Nurse-led Research Research Articles

Nursing research in Spain

The evolution of the Nursing profession in Spain over the past 40 years has determined the current situation of Nursing research. Thus, the social, political and economic context have modelled the academic consolidation of Nursing both in the University, and in the Health Care System. The aim of this paper is to describe the evolution, key milestones, and current situation of Nursing research in Spain as a result of all these influences. The full access of nurses to doctorate programs, the regulation of health professions and Nursing specialties, as well as the strong support from some institutions funding and promoting nurse-led research have been essential for the current development. There are 49 PhD Programmes for nurses, and 79 Nursing research groups, responsible for a scientific production that puts Spain in the seventh position in the world ranking of scientific production in the area of Nursing, from a total of 257 countries analyzed.

What does the increasing prevalence of critical care research mean for critical care nurses?

What does the increasing prevalence of critical care research mean for critical care nurses?

Promoting Bedside Nurse-Led Research Through a Dedicated Neuroscience Nursing Research Fellowship.

We hypothesized that nurses would benefit from the fellowship model traditionally used to engage physicians in clinical research. The Neuroscience Nursing Research Center (NNRC) fellowship program was created as a model for engaging nurses at all levels of clinical practice to become active in clinical research. The NNRC was established in 2013 as a novel approach to promote bedside nurses as primary investigators in clinical research. The NNRC developed 4 pathways to nursing research success: research fellowship, student-nurse internship, didactic training, and research consultation. Fellows have enrolled more than 900 participants in 14 studies. Nurses have presented more than 20 abstracts at 12 conferences and submitted 11 manuscripts for publication. The NNRC has provided research training to more than 150 nurses. The NNRC program is successful in engaging nurses in research. It shows promise to continue to develop nursing research that is applicable to clinicians and thus improve patient care.

Characteristics of nursing studies in diabetes research published over three decades in Sweden, Norway, Denmark and Iceland: a narrative review of the literature.

Similarities and differences across borders of Nordic countries constitute a suitable context for investigating and discussing factors related to the development of diabetes nursing research over the last three decades. The present study reviewed the entire body of contemporary diabetes nursing research literature originating in four Nordic countries: Norway, Sweden, Denmark and Iceland. Our aims were (i) to catalogue and characterise trends in research designs and research areas of these studies published over time and (ii) to describe how research involving nurses in Nordic countries has contributed to diabetes research overall. The larger goal of our analyses was to produce a comprehensive picture of this research in order to guide future studies in the field. We conducted a narrative literature review by systematically searching Medline, Medline in process, EMBASE, CINAHL, PsycINFO and Cochrane databases. These searches were limited to studies published between 1979 and 2009 that had an abstract available in English or a Nordic language. Two researchers independently selected studies for analysis, leading to the inclusion of 164 relevant publications for analysis. In summary, Nordic nurse researchers have contributed to the development of new knowledge in self-management of diabetes in childhood, adolescence and adulthood, and to some extent also in the treatment and care of diabetes foot ulcers. Future research may benefit from (i) larger nurse-led research programmes organised in networks in order to share knowledge and expertise across national groups and borders, (ii) more multidisciplinary collaborations in order to promote patient-centred care and (iii) further research directed towards improving the dissemination and implementation of research findings. Using complex intervention designs and a mix of research methods will enrich the research.

Building the Evidence for Nursing Practice: Learning from a Structured Review of SIOP Abstracts, 2003-2012.

