Nsg research opportunities and challanges

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Nsg research opportunities and challanges

  1. 1. Panel Discussion: Research Methodology Training Nursing Research: Opportunities and challenges R S MEHTA, MSND 1
  2. 2. Importance of nursing research • The ultimate purpose of nursing is to provide highquality patient care. • Clinical practice without research is practice based on tradition without validation. • Research is needed to evaluate the effectiveness of nursing treatment modalities, to determine the impact of nursing care on the health of the patients or to test out theory. • In order to meet social challenges and needs, nursing practice must be research based. R S MEHTA, MSND 2
  3. 3. GOALS OF NURSING RESEARCH 1. 2. 3. 4. 5. 6. 7. Build a body of nursing knowledge Improve nursing care Improve patient care outcomes Improve quality of life Define and expand the scope of nursing practice Validate improvements in nursing practice Make healthcare efficient and cost effective. Research: Synonyms of problem solving R S MEHTA, MSND 3
  4. 4. Evidence Based Practice R S MEHTA, MSND 4
  5. 5. Emerging Trends/Challenges in Nursing R S MEHTA, MSND 5
  6. 6. Emerging trends in Nursing: • • • • • • • Professional judgment Defining "Care“ Electronic network & Computer use Problem based learning Marketing Privatization Nursing standard Nursing audit R S MEHTA, MSND 6
  7. 7. Emerging trends in Nursing … • • • • • • • Multidisciplinary health team approach Independent area of practice Holistic care approach Specialized services (dialysis, Psychiatric etc.) Continuing education Use of advanced technology: bed Side USG Consumer protection act on action R S MEHTA, MSND 7
  8. 8. Emerging trends … • Change in uniform and dress code • Human relation in nursing • Provision for nurse consultant, specialist nurse, nurse advisor, nurse researcher, nurse manager etc • Mobile technology: every thing R S MEHTA, MSND 8
  9. 9. Singapore 2008-2011 R S MEHTA, MSND 9
  10. 10. Singapore at a glance R S MEHTA, MSND 10
  11. 11. Singapore at a glance R S MEHTA, MSND 11
  12. 12. Singapore at a glance R S MEHTA, MSND 12
  13. 13. R S MEHTA, MSND 13
  14. 14. I liked in Singapore • • • • • • • • Building Planned city Road Cleanliness Security Train services Bus services Aeroplane R S MEHTA, MSND 14
  15. 15. I liked in Singapore … • • • • • • • • • Job oriented people Rule and regulation Equal treatment/Behavior for all Cultural harmony: Malaya, Chinese, Tamil Punctuality Cultural diversity: Indian, Chinese colony Food from Malaysia: fresh Goods from china but high quality Freedom for Individuals: under rule e.g: smoking R S MEHTA, MSND 15
  16. 16. I liked in Singapore… • • • • • Single: Tax 45% With 2 or more child: Tax 6% only Policy: Plenty of child plenty of money No bargaining Every shopping complex auto detector machines. • No cheating of tax. • Phone, Email free inside airport • No public telephone shops only coin phones R S MEHTA, MSND 16
  17. 17. Changi General Hospital (CGH) Government Hospital R S MEHTA, MSND 17
  18. 18. CGH at a glance • • • • • • • 800 beded hospital Government funded hospital Facilities : Class A, B1, B2, C 2000 staffs 1200 Nurses Clinical trial facilities separate units No separate hospital pharmacy: drugs supplied in hospital • Established before 19 years: Same time as BPKIHS R S MEHTA, MSND 18
  19. 19. CGH at a glance… • • • • • • • Separate home care teams Diet as per individual patient choice Birth day special diet Diet and laundry service by Robert Charge A : 40 S$/day Insurance for most of citizens Best referral systems R S MEHTA, MSND 19
  20. 20. CGH at a glance… • Celebration of special days: patient safety, food festival etc. • For new nurses: 2 days hospital orientation and 4 weeks nursing orientation by in-service education team on CPR, IVI, etc R S MEHTA, MSND 20
  21. 21. CGH at a glance • Salaries SN: 2000 S$/Month • IEC in OPD complex, indoor corridors, duty stations and other public places. • Need based inventions: e.g. during SARS, invention of autodetection mechine in OPD for screening of all patients TPR BP SPO2 etc. R S MEHTA, MSND 21
  22. 22. CGH R S MEHTA, MSND 22
  23. 23. CGH R S MEHTA, MSND 23
  24. 24. CGH R S MEHTA, MSND 24
  25. 25. Similarities with BPKIHS • Same bed strength • Same duration of established But not comparable in quality and services like Thai air and RNAC (NAC) R S MEHTA, MSND 25
  26. 26. Opportunities and challenges of Nursing Research R S MEHTA, MSND 26
  27. 27. RESEARCH UTILIZATION IN NURSING • The results of nursing research help build the knowledge base and provide the evidence to guide interventions to nurses and other health care workers. R S MEHTA, MSND 27
  28. 28. National Health Research Priority Areas • • • • • • • • • • • • • 1. Health Care Delivery System 2. Communicable Diseases 3. Non Communicable Diseases 4. Neonatal and Child Health 5. Reproductive Health 6. Mental Health and Substance Abuse 7. Injuries, Accidents and Violence 8. Nutrition and Food Safety 9. Environmental and Occupational Health 10. Traditional Medicine 11. Urban Health 12. Geriatric Health Opportunities 13. Miscellaneous For Nurses R S MEHTA, MSND 28
