject selection bias, privacy rights, protecting identity of participants, data security issues, and access to research. We addressed issues by deliberate study design decisions and engagement with online community advocates. DISCUSSION: Using social media to recruit hard-to-reach populations may be a successful way to engage them in research. Although researchers may remain compliant with the institutional review board of their facilities and are faithful to the tenets of The Belmont Report, unanticipated ethical issues may arise directly or indirectly as a result of using social media. This article identifies these issues and provides suggestions for dealing with them.

Cuidadores/ética , Cuidadores/estadística & datos numéricos , Niños con Discapacidad/estadística & datos numéricos , Neoplasias/enfermería , Investigación en Enfermería/métodos , Selección de Paciente/ética , Medios de Comunicación Sociales/ética , Adolescente , Adulto , Niño , Preescolar , Femenino , Humanos , Lactante , Recién Nacido , Masculino , Persona de Mediana Edad , Proyectos de Investigación , Medios de Comunicación Sociales/estadística & datos numéricos