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2.
Nephrol Nurs J ; 46(3): 340-343, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31199101

RESUMO

Nurses value patient- and family-centered care as one of the most important elements of nursing, and as such, these foundations are embedded into nursing practice and theory. Patient engagement in health research, as an evolution of patient- and family-centered care, has emerged as a critical new way of doing research over the last several years. However, the benefit, value, and exploration of ways in which patient partnerships can be built within the context of nephrology nursing research are still relatively new. This article describes patient-centered outcomes research, discusses how patients can be involved throughout the research process, and provides examples for effective partnerships in nephrology nursing research.


Assuntos
Cuidadores , Enfermagem em Nefrologia , Nefrologia , Pesquisa em Enfermagem , Humanos , Participação do Paciente , Assistência Centrada no Paciente
3.
Nurse Educ Today ; 79: 198-203, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31154266

RESUMO

BACKGROUND: Undergraduate students make up the largest pool for the recruitment of future nurses. The fundament for developing research competency has to be laid at this level of education. OBJECTIVES: To evaluate the construct validity, reliability, sensitivity to change and convergent validity of the Research Competency Scale for Nursing Students (RCS-N). DESIGN: A psychometric study with repeated measurements. SETTING: Nursing school from Sichuan, China. PARTICIPANTS: 146 undergraduate nursing students. METHODS: Construct validity was evaluated with exploratory factor analysis, confirmatory factor analysis (CFA) and item response theory (IRT) analysis. Internal consistency reliability was determined with Cronbach's alpha, and IRT based reliability estimates were also provided. Sensitivity to change was evaluated with repeated measures ANOVA. Convergent validity was analyzed based on the correlation of the RCS-N scores with nursing research class examination scores. RESULTS: Exploratory factor analysis yielded one dominant factor explaining 72.59% of the items' variance. CFA confirmed unidimensionality of the scale and produced appropriate goodness of fit indices after accounting for local dependency by collapsing several items to testlets. IRT analysis demonstrated a good capability of the scale to differentiate between persons with different abilities. Internal consistency was excellent (α = 0.98) and IRT based reliability was good to excellent. The participants' RCS-N scores increased significantly from 29.3 before participation in the research methodology class to 62.6 after the class. There was no correlation (r = 0.16, p = 0.051) between the RCS-N result and class test scores. CONCLUSIONS: RCS-N is a promising, valid and reliable tool for evaluating the research competency of undergraduate nursing students. The scale can however not replace actual examination of students' knowledge acquired in research methodology courses.


Assuntos
Pesquisa em Enfermagem , Psicometria/métodos , Estudantes de Enfermagem , Adulto , China , Feminino , Humanos , Masculino , Reprodutibilidade dos Testes , Projetos de Pesquisa , Estudantes de Enfermagem/psicologia , Inquéritos e Questionários , Adulto Jovem
4.
Invest. educ. enferm ; 37(2): [E10], 15-06-2019. Tab 1, Tab 2, Fig 1
Artigo em Inglês | LILACS, COLNAL | ID: biblio-1007631

RESUMO

Abstract Objective. Analyze and integrate studies that inquire on the benefits of nursing educational interventions to manage post-surgical pain. Methods. A systematic search was conducted in the databases of Scopus, Medline (Pubmed), Web of Science, The Cochrane Library, and CINAHL of systematic reviews, randomized clinical trials, and quasiexperimental studies published in English and Spanish until 2018 that analyzed the effectiveness of educational interventions in managing post-surgical pain in adult patients. Results. Twelve studies complied inclusion criteria, of which nine reported less pain in the group receiving the educational intervention. These interventions also helped to diminish the level of anxiety and improved functionality to perform activities of daily life. The level of quality of the studies was medium. Conclusion. Although the review showed that nursing educational interventions could influence on the relief of post-surgical pain, more rigorous studies are necessary, with bigger sample sizes and higher methodological quality, which help to establish the real effectiveness in managing post-surgical patients with pain.


