NURSING MOSCULOSKELETAL SYSTEM

“Review Journal

LECTURER:

Ns. Leni Merdawati, M.kep

MEMBERS OF GROUP I
Muhammad Ilham Zul (1511314001)
Suci Raesman (1511314021)
Siti Sarah Nurfalah (1511314011)
Hafsari Wulandari (1511314024)
Elfadhela Miranda (1511314010)

NURSING FACULTY
ANDALAS UNIVERSITY
PADANG
2017/2018
 Journal Review

1.1 Identity of Journal

Title of Journal: Knowledge Sources for Evidence-Based Practice in

Rheumatology Nursing
University : Department of Medical and Health Sciences, Linköping University,
Writer of journal: Margit Neher, Christian Ståhl, PhD, Per-Erik Ellström1, and
Per Nilsen
Publish on : November 16, 2015

Volume : 24

Nomor :6

Page : 661– 679

Published: cnr.sagepub.com

DOI: 10.1177/1054773814543355

Language published : English

Keyword : extended roles, health care, informal learning, workplace learning,

qualitative

1.2 Abstract

To explore what perceptions rheumatology nurses have about their

knowledge sources and about what knowledge they use in their practice, 12 nurses
working in specialist rheumatology were interviewed using a semi-structured
interview guide. The data were analyzed using conventional qualitative content
analysis. The analysis yielded four types of knowledge sources in clinical
practice: interaction with others in the workplace, contacts outside the workplace,
written materials, and previous knowledge and experience. Colleagues, and
physicians in particular, were important for informal learning in daily
rheumatology practice. Evidence from the medical arena was accessed through
medical specialists, while nursing research was used less. Facilitating informal
learning and continuing formal education is proposed as a way toward a more
evidence-based practice in extended roles.

1.3 Purpose
 Rheumatology nursing develops and extended roles, and new knowledge
needs.
 Understanding of rheumatology nurses’ current sources of knowledge will
contribute to understanding how to address future knowledge needs.
 For a more evidence-based health care that can explore the extent to which
rheumatology nurses use research-based knowledge in their daily practice.
1.4 Results
In discussing knowledge sources for professional practice in rheumatology,
the nurses in the study stressed the importance of experience and patient
preferences, and referred less to research-based knowledge. This calls into
question whether the nurses’ practices can be said to be evidence-based in the
traditional sense. Our study showed a tendency for rheumatology nurses to
depend to a high degree on the physicians in the workplace as “respected
opinion leaders,” an attitude which represents a replicating mode of
evidencebased practice.
1.5 Advantages
 The nurse can explore rheumatology nurses’ perceptions concerning
their knowledge sources and what knowledge they used in their
practice.
 The nurse can Know the routines and personalities in the present
workplace made working more efficient.
 Yielded four types of knowledge sources that were used in clinical
practice: interaction with others in the workplace, contacts outside the
workplace, written sources, and the nurses’ previous knowledge and
experience.
 We can know which includes research-based knowledge, experience,
and patient preferences.
  The nurses in our study perceived experiential knowledge to be
important for their rheumatology practice.
1.6 Weakness
 nurses did not actively seek information in scientific papers many
nurses mentioned lack of time.
 some nurses also saw the format of scientific papers, with long texts
written in a foreign language (English) as a barrier.
 Our study also illustrates the difficulty of studying research use: our
informants’ awareness and appreciation of the value of research for
practice varied highly.
1.7 Conclution
The aim of this study was to explore rheumatology nurses’ perceptions
concerning their knowledge sources and what knowledge they used in their
practice. The analysis yielded four types of knowledge sources that were used
in clinical practice: interaction with others in the workplace, contacts outside
the workplace, written sources, and the nurses’ previous knowledge and
experience. The findings from this study are discussed in relation to an
evidence-based practice framework, which includes research-based
knowledge, experience, and patient preferences.