The focus of work submitted to an international conference can reflect the changing landscape of a specialty and prove important for identifying trends, uncovering gaps, and providing new directions for nurse-led research and clinical practice. We present an analysis of trends in presentations in the nursing program at the SIOP congress from 2003 to 2012 based on all accepted abstracts. A total of 462 abstracts were analyzed. A data extraction form was used to ensure consistency of data retrieved. Paired researchers were assigned 2 years of abstracts for assessment: approximately 80-100 abstracts each. Data were entered into REDCap data management software. Most abstracts came from presenters affiliated with institutions in Europe and North America with a noticeably significant under-representation from developing countries. There was an equal representation of papers focused on empirical research with family members and clinical practice focused on the professional role, although this varied in some years. Analysis of research methodology revealed a predominance of surveys, with a recent increase in qualitative and mixed method studies. Out of all abstracts only 18% were subsequently published. Gaps have been identified, such as the limited involvement of nurses in developing countries, and lack of studies self-reporting from children. Much needs to be done to promote a greater diversity of research frameworks and more dynamic research designs. The small percentage of abstracts from nurses that are eventually published may hinder translation of the findings into clinical practice.

Capacity building - a challenge for nurse managers

Capacity building - a challenge for nurse managers

Creating National Standards From the Point of Care

Every nurse leader is challenged to provide an infrastructure for patient care that facilitates the highest quality of patient care services, the adoption of innovative practices, and the satisfaction of caregivers. Nurses are expected to provide the best possible care to patients and their families in ways that are safe, respectful, timely, and appropriate, even if there is not a specific policy to support it-all within the scope of practice. The purpose of this article is to share an exemplar that illustrates an effective change dynamic as the framework for changing nursing practice. The exemplar describes a new approach for postmortem care that began with creative problem solving at the bedside and evolved to a nurse-led research study. Results from the study continue to be disseminated with the intention that the nursing intervention will become standard of care.

Nurse-led research offers unique insights into patients’ psychosocial concerns

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National Survey of Hospital Nursing Research, Part 2

The aim of this study was to describe the facilitators and hindrances associated with the conduct of registered nurse-led research in US hospitals. Hospital-based nursing research programs are growing in response to increasing emphasis on evidence-based practice. Concerns existed about institutional regulations prohibiting staff nurses' ability to be principal investigators of their research studies. Comments from the Hospital-Based Nursing Research Requirements and Outcomes national survey regarding facilitators and hindrances of conducting nursing research in hospitals were analyzed using content analysis. Comments from 95% of surveys were classified into 24 facilitator and hindrance codes. Both Magnet and non-Magnet hospitals identified the presence of a research mentor as the top facilitator. In non-Magnet hospitals, the top hindrance was a lack of a research mentor as compared with Magnet hospitals, which reported lack of time. The presence of a research mentor is the most important facilitator for hospital nursing research. Findings provide data to inform research program development.

Surrogate consent for critical care research: exploratory study on public perception and influences on recruitment

IntroductionCritical Care research involves an increasing level of technical and clinical interventions for the unconscious patient. If the general public has a negative (unfavourable) view of surrogate consent, low recruitment rates are likely. Results bias will be introduced if study populations are small, hindering knowledge generation and transfer through research. In the rapidly expanding healthcare industry of South East Asia, opportunities for critical care research will grow given a positive willingness (favourability) by the general public to act as a surrogate in the consent process when the (unconscious) patient cannot consent for him/herself.MethodsTo determine public willingness for surrogate consent, a quantitative cross-sectional study was undertaken at a University Teaching Hospital in South East Asia during a three month interval. Four hypothetical critical care research scenarios were presented and responses from the public were analysed using a three-part questionnaire.ResultsThree hundred and five members of the public were recruited. In general, participants had a positive view of research. The level of education was significantly associated with a person's views about research especially in studies regarded as high risk. For low risk studies, a person's perception of research and willingness to be recruited to a study in the event that they were the (unconscious) patient, was the same whether they were the study subject or the person (legally acceptable representative) giving surrogate consent' on behalf of another (spouse, parent, child). Across all study scenarios, 60-80% of the public preferred to be approached by doctors to discuss the surrogate consent process.ConclusionGiven the hypothetical scenarios presented in this study, the odds of a person having a positive view and willingness to be consented to a critical care research study on the advice of another (surrogate consent) was greater than for those who had a negative or unfavourable view. Nurses may be disadvantaged in leading on the recruitment process due to a preference for information to be delivered by medically qualified clinicians. In the setting of South East Asia, cultural attitudes to nurse-led research in critical care must be taken in to consideration in the multidisciplinary approaches to building the research team.

