Theme 2

Nursing Practice, Theory and Research

Nursing Practice, Theory and Research

Objectives Describe relationship between practice, theory and research Explain its importance to Nursing Identify existing relationship gaps that occurs between practice, theory and nursing research.

References and reading

Polit.D.F.,Beck.C.T[2006].Essentials of Nursing Research Methods Appraisals and utilizations[6th Ed].Philadelphia: Lippincott Williams &Wilkins Marriner,A.,&Alligood,T.M.R.[2006]Nursing Theorists and their work

Theory, Practice and Research

Theory Formal set of ideas that are intended to explain why something happens or exits Are abstractions that are created by man Thru research the theory is evolved or discarded

Development of nursing theory

Direction for the structure of nursing practice Education and research Guide research and practice Generate new ideas Differentiate focus of nursing from other profession

Important to Nursing
Theory Can be utilized by the practitioners to improve their practice Develop nursing as a profession Professional powers is increased when using theoretical knowledge Develop critical thinking and decision making

Critical thinking
Helps the nurse to find options for solving clients problems Both nurse and the client need to be effective thinkers Identify problems accurately Set realistic outcomes

Critical thinking
Growing complexity of healthcare demands the use of critical thinking for Effective Creative Efficient Nursing Care

Practice, Theory and Research

Practice Action rather than ideas Work to gain skills Exercise oneself / exercise profession Research A careful study of a subject in order to discover new facts or information about a certain theory.

Practice
Practice Work to gain skills Put into action Exercise of art or profession Nursing care is OUR Core business

Florence Nightingale
Relationship [Theory and Practice] Patient who had appendicectomy Medicine is seen as functioning to remove the diseased part whereas nursing places the patient in an environment in which nature can assist post op patient to reach optimum health.

Environmental Theory
Ventilation with increased fresh air provided without drafts I of primary importance to the client Light refers to the sunlight necessary for wound healing noise and smell - provide a positive environment-contribute to healing

Florence Nightingale
Approach to nursing is valid today Her basic concept on environment interrelates with practice of nursing

Relationship with research

Nursing Research began with Florence Nightingale but developed slowly until its rapid acceleration in the 1950s 1970s nursing research focused on problems relating to clinical practice.

Nursing Research
Has a holistic approach Focus on: Physiological, Psychological Sociological, Cultural and Economic factors that affect the person

Nursing Research
Systematic inquiry into the problems encountered in nursing practice/clients care E.g. support and comfort Prevention of trauma Promotion of recovery Health education coordination of health care

Nursing research
Develops knowledge about health Promotion of health over full lifespan Care of persons with health problems Disabilities Nursing action to enhance the ability of individuals to respond to actual or potential health problems.

Nursing Research
The focus of nursing research must be on generating fundamental knowledge to guide nursing practice Clinical research defines nursing practice and raises the standards of nursing care

Why research is important to nursing

Evidenced based practice Nurses make clinical decision based on Best research evidence Their clinical expertise Health care preference of their patients

Why research important to Nursing

Provide guideline for practice Help nurses asses,plan and implement patient care by providing a framework within which to work They also help nurses achieve uniformity and seamless care

Important to Nursing
Research New ideas and knowledge Improve practice-Evidence based research To ensure that the practice is correct

Relationship

Nursing theorist

Nursing theory

Practice

Research

Relationship Gaps
Problem To conduct research to identify problems in the practice: To solve the problems To improve practice Evidence based practice [data collection]

Dressing
E.g. Eusol dressing Too strong Not helping in the healing of the wound Why? Did Research Find out that the Eusol was too strong Change the solution to Normal Saline

Research-improve practice
knowledge to be updated-review procedure manual Refresh programs at the workplace In-service training in Hospitals More programs post basic etc [School]

Practice
Less existing gaps

Care of the patients will improve Improve patient satisfaction

Objectives Describe relationship between practice, theory and research Explain its importance to Nursing Identify existing relationship gaps that occurs between practice, theory and nursing research.

Theory, Practice and Research

Thank you