Loke Jennifer C F, Laurenson Mary C, Lee Kah Wai
Faculty of Health and Social Care, University of Hull, Cottingham Road, HU6 7RX, United Kingdom.
Nurse Educ Today. 2014 Jan;34(1):132-7. doi: 10.1016/j.nedt.2012.09.006. Epub 2012 Sep 30.
This study explored the perceptions of clinical nurses about their research knowledge and experiences to highlight any gaps in nurse education in supporting research activities in healthcare organisations.
Nurses' research activities have been encouraged by moving hospital-based nurse education into higher education institutions whereby there is a stronger emphasis on teaching and developing nursing research at both undergraduate and post graduate levels. They were further encouraged by the introduction of advanced nurse practitioner roles, in the hope to increase opportunities for research participation. Whilst nurses' research activities have been explored in many countries, nurses in Singapore where there is a strong emphasis on evidence-based practice have not been investigated.
A mixed-methods exploratory descriptive design, using a questionnaire based on open and closed questions was employed to obtain the views of clinical nurses about their capacity and organisational support in conducting research. The questionnaires were distributed to convenient samples who attended one of the 4 research seminars held on separate occasions between July and August 2011 in Singapore.
A total of 146 nurses were recruited. Whilst nurses demonstrated strong enthusiasm in conducting research, this characteristic feature was not adequate for them to embrace a research culture in organisations. Active participation as co-investigators was not possible in healthcare organisations where skewed distribution of resources towards medical and nurse researchers was perceived.
The results suggest a need for a significant shift in focus on educational training from imparting research contents to providing opportunities to experience the research process. Organisational support in terms of protected time and financial support ought to be in place for nursing research experience. The findings also demonstrated that in places where organisational support was available, awareness of research opportunities such as educational and organisational support needed to be strengthened. This in turn would enable more nurses particularly those who provide direct patient care to conduct research within the context of the competing nursing practice demands.
本研究探讨了临床护士对其研究知识和经验的看法,以突出护士教育在支持医疗保健机构研究活动方面存在的差距。
将基于医院的护士教育转移到高等教育机构,从而在本科和研究生阶段更加强调护理研究的教学和发展,这鼓励了护士的研究活动。高级护士从业者角色的引入进一步推动了这些活动,希望增加研究参与机会。虽然许多国家都对护士的研究活动进行了探索,但在非常强调循证实践的新加坡,护士尚未得到研究。
采用基于开放式和封闭式问题的问卷进行混合方法探索性描述性设计,以获取临床护士对其开展研究的能力和组织支持的看法。问卷分发给了2011年7月至8月期间在新加坡分别举办的4次研究研讨会中的参会人员这一便利样本。
共招募了146名护士。虽然护士在开展研究方面表现出强烈的热情,但这一特征不足以使他们在组织中接受研究文化。在那些被认为资源向医学和护士研究人员倾斜分布的医疗保健机构中,护士不可能作为共同研究者积极参与。
结果表明,需要将教育培训的重点从传授研究内容大幅转向提供体验研究过程的机会。应为护理研究经验提供组织支持,包括留出专门时间和提供资金支持。研究结果还表明,在有组织支持的地方,需要加强对研究机会的认识,如教育和组织支持。这反过来将使更多护士,特别是那些直接提供患者护理的护士,能够在相互竞争的护理实践需求背景下开展研究。