The role of the European haemophilia nurse

Abstract Background: A broad scoping exercise was undertaken to assess and quantify haemophilia nursing care in Europe. Methods: A web-based survey in English was sent to known networks of haemophilia nurses working in Europe. This survey included questions concerning the haemophilia treatment centre, educational level, work activities, gaining knowledge/ expertise and development in the future. Results: In total, 94 nurses in 14 countries in Europe completed the survey. Overall, the majority (62%) of the nurses had over 20 years’ nursing experience, with 44% having more than 10 years’ experience in haemophilia. The educational level varied; with highest educational level of attainment being 41% at nondegree level nursing entry qualification, 35% BSc and 24% MSc. 21% worked in a centre where they treat only children, 26% only adults and 53% both. All had good access to treatment. The core activities (rated >80%) of a haemophilia nurse were: prepare and administer medication, venepuncture and CVADuse (except cannulation), providing education and telephone advice, coordination of (multidisciplinary) care and assistance with clinical trials. Furthermore, 35% stated that they initiated and performed nurse-led research. In the future, almost all nurses would like to develop their expertise and knowledge base by studying at Masters level and above, to have more responsibility, and to conduct research. Conclusion: This scoping exercise provides a baseline assessment of haemophilia nursing across Europe. The results may provide a basis for a more thorough investigation of the current role and the principles of haemophilia nursing care; future opportunities, and the training requirements to develop the specialty.

Nurse research on continence care wins top GP accolade.

A nurse-led research paper on improving continence care for people with dementia living at home has been awarded the Royal College of General Practitioners' research paper of the year.

Overcoming Challenges for Nurse-Led Research in the Neonatal Intensive Care Unit

Nurse researchers have made considerable contributions to the science of nursing. Conducting studies in the clinical environment is the best way to determine what interventions are most effective. Because most research is conducted by nurses from academic settings, they often are not viewed as credible by nurses in clinical practice, nor are they accepted readily into the neonatal intensive care unit (NICU) to conduct research. This article addresses the barriers to implementing and conducting studies in the NICU setting, and provides suggestions for creating collaborative and mutually satisfying relationships between nurse researchers and healthcare staff in the NICU. Partnerships built on mutual respect are necessary to have successful research outcomes, and to continue to build knowledge for the best neonatal care.

Primary and Secondary Tobacco Prevention in Youth

The childhood years represent a critical time for tobacco experimentation and addiction. This chapter presents risk factors for youth smoking, state of the science of nurse-led primary and secondary tobacco prevention research in youth, and implications for future research, policy, and practice. Nursing research on both primary and secondary tobacco prevention efforts that are school-based, family-based, and community-based are presented. Interventions, including both state and community approaches, and media and policy endeavors to prevent tobacco use and foster successful cessation are discussed. The nursing profession has made an impact on primary and secondary prevention in youth regarding tobacco; however, much remains to be accomplished. As one of the largest health care professions, nurses should seize the important opportunity of positively impacting the health of children and youth through comprehensive and effective primary and secondary tobacco prevention efforts.

Two Decades of Nurse-Led Research on Smoking During Pregnancy and Postpartum: Concept Development to Intervention Trials

Tobacco use during pregnancy and postpartum is a leading cause of preventable morbidities for women and their infants. Over the past two decades, nursing research has addressed this recalcitrant clinical problem from a variety of conceptual and methodological perspectives. The 64 published studies (1988-2009) that met inclusion criteria for this systematic review represent the full research trajectory from concept development to intervention testing. Meta-analysis demonstrated an overall significant trend in nursing intervention efficacy (OR = 1.14, 95% CI = 1.08-1.2) for studies that examined comparable prenatal and postpartum smoking cessation outcomes. Implications for future nursing research and evidence-based policy are presented.

