evolutioon of nursing research.ppt

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    Thewordresearchmeanstosearchagainorto

    examinecarefully.,

    Researchissystematicinquiry,orstudytovalidateand

    refineexistingknowledgeanddevelopnewknowledge.Theultimategoalofresearchisthedevelopmentofa

    bodyofknowledgeforadisciplineorprofessionsuchas

    nursing

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    Nursingresearchhelpthenursesinavarietyof

    settingsanswerquestionaboutpatientcare,education

    andadministration.Researchensuresthatthe

    practicesarebasedonevidenceratherthantradition.

    Nursingresearchcanbedoneineducation,

    administrationandpatientincare.

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    NEED OF RESEARCH IN NURSING

    1. To maintain the professionalism , ie: professional dignity

    2. To have autonomy in nursing.

    3. To have accountability .

    4. To develop critical thinking, creativity , and problem solving

    technique.

    5. To develop new technique of nursing intervention.

    6. To evaluate the effectiveness of new nursing techniques.

    7. To develop a scientific body of knowledge8. To answer problem relating to health delivery and care

    9. To determine areas of need relating to education, IPR and patient

    teaching.

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    1873Linda Richards became known as Americas first

    trained nurse.

    1879Mary Eliza Mahoney became known as Americasfirst trained African-American nurse.

    1893

    The Nightingale pledge was written and

    administered

    1900

    American Journal of Nursing was first published.

    1901

    United States Army Nurse Corps was established.

    1902 First nurse practice acts were passed

    1908

    United States Navy Nurse Corps established.

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    CONTRIBUTION OF NIGHTINGALE

    Research in nursing began with Florence Nightingale. Her otes

    on nursing 1859) , describes her early interest in environmental

    factors that promote physical and emotional wellbeing.

    Nightingales most widely known research contribution involved

    her analysis of factors affecting soldier mortality and morbidity

    during the Crimean war.

    Based on her skilful analyses and presentations , she was

    successful in effecting some changes in nursing care and more

    generally in public health

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    1900, Most studies focused on nursing education like

    educational preparation and clinical experience of nursing

    students

    But limited basis to publish their studies, though the American

    journal of nursing has published on 1900s

    Lack of research in nursing practice

    1960 advances in nursing research occurred .

    International journal of nursing and Canadian journal of

    nursing published in 1963

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    availabilityofcomputersforthecollectionandtheanalysisof

    information,andanevergrowingrecognitionthatresearchisan

    integralpartofprofessionalnursing.

    .thefirstvolumeoftheAnnualReviewofNursingResearchwas

    publishedin1983.Theseannualreviewsincludesummariesofcurrent

    researchevidenceonselectedareasofresearchpracticeand

    encourageutilizationofresearchfindings

    in1986oftheNationalCentreforNursingResearch(NCNR)attheNationalinstituteofhealth(NIH).

    ThepurposeofNCNRwastopromoteandfinanciallysupport

    researchprojectsandtrainingrelatingtopatientcare.

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    In1993,theNationalinstituteofNursingResearch(NINR)wasborn.

    In1986,theNCNRhadabudgetof16$million,whereasinfiscal

    year1999,thebudgetforNINRhadgrowntoabout$70million

    journalswereestablishedduringthe1990sinresponsetothegrowth

    inclinicallyorientedresearchandinterestinEBPamongnurses,

    includingclinicalnursingresearch,clinicaleffectiveness,andoutcomes

    managementfornursingpractice

    TheprioritiesestablishedbyCORPin1994includedlowbirthweight,

    humanimmunodeficiencyvirus(HIV)infection,long-termcare,

    symptommanagement,nursinginformatics,healthpromotion.

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    YEAR EVENTS

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    YEAR EVENTS

    1871 Schoolofnursingstartedingeneralhospital,madras

    1908 TNAIestablished

    1809 Bombaypresidencyassociation

    1911 SouthIndianboardofnursingassociation

    1912 Nursesregistrationactwasformedatmadras

    1930 Christiannursesauxiliaryformed

    19411946

    StandardizedpayscalesandtermsofservicesformedinmadrasBhorecommitteesubmittedreportwithrecommendationofvariousaspectsofnursingprofession

