ABSTRACT
This article presents a case study of the implementation of a continuous quality improvement (CQI) effort in a school of nursing. By using the process of CQI reported in the literature and used in clinical settings, the school has transformed its governance and structure to address issues of faculty, student, administrative, and staff performance and satisfaction, curriculum development, and organizational change. An annual "Report Card" monitors all CQI-related activities and provides structure for the feedback and change that are integral to the process.
Subject(s)
Education, Nursing, Baccalaureate/standards , Program Development/methods , Total Quality Management/organization & administration , Accreditation/organization & administration , Attitude of Health Personnel , Benchmarking , Certification/statistics & numerical data , Decision Making, Organizational , Employment/statistics & numerical data , Feedback , Forecasting , Humans , Licensure, Nursing/statistics & numerical data , New York , Nurses/psychology , Nursing Education Research , Organizational Case Studies , Organizational Innovation , Outcome and Process Assessment, Health Care , Quality Indicators, Health CareSubject(s)
Attitude to Health , Job Description , Mass Media , Nurses/psychology , Public Opinion , Humans , Newspapers as Topic , Social Perception , TelevisionSubject(s)
Community-Institutional Relations , Education, Nursing, Baccalaureate/organization & administration , Interinstitutional Relations , Interprofessional Relations , Patient Care Team/organization & administration , Humans , Models, Educational , Training Support/organization & administrationABSTRACT
This article describes an undergraduate nursing research course that focuses on research utilization. Critical appraisal skills were used to critique articles that formed the bases of a research utilization project. Groups of students formed research utilization teams and developed proposals for identifying, initiating, and evaluating a clinical innovation.
Subject(s)
Diffusion of Innovation , Education, Nursing, Baccalaureate/organization & administration , Nursing Research/education , Curriculum , Humans , Program EvaluationSubject(s)
Nursing Research , Societies, Nursing/organization & administration , Humans , Leadership , New YorkSubject(s)
Nursing Research , Societies, Nursing , Leadership , Organizational Innovation , PublishingSubject(s)
Clinical Nursing Research , Nursing Care , Humans , New York , Nursing Staff, Hospital , Surveys and QuestionnairesABSTRACT
This article explores the gap that currently exists between nursing research and nursing practice. The aim is to promote the conversion of new knowledge into practical innovations. Barriers to research utilization in practice settings come from both the academic and clinical arenas. Innovative models and strategies are needed to overcome these barriers. The purposes and value of research utilization and the clinical and academic strategies that facilitate research are discussed. Supporting clinical studies are provided as exemplars.
Subject(s)
Clinical Nursing Research , Diffusion of Innovation , Nursing Care , Clinical Nursing Research/organization & administration , Humans , Models, Nursing , Organizational ObjectivesABSTRACT
In addressing what constitutes nursing research in the 1990s, approaches to conducting nursing research and examples of studies are discussed in the context of historical forces. The early studies were characteristically educational in focus and quantitative by design. Nursing research has come a long way in regard to foci of the questions asked, diversity of approaches to knowledge development, and sophistication of research methods. Three approaches are described to illustrate the diversity in nursing research: quantitative, qualitative, and triangulation.
Subject(s)
Nursing Research , New York , Societies, NursingABSTRACT
All nurses have a part to play in nursing research, even those with elementary skills in research. This article introduces nursing research to nurses in clinical practice who may not be familiar with the research process, but who can use research findings to guide their practice. It is also intended to foster collaboration between researchers and practitioners, so that they will work together through research to establish a specialized knowledge base for nursing.
Subject(s)
Clinical Nursing Research , Child , Humans , Myocardial Infarction/nursing , Pediatric NursingABSTRACT
Forty-eight experimental studies of nonmechanically assisted relaxation techniques used to control a variety of clinical symptoms were synthesized using meta-analysis. Effect sizes for three types of comparisons, experimental-control, experimental-placebo, and pre-post, ranged from .43 to .66, demonstrating that treatment of any type included in the analysis moved the client from the 50th to the 67th percentile of an untreated group at minimum and from the 50th to the 75th percentile at maximum. All treatments included in the analysis except Benson's relaxation technique demonstrated evidence of effectiveness, particularly for nonsurgical samples with chronic problems such as hypertension, headache, and insomnia.
