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Research Utilization in Nursing Chapter 21 What is research utilization? Why is research utilization important? What are the steps n the research utilization process?

Research Utilization in Nursing Chapter 21

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Research Utilization in Nursing Chapter 21. What is research utilization? Why is research utilization important? What are the steps n the research utilization process?. Research Utilization. The use of research findings in practice to improve care - PowerPoint PPT Presentation

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Page 1: Research Utilization in Nursing Chapter 21

Research Utilization in NursingChapter 21

What is research utilization?Why is research utilization

important?What are the steps n the research

utilization process?

Page 2: Research Utilization in Nursing Chapter 21

Research Utilization

• The use of research findings in practice to improve care

• Conceptual utilization- use of findings to cognitively restructure thinking about a

phenomenon• Instrumental utilization- direct application

of knowledge to change practice

Page 3: Research Utilization in Nursing Chapter 21

Value of Research Utilization

• To facilitate an innovative change that leads to improved client outcomes

• to validate existing nursing knowledge re procedures or interventions

Page 4: Research Utilization in Nursing Chapter 21

Evidence-Based Practice

• Uses research to direct client care

• Challenges nurses to critically examine traditional practices, procedures, and nursing rituals and question those that are not substantiated by research or other evidence

Page 5: Research Utilization in Nursing Chapter 21

Value of Research Utilization

• Promotes critical thinking and reflective practice

• enhances professional self-concept• ensures provision of safe and effective care• practice is based on current, scientifically

sound knowledge• Self-confidence of the nurse is enhanced

Page 6: Research Utilization in Nursing Chapter 21

Value of Research Utilization to the Researcher

• Validates the efforts of the researcher

• Motivates scholars to continue to discover new knowledge

• Reinforces professional accountability

• Helps discover new clinical problems for investigation

Page 7: Research Utilization in Nursing Chapter 21

Value to the Health Care Agency

• Cost-effective nursing care• High-quality care• Improved client outcomes• Retention and recruitment tools• Professionally satisfied and stimulated

nursing staff

Page 8: Research Utilization in Nursing Chapter 21

Value to the Profession

• Enhanced autonomy of practice

• Positive professional image

• Strengthen professional status

• Expand the field of nursing’s scientific knowledge base

Page 9: Research Utilization in Nursing Chapter 21

Steps in the Research Utilization Process

• 1. Select a relevant problem area that requires evidence to bring about change

• 2. Review the literature

• 3. Determine if the literature findings are appropriate to apply in your setting

Page 10: Research Utilization in Nursing Chapter 21

Steps of Research Utilization (cont’d)• 4. Develop a written research-based protocol

and/or procedure to communicate the innovation and ensure consistency in approach and show research base for it

• 5. Implementation of the planned innovation

• 6. Evaluation of the success of the innovation

• 7. Dissemination of the findings

Page 11: Research Utilization in Nursing Chapter 21

Barriers to Research Utilization• Characteristics of the Nurse

• Characteristics of the Setting

• Characteristics of the Research

• Characteristics of the Innovation

Page 12: Research Utilization in Nursing Chapter 21

Barriers: Nurse

• Knowledge• Attitude• Erroneous beliefs• Lack of time

Page 13: Research Utilization in Nursing Chapter 21

Barriers: Setting

• Ethos of openness to new ideas• Interpersonal and information

linkages• Freedom from organizational

constraints• Supportive leadership• Trust

Page 14: Research Utilization in Nursing Chapter 21

Barriers: Research• Communicate results clearly and

comprehensively

• Publish widely in user-friendly journals

• Focus on problems of importance to nursing practice

• Increase the number of replicated studies

Page 15: Research Utilization in Nursing Chapter 21

Barriers: Innovation• Must offer a relative advantage over the status quo

• Compatibility with current practice

• Complexity of innovation is inversely related to success

• Trialability or pilot testing• Observability of benefits and limitations

Page 16: Research Utilization in Nursing Chapter 21

CHANGE AGENT

A person or group of people who can take an idea for change and carry it through all the stages of its implementation, and evaluate its success or failure

Page 17: Research Utilization in Nursing Chapter 21

Strategies to Facilitate Research-Based Practice

• Planned Change (unfreezing, moving, re-freezing) Phases (Lewin, 1951)

• Theory of Diffusion of Innovation (awareness, persuasion, decision, implementation, confirmation stages) (Rodgers, 1965,1995)

Page 18: Research Utilization in Nursing Chapter 21

Other Strategies

• deliberately expose one self to research literature and findings

• journal clubs• conference attendance• support research in setting• educators can role model utilization of

research in their teaching and engage students in reflective practice

Page 19: Research Utilization in Nursing Chapter 21

Other Strategies (cont’d)• Provide critiquing assignments and regular

research reviews to students

• Researchers can conduct rigorous studies

• Identify implications of research for practice

• Replicate previous studies

• Incorporate research findings into text books

Page 20: Research Utilization in Nursing Chapter 21

Exercise• Using a theory of planned change identify the

steps you would take to implement a research utilization project to deal with a problem from the practice setting that is of concern to you.

• 1. Identify the problem.• 2. How would you evaluate the success of

failure of the plan?• 3. Why is consolidation of the innovation in

practice important to a research utilization?

Page 21: Research Utilization in Nursing Chapter 21

Guidelines for evaluating implementation of research findings

• Utility to practice• applicability to practice• replication• scientific merit• client safety• feasibility