Resumen Objetivo. Analizar e integrar los estudios que indagan en los beneficios de las intervenciones educativas enfermeras para el manejo del dolor postquirúrgico. Métodos. Se realizó una búsqueda sistemática en las bases de datos Scopus, Medline (Pubmed), Web of Science, The Cochrane Library y CINAHL de revisiones sistemáticas, ensayos clínicos aleatorizados y estudios cuasiexperimentales publicados en inglés y castellano hasta 2018 que analizaran la efectividad de las intervenciones educativas en el manejo del dolor postquirúrgico en pacientes adultos. Resultados. Doce estudios cumplieron criterios de inclusión, de los cuales nueve reportaron menor dolor en el grupo que recibió la intervención educativa. Estas intervenciones también ayudaron a disminuir el nivel de ansiedad y mejoraron la funcionalidad para realizar las actividades de la vida diaria. El nivel de calidad de los estudios fue medio. Conclusión. Aunque la revisión mostró que las intervenciones educativas enfermeras podrían influir en el alivio del dolor postquirúrgico, son necesarios estudios más rigurosos, con mayores tamaños muestrales y de mayor calidad metodológica que ayuden a establecer la real efectividad en el manejo del paciente postquirúrgico con dolor.


Resumo Objetivo. Analisar e integrar os estudos que indagarão nos benefícios das intervenções educativas de enfermagem para o manejo da dor pós-cirúrgico. Métodos. Se realizou uma busca sistemática nas bases de dados Scopus, Medline (Pubmed), Web of Science, The Cochrane Library e CINAHL de revisões sistemáticas, ensaios clínicos aleatorizados e estudos quase-experimentais publicados em inglês e castelhano até 2018 que analisassem a efetividade das intervenções educativas no manejo da dor pós-cirúrgico em pacientes adultos. Resultados. Doze estudos cumpriram critérios de inclusão, dos quais nove reportaram menos dor no grupo que recebeu a intervenção educativa. Estas intervenções também ajudaram a diminuir o nível de ansiedade e melhoraram a funcionalidade para realizar as atividades da vida diária. O nível de qualidade dos estudos foi médio. Conclusão. Embora a revisão mostrou que as intervenções educativas de enfermagem poderiam influir no alivio da dor pós-cirúrgico, são necessários estudos mais rigorosos, com maiores tamanhos de amostras e de maior qualidade metodológica, que ajudem a estabelecer a real efetividade no manejo do paciente pós-cirúrgico com dor.


Assuntos
Humanos , Dor Pós-Operatória , Efetividade , Pesquisa em Enfermagem , Educação de Pacientes como Assunto , Manejo da Dor , Revisão
5.
J Nurs Educ ; 58(5): 290-293, 2019 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-31039263

RESUMO

BACKGROUND: A simulated research practicum was developed in our nursing program to increase the number of quality research placements for our students. In order to evaluate the success of this simulation activity, we compared students' experiences in simulated and traditional mentored research placements. METHOD: A convenience sample of baccalaureate nursing students enrolled in an introductory research course in Ontario, Canada, was surveyed. A two-group posttest survey design was used to assess the research activities students experienced and their satisfaction with placements. Data were compared between the traditional mentored research placements (MRP) and simulated research placements (SRP) using descriptive and inferential statistical testing. RESULTS: Students in the SRP group had a statistically significant higher level of exposure to several aspects of the research process, although course satisfaction ratings were slightly better in the MRP group. CONCLUSION: The simulated practicum provided our organization with a feasible means of providing high-quality research placements by exposing undergraduate nursing students to several aspects of the research process. [J Nurs Educ. 2019;58(5):290-293.].


