Use of Research by Undergraduate Nursing Students: A Qualitative Descriptive Study

Research utilization (RU) is crucial to preparing the next generation of registered nurses, since they are expected to stay abreast of research, read and use existing research to improve their ability to solve problems, and make decisions independently in clinical settings. Also, baccalaureate nursing programs often identify RU as an expected curricular outcome. The purpose of this study was to identify nursing students’ perceptions about RU. In this study, we used a sequential mixed methods approach. In this paper, only qualitative analysis related to RU is reported. A qualitative descriptive design was used to address the study questions. A purposive sample of 20 undergraduate students enrolled in their final year of study in BScN programs (four-year basic, honors, and accelerated programs) was recruited via e-mail to participate in the study. The study findings were categorized into the components of the Promoting Action on Research Implementation in Health Services (PARIHS) framework, which is comprised of evidence, context, and facilitation. Findings disclosed some key themes that nursing students perceive as facilitating or restricting their use of research. These themes include level of education preparedness, clinical experience and expertise, lack of time, theory practice gap, and clinical evaluation criteria, nursing faculty support for using research, and faculty’s’ competency in research. The majority of students stated that they did not utilize the research findings in clinical practice. Insufficient knowledge about RU was the most prominent reason. These results suggest that students should be encouraged and supported to utilize research findings in their practice setting

Multidimensionality of critical thinking: A holistic perspective from multidisciplinary educators in Karachi, Pakistan

Critical thinking (CT) is a phenomenon of worldwide importance and is a desired outcome in higher and professional education. Development of CT is considered a primary responsibility of educators; however, educators find it challenging to foster learners’ CT if their own understanding of CT skills and concepts is not well developed. Limited research is available on how multidisciplinary educators perceive and practice CT. The study aimed to identify perceptions and practices of CT among educators from the disciplines of nursing, medicine, and education in higher education in Karachi, Pakistan. A descriptive exploratory qualitative design was used where 12 purposefully selected educators from three disciplines participated. Semi structured interviews were conducted and content analysis was done. Although the findings revealed four major themes, the focus of this paper is limited to the theme of faculty perceptions. Faculty’s perceptions of nature, acquisition, and application of critical thinking are multidimensional and although the educators were from various disciplines their perceptions of critical thinking were analogous. Thus combined efforts by all multidisciplinary educators in a higher education are needed to assist them to actualize their perceptions to promote CT practices in a classroom setting

The intellectual structure and substance of the knowledge utilization field: A longitudinal author co-citation analysis, 1945 to 2004

<p>Abstract</p> <p>Background</p> <p>It has been argued that science and society are in the midst of a far-reaching renegotiation of the social contract between science and society, with society becoming a far more active partner in the creation of knowledge. On the one hand, new forms of knowledge production are emerging, and on the other, both science and society are experiencing a rapid acceleration in new forms of knowledge utilization. Concomitantly since the Second World War, the science underpinning the knowledge utilization field has had exponential growth. Few in-depth examinations of this field exist, and no comprehensive analyses have used bibliometric methods.</p> <p>Methods</p> <p>Using bibliometric analysis, specifically first author co-citation analysis, our group undertook a domain analysis of the knowledge utilization field, tracing its historical development between 1945 and 2004. Our purposes were to map the historical development of knowledge utilization as a field, and to identify the changing intellectual structure of its scientific domains. We analyzed more than 5,000 articles using citation data drawn from the Web of Science^®. Search terms were combinations of knowledge, research, evidence, guidelines, ideas, science, innovation, technology, information theory and use, utilization, and uptake.</p> <p>Results</p> <p>We provide an overview of the intellectual structure and how it changed over six decades. The field does not become large enough to represent with a co-citation map until the mid-1960s. Our findings demonstrate vigorous growth from the mid-1960s through 2004, as well as the emergence of specialized domains reflecting distinct collectives of intellectual activity and thought. Until the mid-1980s, the major domains were focused on innovation diffusion, technology transfer, and knowledge utilization. Beginning slowly in the mid-1980s and then growing rapidly, a fourth scientific domain, evidence-based medicine, emerged. The field is dominated in all decades by one individual, Everett Rogers, and by one paradigm, innovation diffusion.</p> <p>Conclusion</p> <p>We conclude that the received view that social science disciplines are in a state where no accepted set of principles or theories guide research (<it>i.e.</it>, that they are pre-paradigmatic) could not be supported for this field. Second, we document the emergence of a new domain within the knowledge utilization field, evidence-based medicine. Third, we conclude that Everett Rogers was the dominant figure in the field and, until the emergence of evidence-based medicine, his representation of the general diffusion model was the dominant paradigm in the field.</p

Patterns of research utilization on patient care units

Background. Organizational context plays a central role in shaping the use of research by healthcare professionals. The largest group of professionals employed in healthcare organizations is nurses, putting them in a position to influence patient and system outcomes significantly. However, investigators have often limited their study on the determinants of research use to individual factors over organizational or contextual factors. Methods The purpose of this study was to examine the determinants of research use among nurses working in acute care hospitals, with an emphasis on identifying contextual determinants of research use. A comparative ethnographic case study design was used to examine seven patient care units (two adult and five pediatric units) in four hospitals in two Canadian provinces (Ontario and Alberta). Data were collected over a six-month period by means of quantitative and qualitative approaches using an array of instruments and extensive fieldwork. The patient care unit was the unit of analysis. Drawing on the quantitative data and using correspondence analysis, relationships between various factors were mapped using the coefficient of variation. Results Units with the highest mean research utilization scores clustered together on factors such as nurse critical thinking dispositions, unit culture (as measured by work creativity, work efficiency, questioning behavior, co-worker support, and the importance nurses place on access to continuing education), environmental complexity (as measured by changing patient acuity and re-sequencing of work), and nurses' attitudes towards research. Units with moderate research utilization clustered on organizational support, belief suspension, and intent to use research. Higher nursing workloads and lack of people support clustered more closely to units with the lowest research utilization scores. Conclusion Modifiable characteristics of organizational context at the patient care unit level influences research utilization by nurses. These findings have implications for patient care unit structures and offer beginning direction for the development of interventions to enhance research use by nurses.Applied Science, Faculty ofNursing, School ofNon UBCReviewedFacult

Overall correspondence analysis map illustrating unit clustering with contextual factors

<p><b>Copyright information:</b></p><p>Taken from "Patterns of research utilization on patient care units"</p><p>http://www.implementationscience.com/content/3/1/31</p><p>Implementation Science : IS 2008;3():31-31.</p><p>Published online 2 Jun 2008</p><p>PMCID:PMC2490687.</p><p></p