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提升高级实践护士的研究能力与产出:实践社区模式评估

Building research capacity and productivity among advanced practice nurses: an evaluation of the Community of Practice model.

作者信息

Gullick Janice G, West Sandra H

机构信息

Sydney Nursing School, University of Sydney, New South Wales, Australia.

出版信息

J Adv Nurs. 2016 Mar;72(3):605-19. doi: 10.1111/jan.12850. Epub 2015 Nov 5.

Abstract

AIM

The aim of this study was to evaluate Wenger's Community of Practice as a framework for building research capacity and productivity.

BACKGROUND

While research productivity is an expected domain in influential models of advanced nursing practice, internationally it remains largely unmet. Establishment of nursing research capacity precedes productivity and consequently, there is a strong imperative to identify successful capacity-building models for nursing-focussed research in busy clinical environments.

DESIGN

Prospective, longitudinal, qualitative descriptive design was used in this study.

METHODS

Bruyn's participant observation framed evaluation of a Community of Practice comprising 25 advanced practice nurses. Data from focus groups, education evaluations, blog/email transcripts and field observations, collected between 2007 and 2014, were analysed using a qualitative descriptive method.

FINDINGS

The Community of Practice model invited differing levels of participation, allowed for evolution of the research community and created a rhythm of research-related interactions and enduring research relationships. Participants described the value of research for their patients and families and the significance of the developing research culture in providing richness to their practice and visibility of their work to multidisciplinary colleagues. Extensive examples of research dissemination and enrolment in doctoral programmes further confirmed this value.

CONCLUSION

A Community of Practice framework is a powerful model enabling research capacity and productivity evidenced by publication. In developing a solid foundation for a nursing research culture, it should be recognized that research skills, confidence and growth develop over an extended period of time and success depends on skilled coordination and leadership.

摘要

目的

本研究旨在评估温格的实践社群作为构建研究能力和生产力的框架。

背景

虽然研究生产力是高级护理实践有影响力的模型中预期的领域,但在国际上,这一目标在很大程度上仍未实现。护理研究能力的建立先于生产力,因此,迫切需要为繁忙临床环境中以护理为重点的研究确定成功的能力建设模型。

设计

本研究采用前瞻性、纵向、定性描述性设计。

方法

布鲁因的参与观察为一个由25名高级实践护士组成的实践社群的评估提供了框架。使用定性描述性方法分析了2007年至2014年期间收集的焦点小组、教育评估、博客/电子邮件记录和实地观察的数据。

结果

实践社群模型吸引了不同程度的参与,允许研究社群发展演变,并创造了与研究相关的互动节奏和持久的研究关系。参与者描述了研究对他们的患者和家庭的价值,以及不断发展的研究文化在丰富他们的实践和向多学科同事展示他们的工作方面的重要性。研究传播和博士项目入学的大量例子进一步证实了这一价值。

结论

实践社群框架是一个强大的模型,能够通过发表成果来证明研究能力和生产力。在为护理研究文化奠定坚实基础时,应该认识到研究技能、信心和成长是在很长一段时间内发展起来的,成功取决于熟练的协调和领导。

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