A translational research framework for nurse practitioners

Aims This study aims to explore a proposed translational research continuum for nurse practitioners. Background Nurse practitioners are acknowledged as clinical leaders responsible for transforming health care delivery. It is important that nurse practitioners contribute to health care knowledge using scientific processes for the implementation of evidence-based practice and evaluation of outcomes of interventions for their patient groups. Evaluation This paper provides a review of translational research literature including implementation science to align nurse practitioner activities to a modified translational research framework. Key Issues A translational research framework has the potential to strengthen nursing research in the nurse practitioner role. Adapting an accepted translational research continuum for nurse practitioners places the clinical nursing leaders in an equitable research position with all health care professionals. Implications for Nursing Management The translational research continuum provides nursing management with a structure to benchmark nursing research. The continuum applies a modern research framework to support research engagement for the nurse practitioner role

Are current clinical guidelines on the use of Peripheral Intravenous Cannula for blood draws supported by evidence? An organizational case study

© 2020 The Authors. Nursing Open published by John Wiley & Sons Ltd Aim: To examine the quality of evidence used to inform health policies. Policies on peripheral intravenous cannulas were used as exemplars. Design: An organizational case study design was used, using the STROBE reporting guidelines. Methods: Policy guidelines were sourced between June and September 2018 from health departments in Australia. Seven documents were compared regarding intravenous cannula dwell times and blood collection use. Evidence used in the documents was critiqued using assessment guideline from the Oxford Centre for Evidence Based Medicine. Results: Large variations exist between policies regarding blood sampling and dwell time. Evidence used a variety of sources. Few references received an A evidence rating and policies differed in their interpretation of evidence

Rural dialysis nurses’ experiences with challenging patients: a thematic qualitative analysis

Background: This study explored the experience of nurses encountering challenging patient behaviour while working at a rural hospital-based haemodialysis unit. Methods: Focus groups were conducted with haemodialysis nurses at a rural hospital. Five participants across two focus groups were asked questions regarding their experiences of challenging patients, including impacts that the experiences may have had on their ongoing professional practice. Transcripts of the focus groups were analysed thematically. Findings: Three themes arose from the focus group discussion – experiencing challenging behaviour, long-term relationships with patients, and nursing professionalism. Participants described challenges arising when caring for patients who were aggressive, did not comply with self-management, or caused avoidable logistical challenges. Long-term caring relationships presented challenges as patients could become emotionally dependent upon one nurse, making it difficult to share workloads with other nurses. Participants reported decreased confidence, being near tears, being angry, and experiencing ‘burnout’ when caring for patients with difficult behaviour over extended periods. Participants managed challenging behaviours by identifying triggers, allocating staff to specific patients, and trying to understand the patient’s motivation for action. ‘Not taking work home’ and ‘not taking things personally’ were ways in which nurses attempted to look after their own wellbeing, although this was not always possible. Participants stressed the importance of working as a team and having supportive management and inter-professional relationships.Significance Participants’ perceptions of working in the nursing profession were more related to their ability to work as a team and manage challenging behaviour exhibited by patients in a supportive environment than the presence of patients exhibiting challenging behaviour

Nurse practitioners perceptions on leadership and research [slides]

Conclusion: Participants identified themselves as clinical leaders focused on direct patient care The NP role was misunderstood Support from nursing academics and management was identified as a research opportunity Confidence in research abilities was a barrier to research The NP role was similar in Ireland and Australi

Nurse practitioner leadership and research activity [slides]

Conclusion: Nurse Practitioners in both Ireland and Australia identify themselves as leaders of the nursing profession. NP work practices are primarily focused on provision of direct patient care. Research activity is lacking among NPs. Leadership ability influences research outcomes for NPs in both Ireland and Australia

Nurse practitioners views on leadership and research

Nurs practitioners are clinical leaders focused on improving healthcare delivery for patient populations. The NP role is misunderstood. NPs lack confidence to be independently research ctive. Research by NPs requires support from nurses in academia. The NP role is similar in Ireland and Australiahttps://ro.ecu.edu.au/ecuposters/1029/thumbnail.jp

A survey of leadership and research activities of nurse practitioners

Nurse practitioners (NP) provide improved access to quality healthcare for identified patient populations. NPs are identified as the ideal conduit to transform healthcare delivery internationally. Trandforming healthcare requires the application of leadership and research skills. The literature to date has limited information on NPs as leaders or researchers in the nursing profession.https://ro.ecu.edu.au/ecuposters/1030/thumbnail.jp

Exploring how nurse practitioners implement leadership and research

The original concept of the Nurse practitioner role was to expand nursing practice in order to provide high quality, accessible healthcare to patients. This placed NPs at the crux of changes to healthcare delivery. Implementing these changes requires leadership. Research demonstrates the effects of these changes to healthcare delivery and contributes healthcare knowledge from the nursing profession.https://ro.ecu.edu.au/ecuposters/1028/thumbnail.jp

Leadership and research activities of nurse practitioners: Ireland and Australia

Nurse practitioners (NP) are identified as the ideal conduit to transform healthcare delivery internationally. Healthcare transformation requires the application of leadership and research skills. The literature to date has limited information on NPs as leaders or researchers in the nursing profession.https://ro.ecu.edu.au/ecuposters/1031/thumbnail.jp