Evidence in Context: Nurses' Practical Reasoning About the Fit Between Research and Practice

2.50
Hdl Handle:
http://hdl.handle.net/10755/155634
Type:
Presentation
Title:
Evidence in Context: Nurses' Practical Reasoning About the Fit Between Research and Practice
Abstract:
Evidence in Context: Nurses' Practical Reasoning About the Fit Between Research and Practice
Conference Sponsor:Sigma Theta Tau International
Conference Year:2004
Conference Date:July 21, 2004
Author:French, Beverley, PhD, RGN, RNMH, RNT
P.I. Institution Name:University of Central Lancashire
Title:Dr.
OBJECTIVE: To describe the process by which information gained from research-based sources was integrated with contextual factors influencing the construction of policy recommendations for nursing practice. DESIGN: An qualitative methodology using participant observation of a series of clinical workgroup meetings to access the practical reasoning of clinical nurse specialists. POPULATION, SETTING, SAMPLE, YEARS: Three groups of specialist nurses from multiple health care providers in the North West of England were observed over 3 meetings. The groups were chosen to reflect different task types and settings known to influence decision making. METHOD: Data was collected using a modified focus group methodology, analysed using grounded data reduction, and was subject to external verification of description and inference. FINDINGS: The study results describe how information from research provided evidence of risk, cost or benefit that influenced the decision to adopt or reject an innovation. The results from the study illustrate the nurses’ practical reasoning about the fit between research and practice and the contextual factors that inhibited or facilitated research uptake for specific nursing tasks. CONCLUSIONS: The study draws attention to the types of problems practitioners face in the translation of research evidence into practice recommendations, including the complex, iterative and unpredictable product of interaction between the information and context, and the gradual transformation of evidence and refinement of decisions to cater for the complexities of practice. External influences on research use were unique to personal and organisational context, forming a situation specific backdrop against which variations in practice - which often appeared irrational and resistant to evidence - could be better understood. IMPLICATIONS: These results have implications for strategies to encourage “evidence-based practice” in applied disciplines, and point to a need for a better understanding of the complex realities of context before strategies to improve research use will be successful.
Repository Posting Date:
26-Oct-2011
Date of Publication:
21-Jul-2004
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEvidence in Context: Nurses' Practical Reasoning About the Fit Between Research and Practiceen_GB
dc.identifier.urihttp://hdl.handle.net/10755/155634-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Evidence in Context: Nurses' Practical Reasoning About the Fit Between Research and Practice</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 21, 2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">French, Beverley, PhD, RGN, RNMH, RNT</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Central Lancashire</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Dr.</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">bfrench1@uclan.ac.uk</td></tr><tr><td colspan="2" class="item-abstract">OBJECTIVE: To describe the process by which information gained from research-based sources was integrated with contextual factors influencing the construction of policy recommendations for nursing practice. DESIGN: An qualitative methodology using participant observation of a series of clinical workgroup meetings to access the practical reasoning of clinical nurse specialists. POPULATION, SETTING, SAMPLE, YEARS: Three groups of specialist nurses from multiple health care providers in the North West of England were observed over 3 meetings. The groups were chosen to reflect different task types and settings known to influence decision making. METHOD: Data was collected using a modified focus group methodology, analysed using grounded data reduction, and was subject to external verification of description and inference. FINDINGS: The study results describe how information from research provided evidence of risk, cost or benefit that influenced the decision to adopt or reject an innovation. The results from the study illustrate the nurses&rsquo; practical reasoning about the fit between research and practice and the contextual factors that inhibited or facilitated research uptake for specific nursing tasks. CONCLUSIONS: The study draws attention to the types of problems practitioners face in the translation of research evidence into practice recommendations, including the complex, iterative and unpredictable product of interaction between the information and context, and the gradual transformation of evidence and refinement of decisions to cater for the complexities of practice. External influences on research use were unique to personal and organisational context, forming a situation specific backdrop against which variations in practice - which often appeared irrational and resistant to evidence - could be better understood. IMPLICATIONS: These results have implications for strategies to encourage &ldquo;evidence-based practice&rdquo; in applied disciplines, and point to a need for a better understanding of the complex realities of context before strategies to improve research use will be successful.</td></tr></table>en_GB
dc.date.available2011-10-26T14:01:39Z-
dc.date.issued2004-07-21en_GB
dc.date.accessioned2011-10-26T14:01:39Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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