Copyright © 2006 Elsevier, Inc. All rights reserved Chapter 24 Using Nursing Research in Practice.

Copyright © 2006 Elsevier, Inc. All rights reserved

Chapter 24

Using Nursing Research in Practice


Need for Nursing Practice Based on Research

Increase in health care costs Scrutiny of how health care dollars spent Payments based on favorable patient outcomes Today’s need to base practice on nursing care

documented to benefit patients Two methods

Nursing research utilization Evidence-based practice


Nursing Research Utilization

What is nursing research utilization?

Systematically integrating findings of completed nursing research into clinical nursing practice

Existing data (findings) from previous nursing research to modify current nursing practice

Review completed nursing research

Conduct new nursing research


Nursing Research Utilization (cont’d)

Research utilization: What is it not? Not simply using findings of single study

Studies are replicated Data are collected in the process

Not a review of nursing practice


Relationship between Nursing Theory and Research Utilization

Nursing theory used as theoretical framework for a research study

Research findings will support theory or suggest modification of theory

Both focus on nursing practice


Defining Your Practice Context

What are the motivators and barriers for incorporating nursing research into practice? Identify those who understand need for

change in practice

Identify those who played a part in decision-making process

Identify those resistant to change


Evidenced-Based Practice

A systematic method of applying research findings to nursing practice

Incorporates many additional sources of data


Evidenced-Based Practice (cont’d)

Evidence on which nursing practice is based is derived from: Synthesis of knowledge from research Data analyzed from medical record Quality improvement Risk data Infection control data



Evidence on which nursing practice is based is derived from: International, national, and local standards Pathophysiology Cost effectiveness analysis Benchmarking Patient preferences Clinical expertise



Steps in applying evidenced-based practice: Defining the problem Identifying, reviewing, and evaluating data

applicable to problem Designing practice change based on the data Implementing change in nursing practice


The National Institute of Nursing Research

What is its function? Major source of federal funding for nursing research Supports education in research methods, research

career development, and excellence in nursing science

Establishes a National Nursing Research agenda


The Agency for Health Care Policy and Research

What is its function? Enhance the quality and effectiveness of health

care services Conducts/supports general health services

research Develops clinical practice guidelines Disseminates research findings and guidelines

Copyright © 2006 Elsevier, Inc. All rights reserved Chapter 24 Using Nursing Research in Practice.

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