Assuntos
Bacharelado em Enfermagem/métodos , Aprendizagem , Tutoria , Pesquisa em Enfermagem/educação , Treinamento por Simulação , Estudantes de Enfermagem/psicologia , Currículo , Humanos , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Satisfação Pessoal , Inquéritos e Questionários
7.
J Clin Nurs ; 28(13-14): 2681-2687, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30938867

RESUMO

AIMS AND OBJECTIVES: To determine the clinical and professional impacts of nurses' and other clinicians' involvement in a research training programme. BACKGROUND: Evidence-based practice (EBP) can be supported by nurses' involvement in research. Registered nurses report common barriers to EBP and research, but training programmes have been shown to overcome some of those barriers and lead to successful research engagement and EBP enhancement. DESIGN: This mixed-methods evaluation study used a survey and interviews to explore the clinical and professional impacts of research training programme participation on nurses' and other clinicians' clinical practice, appreciation for EBP, interest in advanced education, future research involvement and dissemination activities. METHODS: The study adhered to the SQUIRE guidelines for quality improvement studies as part of the EQUATOR network (Enhancing the Quality and Transparency of Health Research). Survey invitations were sent to 126 clinicians who had participated in a research training programme. All were invited to complete the questionnaire and participate in an interview. RESULTS: Survey results and interview responses showed a positive impact. Participants reported examples of sustained practice changes, enhanced EBP, heightened interest in graduate studies, strong interest in future research engagement and a large number of dissemination activities, including publications and conference presentations. CONCLUSIONS: The evaluation found that participation in a research training programme can have a positive clinical and professional impact on participants, including enhancing their appreciation for EBP and research, their interest in advanced education and meaningful dissemination of findings to improve patient care. RELEVANCE TO CLINICAL PRACTICE: As healthcare leaders seek to increase EBP to improve patient care, successful models for nurses' engagement in research and EBP are critically important. This research training programme is one promising model for supporting nurses' and other clinicians' engagement in EBP and research.


Assuntos
Atitude do Pessoal de Saúde , Prática Clínica Baseada em Evidências/organização & administração , Pesquisa em Enfermagem/educação , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Adulto Jovem
8.
J Nurs Educ ; 58(4): 243-246, 2019 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-30943302

RESUMO

BACKGROUND: The purpose of this quality improvement project was to examine the association between regular cumulative quizzes and knowledge retention in nursing doctorate students. METHOD: Sixteen students in a large midwestern university enrolled in a hybrid nursing research course were assessed with weekly online cumulative quizzes. RESULTS: The mean score of the cumulative weekly quizzes was 94% (SD = 3%). The mean score on the cumulative final was 97% (SD = 3%). Fifteen students who completed an average of 12 of 14 (86%) cumulative weekly quizzes as scheduled passed the course. CONCLUSION: The cumulative final scores were higher than the cumulative weekly quizzes. Completing more of the cumulative weekly quizzes as scheduled was associated with higher cumulative final scores and passing the course, suggesting improved knowledge retention and ability to use that knowledge for other assignments throughout the course. [J Nurs Educ. 2019;58(4):243-246.].


Assuntos
Currículo , Educação de Pós-Graduação em Enfermagem , Avaliação Educacional/métodos , Pesquisa em Enfermagem/educação , Humanos , Aprendizagem , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Estudantes de Enfermagem/psicologia
10.
Rev Bras Enferm ; 72(suppl 1): 204-212, 2019 Feb.
Artigo em Inglês, Português | MEDLINE | ID: mdl-30942364

RESUMO

OBJECTIVE: To understand the meanings that nurse researchers and nursing assistants attribute to one another, and to the development of research produced by Nursing. METHOD: Qualitative research. The Grounded Theory and the Complexity Theory were used as theoretical and methodological frameworks, respectively. Ten nursing assistants and six research nurses participated in the research. The semi-structured interview was used as a data collection technique. The results were categorized by comparative analysis and validated by ten judges. RESULTS: The valuation of nursing care research as well as interactions between research development and nursing care may be related to the way nursing assistants and nurse researchers perceive themselves. These perceptions are multifaceted. CONCLUSION: The meanings nurse researchers and nursing assistants attribute to each other reveal mechanisms of closeness and distance between these actors, as well as between research and nursing care.