  29. 29. Research Utilization in the clinical setting • • • • Promotes critical thinking Enhances professional self-concept Ensures safe and reflective practice Practice based on current, scientific, sound knowledge • Enrich nurse’s self-confidence R S MEHTA, MSND 29
  30. 30. Researcher: Role • Validates researcher’s efforts • Provides motivation for scholars to continue to discover new knowledge • Reinforces professional accountability • Helps uncover new clinical problems for investigation R S MEHTA, MSND 30
  31. 31. Health Care Agency: demand • • • • • Cost effective nursing care High-quality care Improved client outcomes Retention and recruitment Professionally satisfied and stimulated nursing staff R S MEHTA, MSND 31
  32. 32. Profession of Nursing: Needs • • • • Enhances practice autonomy Positive professional image Strengthen professional status Expands nursing’s scientific knowledge base R S MEHTA, MSND 32
  33. 33. Criteria for Research Utilization • • • • • • Utility to nursing Applicability to practice Replication Scientific merit Client safety Feasibility R S MEHTA, MSND 33
  34. 34. Koshi Flood R S MEHTA, MSND 34
  35. 35. The Struggle to survive: Koshi Flood R S MEHTA, MSND 35
  36. 36. • There will always be a need for new evidence to support or challenge practice R S MEHTA, MSND 36
  37. 37. Nursing research in perspective • In today´s world: –Nurses must become lifelong learners –Capable of reflecting on, evaluating, and modifying their clinical practice based on new knowledge –Expected to become producers of new knowledge through nursing research R S MEHTA, MSND 37
  38. 38. R S MEHTA, MSND 38
  39. 39. Threats/Barriers for Nurse Researcher: • Temporary posts and limited opportunities for career progression • Common frustrations experienced by these nurses include often working in isolation • Difficulties have been identified around integrating into clinical teams • Clinical nurse researcher need better support, training and professional development R S MEHTA, MSND 39
  40. 40. Constraints on developing countries research: A. Personal: – Intellectual isolation – Low salaries – Limited promotion – Few carrier paths – Restricted research choice – Insufficient training R S MEHTA, MSND 40
  41. 41. B. Work-Environment: • - Lack of access to information • - Inadequate support of staffs • - Institutional instability • - Weak facilities C. Macro-Environment • - Lack of demand for research • - Lack of scientific Culture • - Weak public Support • - Bureaucratic rigidity • - Political instability R S MEHTA, MSND 41
  42. 42. Nurse must involve in the following activites RT Research: • • • • Participating in a journal club Attending research presentations Participate in professional conferences Discussing the implications and relevance of research findings with clients R S MEHTA, MSND 42
  43. 43. To foresee the future is to know the past R S MEHTA, MSND 43
  44. 44. Websites, Search Engine, and address of Journals • • • • • • • • • • • • • • • • • www.pubmed.com www.google.com www.yahoo.com www.msn.com www.rn.com www.who.int (WHO website) www.randamization.com www.tnaionline.org (TNAI Journal) www.hellis.org (NHRC library site) www.kumj.com.np www.nhrc.org.np www.uicc.org (cancer website) www.unaids.org (HIV/AIDS website) www.ncasc.org.np (HIV/AIDS website) www.healthinternetwork.org (HINARI: needs password) www.blackwell-synergy.com (need passwords) www.doaj.org (free online journal) R S MEHTA, MSND 44
  45. 45. Some Popular Resource Sites for Nurses • • • • • • • • • • • • • www.delicious.com www.connotea.org www.scribd.ocm www.authorstream www.zotero.org www.scratch.mit.edu www.myebook.com www.forvo.com www.biomedcentral.com www.library.nams.org.np (all study conducted in Nepal) www.refworks.com www.sourceforge.net www.citationmachine.net You can create your own account and use it. R S MEHTA, MSND 45
  46. 46. Web 2.0 includes: • • • • • • • Social networking Blogs Wikis Video sharing sites Hosted services Web application Etc. R S MEHTA, MSND 46
  47. 47. Key messages: 1. Nurses should practice to the full extent of their education and training. 2. Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression. 3. Nurses should be full partners, with physicians and other health care professionals, in redesigning health care. R S MEHTA, MSND 47
  48. 48. we have a choice Government have a choice Organization have a choice Nursing has a choice Nursing leaders have a choice Need to be major transformation even though it is radical and uncertain other wise Death /Stagnation? R S MEHTA, MSND 48
  49. 49. “Knowing is not enough; we must apply. Willing is not enough; we must do.” —Goethe R S MEHTA, MSND 49
  50. 50. • Reasonable man adapts himself to world; the unreasonable one persists in trying to adapt others to himself. - Peter F Druker Thank you R S MEHTA, MSND 50

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