Research And Development In Clinical Nursing Practice

Though slogans such as 'nursing must be a research-based profession' have been around for a long time, recent initiatives such as Nursing Development Units (NDUs), quality assurance and evidence-based practice have moved nursing to the forefront amongst health professions in taking seriously the promotion of rational care based on a critical appraisal of past practices and the evaluation of new ideas and techniques. This is the first book to examine research and development in clinical nursing practice. It explains how to do it and how to apply it.

Though slogans such as 'nursing must be a research-based profession' have been around for a long time, recent initiatives such as Nursing Development Units (NDUs), quality assurance and evidence-based practice have moved nursing to the forefront amongst h.

How does nursing knowledge develop and how do we incorporate this knowledge into the practice of nursing? Is it possible for nursing theory to address the needs of clinical practice? These key questions in the field of nursing are explored in this groundbreaking work. Based on their five-year experience as co-chairs of the New England Knowledge Conferences and the contributions of nurse clinicians and academics, the book addresses issues critical to improving the quality and delivery of health care. Concentrating on four major themes--the current state of nursing knowledge, the philosophy of nursing knowledge, the integration of nursing knowledge with practice, and examples of the impact on health care delivery when nursing knowledge is applied--Nursing Knowledge Development and Clinical Practice gives concrete examples of how nursing knowledge can improve nursing practice and overall health care delivery both today and in the future.

Results are presented of a study of nursing and nursing education that focused on the need for continued federal support of nursing education, ways to attract nurses to medically underserved areas, and approaches to encourage nurses to stay in the profession. Findings are presented on whether the aggregate supply of generalist nurses will be sufficient to meet future demand, and how changes that could occur in the health care system might affect demand. Attention is also directed to: how the current and future supply of nurses may be influenced by the costs of nursing education and the sources of education financing; and education for generalist positions in nursing. In addition, the supply and demand situation for nurses educationally prepared for advanced professional positions in nursing is examined. The influence of employer policies and practices in utilization of nursing resources on demand and supply is also addressed. Finally, areas in which further data and studies are needed to better monitor nursing supply and demand are identified. In addition to 21 recommendations, appendices include information on Nursing Training Act appropriations, state reports on nursing issues, certificates for specialist registered nurses, projections of registered nurse supply and requirements, and doctoral programs in nursing. (SW)

The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.

"This book should provide graduate nursing students with the knowledge to evaluate research evidence and use it in practice. With the increasing focus on EBP, this book should serve as a useful resource." Score: 100, 5 stars.--Doody's "This book would be useful for both graduate nursing students and practicing nurses."--Doody's Medical Reviews The second edition of this award-winning reference on formulating, achieving, and sustaining evidence-based practice (EBP) through clinical research updates all prior content and includes two new chapters on establishing and sustaining an evidence-based practice and environment, and how a research question drives the selection of research design, measurement, and analysis. Also featured are cutting-edge discussions of translational science and interprofessional research plus the contributions of several new authors. Designed for use by graduate students, clinical administrators, and managers and in DNP programs and in-service education, the text offers practical methods to translate evidence into practice by effectively using and appraising clinical studies. It presents research concepts in a clear, conversational tone and addresses the most current knowledge about how nurses can learn to formulate and achieve EBP as clinicians. From a single study to a meta-analysis, EBP concepts related to patient care are integrated throughout. Clinically relevant examples present ways students and staff can apply knowledge to daily clinical practice through the development, implementation, and evaluation of clinical protocols. Text boxes and web references reinforce information. Taken together, the content of the Second Edition will help the nursing profession in its move toward the forefront of institutional management, research, policy decisions, and ethical considerationsóall to enhance safe patient care and health. The book also includes interactive PDF with fill-in, reusable templates, and is available in enhanced eBook format that includes audio/video Q & A. New to the Second Edition: Presents new content on translational science and inter-professional research. Updates all content from the first edition. Includes two new chapters on establishing and sustaining EBT and how a research question drives the selection of a research design, measurement and analysis. Presents the contributions of several new authors. Features psychosocial and physical data collection and analysis methods. Includes guidelines on evaluating research articles, including ethical components. Suggests strategies for establishing and sustaining an organizational evidence-based practice. Presents primary ways of evaluating cost as a dimension of evidence-based practice. Offers appendices with evidence-based practice activities and protocols, and a resource list of relevant websites. Features interactive PDF with fill-in, reusable templates. Available as enhanced eBook that includes audio/video Q & A

In its first edition, Practice Development in Nursing made an important contribution to understanding practice development and its core components. Now fully updated to take into account the many developments in the field, the second edition continues to fill an important gap in the market for an accessible, practical text on what remains a key issue for all members of the healthcare team globally. Practice Development in Nursing and Healthcare explores the basis of practice development and its aims, implementation and impact on healthcare, to enable readers to be confident in their approaches to practice development. It is aimed at healthcare professionals in a variety of roles (for example clinical practice, education, research and quality improvement) and students, as well as those with a primary practice development role, in order to enable them to effectively and knowledgeably develop practice and the practice of others. Key features: New updated edition of a seminal text in the field, including significant new material Relevance to the entire healthcare team Accessible and practical in style, with case studies, scenarios and examples throughout Edited by and with contributions from experts in the field Fully updated to include the latest research Supported by a strong evidence base