Assuntos
Assistentes de Enfermagem/psicologia , Pesquisa em Enfermagem/métodos , Atitude do Pessoal de Saúde , Brasil , Teoria Fundamentada , Humanos , Assistentes de Enfermagem/tendências , Pesquisa Qualitativa
11.
Rev Bras Enferm ; 72(suppl 1): 221-227, 2019 Feb.
Artigo em Inglês, Português | MEDLINE | ID: mdl-30942366

RESUMO

OBJECTIVE: To develop a journal club on management topics in Nursing. METHOD: Action research, adopting content analysis as methodological reference and the journal club strategy. 12 nursing managers of a public hospital in the state of São Paulo participated from August to November 2016. RESULTS: data showed the participation of nurses in the journal club in five meetings planned collectively with the following topics: "aspects regarding organization", with the subtopics "planning", "work process", "structure" and "people management"; and the topic "aspects regarding the team", with the subtopics "autonomy", "behavior/attitude", "awareness" and "social problems". CONCLUSION: The study showed the comprehensiveness of topics the journal club can address regarding management, and how scientific basis is important in the daily life of nursing managers to improve quality of care and the ability to manage.


Assuntos
Jornalismo/tendências , Cuidados de Enfermagem/tendências , Processo de Enfermagem/tendências , Participação Social/psicologia , Atitude do Pessoal de Saúde , Brasil , Pesquisa sobre Serviços de Saúde , Humanos , Pesquisa em Enfermagem/métodos , Pesquisa em Enfermagem/normas , Pesquisa em Enfermagem/tendências , Pesquisa Qualitativa
12.
J Nurs Adm ; 49(5): 242-248, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30973428

RESUMO

Multisite nursing research can be a challenging endeavor. A unique partnership between 5 clinical sites and a national research center of a healthcare technology organization led to the successful implementation of a multisite study. Strategies for success, obstacles encountered, benefits, implications for the Magnet journey, and leadership are discussed.


Assuntos
Comportamento Cooperativo , Relações Interinstitucionais , Sistemas Multi-Institucionais/organização & administração , Pesquisa em Enfermagem/organização & administração , Humanos , Projetos de Pesquisa , Estados Unidos
13.
J Clin Nurs ; 28(13-14): 2644-2658, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30916828

RESUMO

AIMS AND OBJECTIVES: To explore the ways in which Irish and Australian Nurse Practitioners (NPs) implement leadership and research in their roles and whether there is a difference in how leadership and research are demonstrated between NPs in Ireland and Australia. BACKGROUND: The original concept of the NP role was to expand nursing practice in order to provide high-quality, accessible health care to patients. This placed NPs at the crux of changes to healthcare delivery. Implementing these changes requires leadership. Research demonstrates the effects of these changes to healthcare delivery and contributes to healthcare knowledge from the nursing profession. DESIGN: In the qualitative phase of a mixed methods study, an interpretative descriptive approach was used to draw on participant experiences. METHODS: Thirty-eight respondents agreed to be interviewed following an online survey. Ten interviews were recorded and transcribed verbatim. Data were analysed using Braun and Clarke thematic analysis method. The research complied with the consolidated criteria for reporting qualitative research, COREQ. RESULTS: Ten participants, five NPs from Ireland and five from Australia were interviewed. Four themes emerged from the analysis: (a) Innovative leadership, which included the categories of leadership activities, the work of NPs and trailblazers; (b) Optimism, incorporating pride in achievements, the future outlook for the role and continued innovation of NPs over time; (c) Research, which included the NP research role, research challenges, support and research leadership; and (d) Resilience, which included overcoming resistance, isolation and seeking positive support systems. CONCLUSION: Nurse Practitioners are clinical leaders focused on improving healthcare delivery for patient populations. There is a lack of understanding of the NP role. Nurse Practitioners lack confidence to be independently research active. Research by NPs requires support from nurses in academia. There is no difference in the role in Ireland and Australia. RELEVANCE TO CLINICAL PRACTICE: Nurse Practitioners are engaged in healthcare transformation. Nurse Practitioners require support from research experts in academia to make a significant contribution to nursing knowledge in healthcare delivery.