Highlighting the value of nurse research in Salford

Discussion at the annual conference of the British Association of Neuroscience Nurses in October addressed a number of controversial issues and highlighted important activity in nurse-led research

Health- and Disease-Related Biomarkers in Aging Research

This article focuses on a synthesis of knowledge about healthy aging research in human beings and then synthesized nurse-led research in gerontology and geriatrics that use biomarkers. Healthy aging research has attracted considerable attention in the biomedical and basic sciences within the context of four major areas: (a) genetic variations as an expression of successful or unsuccessful aging; (b) caloric restriction as an intervention to slow the progression of aging; (c) immunological aging; (d) neurobiology of the aging brain. A systematic review of the literature was performed to identify nurse-led geriatric-related biomarker research. Nurse researchers who have chosen to integrate biomarkers as part of their research studies have been working in six focal areas, which are reviewed: health promotion within risk populations, cancer, vascular disease, Alzheimer's disease, caregiving, and complementary therapies. The article provides a discussion of contributions to date, identifying existing gaps and future research opportunities.

In response to Foster J., Bidewell J., Buckmaster A., Lees S. & Henderson‐Smart D. (2008) Parental stress and satisfaction in the non‐tertiary special care nursery. Journal of Advanced Nursing61(5), 522–530.

In response to Foster J., Bidewell J., Buckmaster A., Lees S. &amp; Henderson‐Smart D. (2008) Parental stress and satisfaction in the non‐tertiary special care nursery. <i>Journal of Advanced Nursing</i><b>61</b>(5), 522–530.

P1-247: MESOTHELIOMA UK - Developing a national resource centre for mesothelioma

In 2002 a proposal was made to Macmillan Cancer Relief (now known as Macmillan Cancer Support) to support the establishment of Mesothelioma UK, the National Macmillan Mesothelioma Resource Centre at Glenfield Hospital, Leicester. The Centre opened in 2004. The objectives of the centre are: •To provide high quality, impartial and up-to-date information to all UK mesothelioma patients, their carers, health care professionals and associated organisations.•To provide regional support for ongoing development in the mesothelioma field through the continued development of a national network of trained and experienced nurse specialists.•To establish a consultant nurse post to provide overall leadership to the work of Mesothelioma UK, including nurse-led research.•To work in collaboration with individuals interested in mesothelioma and with interest related groups.•To explore the feasibility of establishing and developing a network of mesothelioma support groups.•To promote the problems and issues raised by mesothelioma through mediums such as articles, conferences and the media. From the current progress already achieved by the Macmillan Mesothelioma UK Project, it can be anticipated that all its objectives will be achieved by the end of the three years. The value of services provided by Mesothelioma UK on a national level, to the public and to health care, can already be demonstrated and is expected to grow. This presentation will chart the development of Mesothelioma UK and highlight the achievements and benefits of establishing a co-ordinated approach to provide support and information for a rare tumour such as mesothelioma.

Research capacity and output in paediatric nursing

There is general agreement that nursing-led research is under-resourced with respect to funding for academic preparation and for the conduct of clinical research. All of the previous literature, however, focuses on the nursing profession as a whole and provides little insight into the capacity and resource issues for specialty practice areas such as children's nursing. This paper provides an overview of the state of paediatric nurse-led research capability, capacity and output within the limitations of the available data. The findings reveal that paediatric nursing in the UK currently has very limited capacity to conduct and utilise research in the care of children and is in a weak position to create a future workforce that has this capacity. Nurse-led research on children's health issues is urgently needed if the UK paediatric nursing workforce is to deliver the standard of care specified in the Children's National Service Framework. However, strategies for accelerating the development of research capacity and output within paediatric nursing all require targeted financial investment to build capacity. This analysis is illustrative of the need for a more detailed investigation of nursing research capacity by specialty. Key messages and action points are suggested for nurses in higher education, professional nursing organizations, doctorally prepared nurses and their employers.