Happell Brenda
Centre, for Psychiatric Nursing and Practice, School of Nursing, University of Melbourne, Carlton, Victoria, Australia.
Int J Psychiatr Nurs Res. 2005 Sep;11(1):1218-26.
An increasing recognition of the importance of research-based practice to the nursing profession has led to a number of strategies designed to increase the utilization and conduct of nursing research. The transfer of nursing education from hospitals to universities occurred partly in response to the identified theory-practice gap. Subsequently, a significant investment in joint clinical-academic positions and clinical professorial positions has been made with the intention of bridging the gap between the tertiary sector and the clinical field. Anecdotal evidence suggests that neither strategy has achieved the desired degree of success. The available literature suggests that nurses do not tend to become involved in the conduct of research, nor do they readily utilise research findings in their practice. It is hypothesized in this paper that this reflects the strong cultural differences between the clinical and academic worlds in nursing. The aim of this paper is to discuss the impact of these cultural differences and describe specific principals that could contribute to significant cultural change and the bridging of the academic-clinician divide.
对基于研究的实践在护理专业中重要性的认识不断提高,催生了一系列旨在提高护理研究利用率和开展护理研究的策略。护理教育从医院转移到大学,部分原因是为了应对已发现的理论与实践之间的差距。随后,为弥合第三产业与临床领域之间的差距,在联合临床学术职位和临床教授职位方面进行了大量投资。轶事证据表明,这两种策略都未取得预期的成功程度。现有文献表明,护士往往不参与研究工作,也不轻易在实践中运用研究结果。本文假设,这反映了护理领域临床与学术世界之间强烈的文化差异。本文旨在探讨这些文化差异的影响,并描述有助于实现重大文化变革和弥合学术与临床医生分歧的具体原则。