Assuntos
Liderança , Profissionais de Enfermagem/normas , Papel do Profissional de Enfermagem , Pesquisa em Enfermagem/organização & administração , Austrália , Assistência à Saúde/normas , Feminino , Humanos , Internacionalidade , Irlanda , Profissionais de Enfermagem/psicologia , Pesquisa Qualitativa
15.
J Prof Nurs ; 35(2): 89-92, 2019 Mar - Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30902411

RESUMO

Nursing science is a diverse field of study, the scope of which has broadened to more fully incorporate genetics and genomics. In recent years, these topics have become focus areas for many nursing researchers. However, recent evidence suggests that doctoral level nursing students and nursing faculty may be underprepared to conduct independent research using genomic approaches. Furthermore, genetics and genomics are severely underrepresented in doctoral level nursing curricula across the United States. This article suggests a thorough, yet manageable three-part curriculum designed to educate doctoral level nursing students on genetics, genomics, and their use in nursing science. Recommendations are then given for the integration of the curriculum into existing nursing PhD programs.


Assuntos
Currículo , Educação de Pós-Graduação em Enfermagem , Genética/educação , Genômica/educação , Pesquisa em Enfermagem , Humanos , Estudantes de Enfermagem , Estados Unidos
18.
J Clin Nurs ; 28(13-14): 2486-2498, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30811715

RESUMO

AIMS AND OBJECTIVE: To synthesise the evidence on the use of evaluation frameworks by nurses and midwives in research designed to improve healthcare services and practice. A secondary aim was to identify the attributes and elements of evaluation frameworks. BACKGROUND: Evaluation is an integral component of any initiative to improve outcomes or change clinical practice. Yet often an evaluation may not yield the information required to sustain or integrate an initiative into practice. Evaluation frameworks can support effective evaluations, but there is a lack of consensus regarding elements and attributes of frameworks that support use. METHODS: We undertook an integrative review to synthesise the use of evaluation frameworks in practice guided by the Preferred Reporting Items for Systematic review and Meta-Analysis flow diagram and checklist 2009 (Supporting Information File 4). The protocol was registered with PROSPERO (CRD42018087033). A broad range of electronic databases were systematically searched using keywords. FINDINGS: Twenty-five papers were included from a diverse range of clinical areas and across high-, middle- and low-income nations. Twenty of the research projects had used nine existing frameworks, and five had developed an evaluation specific to an initiative. Frameworks supported the processes of evaluation and made them more meaningful by simplifying a complex process (providing structure and guidance for the evaluation processes); identifying and including stakeholders; explaining reasons for outcomes; generating transferable lessons; and identifying the mechanisms driving or inhibiting change. CONCLUSION: Nurses and midwives reported that frameworks were useful in undertaking evaluations. Each framework had positive attributes and missing or confusing elements. When undertaking an evaluation, it is pertinent to review the elements and attributes of a framework to ensure it includes evaluation measures that are relevant to specific projects. RELEVANCE TO CLINICAL PRACTICE: Nurses are actively involved in evaluation of clinical practice. This review identifies important elements to consider when choosing a framework for evaluation.


Assuntos
Assistência à Saúde/normas , Pesquisa em Enfermagem/normas , Estudos de Avaliação como Assunto , Feminino , Humanos , Tocologia/métodos , Enfermagem/métodos , Avaliação de Resultados (Cuidados de Saúde)/normas , Gravidez
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