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Journeying through the Research Process: From Planning to Implementation. Pamela Windle, MS, RN, NE-BC, CPAN, CAPA, FAAN PNAMH Board Member Nurse Manager, St. Luke’s Episcopal Hospital Houston, Texas. Objectives. Discuss the importance of nursing research in our daily nursing practice.

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journeying through the research process from planning to implementation

Journeying through the Research Process: From Planning to Implementation

Pamela Windle, MS, RN, NE-BC, CPAN, CAPA, FAAN

PNAMH Board Member

Nurse Manager, St. Luke’s Episcopal Hospital

Houston, Texas

objectives
Objectives
  • Discuss the importance of nursing research in our daily nursing practice.
  • Describe the research process, advantages and barriers for research implementation.
  • Discuss completed unit-base research studies, outcomes and implications to nursing.

PWindle-2011

definitions
Definitions
  • Performance Improvement
  • Research
  • Research Utilization
  • Evidence Based Practice
research
Research
  • Identifies
  • Describes
  • Explores
  • Explains
  • Predicts

The systematic, logical inquiry …

(phenomena to develop knowledge)

research utilization
Research Utilization

Systematic method of implementation and evaluation of research-based interventions in practice

Evidence Based Practice

“ …The best available external clinical evidence from systematic research”

(Sackett)

one of the first researchers
One of the First Researchers
  • Developed the first Uniform Hospital Discharge Data Set
  • Used the data to link mortality rates with diagnoses and treatments
  • Enraged the military and civilian medical establishment of her day
  • What important lesson can we learn?

~ The power of data

importance of nursing research
Importance of Nursing Research
  • Generate new nursing knowledge.
  • Validate nursing practice that leads to desired outcomes.
  • Enhance the value of using research as a scientific basis for nursing practice.

PWindle-2011

slide8

Conceptual Process

Review

the literature

Theoretical

Framework

Hypothesis

Formulate

the problem

research process
Research Process
  • Proposal Development
    • Research problem – significance
    • Methodology
    • Cost of project if needed
  • IRB – Human subjects
    • Patient’s rights for privacy
    • Patient’s rights to confidentiality

PWindle-2011

problem statement
Problem Statement
  • Identify a problem
  • Question that needs to be answered
  • Usually from work environment
  • Reasonable, related to one’s profession, useful & manageable

Interesting?

Ethical?

Feasible?

Researchable?

Important?

Timely?

Relevant?

PWindle-2011

selection criteria
Selection Criteria

Clues? Hints?

  • I – importance
  • R – relevance
  • I – intended outcome
  • S - scope
  • Patient
  • Department
  • Nurses
  • Colleagues

PWindle-2011

methodology
Methodology

Research Design:

  • A blueprint for conducting a study
  • Overall plan for data collection
  • Addresses the research question or test the hypothesis
  • What can be controlled or manipulated

PWindle-2011

categories of research design
Categories of Research Design
  • Experimental design
  • Quasi-experimental design
  • Non-experimental design

PWindle-2011

subjects
Subjects
  • Population – total group
  • Samples – smaller subset of the population or representative subgroup
  • Sampling methods – Random?
  • Inclusion/exclusion criteria
  • Sample size – to detect clinical meaningful difference
    • Power is usually set at 0.80

PWindle-2011

data collection
Specify …

Setting:

when

where

how

who

Methods:

Observation

Interview

Questionnaire

Record review

Hardware instruments

Tests, measures

Quantitative data

Qualitative data

Data Collection

PWindle-2011

conducting a pilot study
Conducting a pilot study
  • Offers chance to improve the study
  • Identifies flaws in data collection process
  • Make revisions prior to the real data collection
  • Refine survey questions (reliability & validity)

PWindle-2011

data analysis
Data Analysis
  • Summarize & interpret data information through statistics
    • Code & input data
    • Missing data
    • Analyzing the data
    • Interpreting the results

PWindle-2011

interpretation of results
Interpretation of Results
  • Does it answer the research question /hypothesis?
  • Are the findings the same or different from other similar studies?
  • What possible nursing implications are present for change in practice?
  • Recommendations for the dept or hospital
  • What did you learn from this study?