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    YEAR EVENTS

    1947 Indiannursingcouncilactpassedon31-12-1947

    1948 FirstmeetingofIndiannursingcouncilwasheld

    1951 Establishmentofurbanfieldteachingcentreisstartedatcollegeofnursing,Delhi

    1952 Establishmentofresidentialfieldteachingcentrefor

    teachingcommunityheathnursingatruralareaunderdelhicollegeofnursing

    1953 Miss.EdithBuchannan,sentforColumbiauniversitytoearndoctorateineducationthroughWHOfelowiship

    1955 Establishmentofchildguidanceclinic,atcollegeofnursing

    1955 Miss.MargaretaattendedICNmetonfranceandpresentedtheneedofresearchinnursing

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    YEAR EVENTS

    1959 MasterofnursingprogrammewasstartedonR.A.K

    collegeofnursing1961 Mudhaliarcommitteeestablishedtomaketoimprove

    nursingprofession

    1964 Dr.Maryfurgusonwithotherleadersconductedstudies

    onnursingandnonnursingfunctionsofnursingpersonnel

    1966 TNAIestablishedresearchstudiesunderthechairmanshipofmiss.margratacraig

    1976 Dr.mariefarellandDr.AparnaofR.A.Kcollegeofnursingconductedseminarsonnursingresearchtostrengththenursingresearchinindia.

    1977 TNAI and Co-coordinating agency for health promotion

    Nursing Survey in india

    1978 Governmentnurseassociationofkarnatakaestablished

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    YEAR EVENTS

    1981 Dr.FarrelandDr.Bhadurisbookon,healthresearchpublishedbyW.H.O

    1986 NRSIwasestablished

    1986 M.PhilprogrammeonnursingwasstartedonR.A.K

    collegeofnursing1988 R.A.Kcollegeofnursingwasdesignatedasworld

    healthcollaborationcentrefornursingdevelopments

    199220012002onwards

    Phd.InnursingprogrammestartedatR.A.KCONP.h.datnimhansNursingeducationfurnishedinanunprecedentedmannerthroughoutondia

    RESEARCH PRIORITIES IN NURSING

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    RESEARCH PRIORITIES IN NURSING

    Epidemiological Studies

    Studies on the conditions of life and well-being

    An evaluation of health policies and health services

    Health promotion

    From the perspective of nursing as a profession

    From the perspective of the patient and his/her family,

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    BARRIERS AND

    FACILITATORS

    OF NURSING RESEARCH

    UTILIZATION

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    AREA BARRIERS

    ORGANISATION INSUFFICIENT AUTHORITY TO CHANGE PATIENT CARE

    ADMN NOT ALLOWING IMPLIMENTATION

    INADEQUATE FACILITIES FOR IMPLIMENTATION

    PRESENTATION AND

    ACCESSIBILITY OF

    RESEARCH

    STATISTICAL ANALYSES ARE NOT UNDERSTANDABLE

    LITERATURE IS NOT COMPLIED AT ONE PLACE

    RESEARCH ARTICLE ARE NOT READILY AVAILABLE

    CHARACTERISTICS

    OF INNOVATION

    LITERATURE REPORTS CONFLICTING RESULITS

    METHODOLOGICAL INADEQUACIES OF RESEARCH

    RESEARCH REPORTS/ARTICLE ARE NOT PUBLISHED

    FAST ENOUGH

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    THE FACILITATORS OF NURSING RESEARCH

    Increasedadministrativesupportandencouragementareneeded

    colleaguesupportandtimetoreviewandimplementresearch

    findings.

    Firstandforemostisthecreationofanenvironmentinwhich

    nursesarecomfortable

    Questioningandevaluatingcurrentpractice,seekingout

    researchbasedsolutionstocareproblems,andtestingthemin

    trialsappropriately.

    Developingnursesresearchskillsthroughattendanceat

    conferences,continuingeducation,andin-serviceworkshops.

    Researchutilizationisexpectedandrewarded

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    ImportanceofNursingResearch

    Nursesaskquestionsaimedatgainingnewknowledgetoimprove

    patientcare.

    Research-based(evidencebased)practice=integrating

    researchfindingsintoclinicaldecisionmaking

    Accountabilityforcare-relateddecisions;researchexpands

    nursingpractice

    Reinforceidentityofnursingasaprofessionknowing/understandingpts.healthcareexperience

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    ,Ihaveconcludedthatresearchinnursingpracticehasseveral

    purposes:

    a)toincreaseknowledgeinthefield,thuslayingthebasicfoundations

    forthepracticeofpatientcare,

    b)tobuildupevidenceforsuchpractice;

    c)tocontributetotheattentionofthepopulationsneedforhealth,

    qualityoflifeandwellbeing,

    d)toguideefficiencyinhealthandnursingservices,ensuringqualityandcost-benefit,

    e)togeneratetheknowledgethatguideseducationalandregulatory

    policiesinthenursingprofession

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