PWindle-2011

communicate research findings
Communicate Research findings:
  • Thesis/Dissertation/Abstracts
  • Journal article
  • Symposium/Conference presentation
  • Research utilization

Research/Funding $$$…

  • Colleagues/MD Collaboration
  • Local Colleges/University/School Affiliation
  • Professional Organization Affiliation
  • Grants? Others

PWindle-2011

obstacles barriers for research
Obstacles/Barriers for Research
  • Financial Cost Related
  • Patient Related
  • Staff Related
  • Practice Related
  • Institution Related
  • Novice
  • Support
  • Time factor
  • Others
consider
Consider ….
  • Feasibility
  • Affordability - $$$
  • Time Required
  • Relevance to Nursing practice
  • Availability of Subjects
  • Cooperation from others
  • Facility/Equipment

PWindle-2011

research studies past present future
ResearchStudies:Past, Present & Future
  • Factors Related to Hypothermia Study (1989)
  • PACU Oxygen Saturation Study (2x)

(1990, 1991)

  • Interventions for CommonPostoperative Complications (1995)
  • Professional Salary Model (1995)
  • Use of Ondansetron for PONV Treatment (1996)
research studies past present future24
ResearchStudies:Past, Present & Future
  • Pain: The Fifth Vital Sign (1996)
  • Nursing Perceptions of Their Work Environment (1996)
  • Improving Patient Outcomes through

COMIT Model (1996)

  • Benchmarking for Unrelieved Pain

in PACU (1997)

  • Effects of Fast Tracking in Surgical Outpatients (1997)
research studies past present future25
ResearchStudies:Past, Present & Future
  • Delphi Study Research Priorities (w/ TAPAN) (1997)
  • Effects of Acupressure for PONV patients (1999)
  • Preventing Unplanned PerioperativeHypothermia (w/ ASPAN) (2001)
  • PeriAnesthesia Nursing Practice:Pain & Comfort (w/ ASPAN) (2002)
  • Pain Management of Patients in the PACU (2003)
research studies past present future26
ResearchStudies:Past, Present & Future
  • Comparison of BNS & Lidocaine for IV line Insertion (2003)
  • Family Visitation in the PACU (2004)
  • Assessing Safety Culture among

PeriAnesthesia Nurses: A Pilot Study (2004)

(w/ ASPAN members) (2005-06)

  • Correlation of Temperature Methods with Core Temperature (2007-08)
evidence based practice past present future
Evidence-based Practice:Past, Present & Future
  • Thermoregulation (w/ ASPAN) (2006 & 2009)
  • Postop Nausea and Vomiting for Outpatients (2007)
  • Postop Discharge Nausea and Vomiting for outpatients (2009-10) – Multisite study
  • Voiding Discharge Criteria for outpatients
  • Pain and Comfort Consensus Guidelines

(2006 & 2010)

  • Obstructive Sleep Apnea (2010-2011)
hints for a successful study
Hints for a successful study…
  • Research topics that is important to you
  • Get some institutional support
  • Management support
  • Group/team work instead of individual
  • Access resources (people, materials, & information)
  • Organization planning is important key

PWindle-2011

food for thought
“Food for Thought”
  • Think of a frustrating experience you have had in your professional practice
  • Identify problem area
  • Ask yourself series of questions until you have 1 that you feel & think can be researchable, oramendable to a solution, that is worth your time, effort and $$$$

PWindle-2011

nursing research
Nursing Research

Novice

Expert

improved nursing practice
Improved Nursing Practice …

Will come about if …

Nurses will find, read, and apply what they have learned!

get engage collaborate reach out and

Get Engage, Collaborate,Reach Out…and

Make a Difference

in your daily practice!

Continue your inquiry everyday!

questions
Questions ???

pwindle@sleh.com

Thank you !!!

PWindle-2011