Abstract:The nurses were key to the delivery of the trial. If practice nurses are to develop a research role in their professional work, it is important to understand their perceptions and the impact such involvement has on them and their practice. Consideration of these factors is consequently valuable when developing research in primary care settings.
“…Although the research output of some APs was considerable, most found it hard to find the time to conduct research, a common finding in other studies also, 54 and had to spend personal time on their research activities. These individuals were high achievers and demonstrated strong personal initiative 55 that drove them to succeed.…”
Increased investment in specialist/advanced practitioner posts, with resources and support for research activity, will increase evidence-based care, strengthen quality, and lead to improved practice.
“…Although the research output of some APs was considerable, most found it hard to find the time to conduct research, a common finding in other studies also, 54 and had to spend personal time on their research activities. These individuals were high achievers and demonstrated strong personal initiative 55 that drove them to succeed.…”
Increased investment in specialist/advanced practitioner posts, with resources and support for research activity, will increase evidence-based care, strengthen quality, and lead to improved practice.
“…Across different countries, research results have revealed a very restricted level of evidence-based practice (EBP) use among nurses (Brown et al 2010, Mashiach Eizenberg 2011, Boase et al 2012, Bostr€ om et al 2013, Stokke et al 2014, Skela-Savi c et al 2016. The reasons behind the limited extent of EBP use include perceived lack of time for reading literature, inadequate institutional support for implementing new practices, lack of knowledge, experience, resources and supportive leadership and insufficient authority for implementing change into practice (Meijers et al 2006, Brown et al 2010, Kajermo et al 2010, Breimaier et al 2011, Moreno-Casbas et al 2011, Solomons & Spross 2011, Akerjordet et al 2012, Hewitt-Taylor et al 2012, Timmins et al 2012, Friesen-Storms et al 2014, Murphy 2014, Stokke et al 2014, Yoder et al 2014.…”
Study results stress the importance of increasing the knowledge and skills on professional values of activism and professionalism and competencies connected to nursing development. The study expands the current understanding of evidence-based practice use and provides invaluable insight for nursing managers, higher education managers and the national nursing association.
Background: In the Netherlands, practice nurses within general practices increasingly deliver proactive care to older people. As part of a home visitation programme, they assess older people's health status during a home visit, followed by formulating a care plan and monitoring follow-up care. Insight into the latter two steps is limited, whereas previous research shows signs of inadequate follow-up, threatening the achievement of optimal patient outcomes. The objectives of the current study are to investigate practice nurses' actions and views regarding (1) the formulation of a care plan for potentially frail community-dwelling older people following a comprehensive geriatric assessment during a home visit and (2) their adherence to the care plan and monitoring during follow-up of older people in whom health and/or well-being problems have been detected.
Methods:A cross-sectional mixed-model study was conducted. Results of the comprehensive geriatric assessment were compared to the care plans to reveal the percentage of problems included. Semi-structured interviews were performed with 12 practice nurses who visited older people at home. Per practice nurse, care plans of 10 older people (total n = 120) were purposefully selected and discussed to identify reasons for not registering problems in the care plan and to determine whether and how problems were monitored.Results: Of the problems identified through comprehensive geriatric assessment, 27.8% (n = 275) were included in a care plan of which 62.9% (n = 173) were addressed using follow-up actions. Patient-related and problem-specific factors influenced the formulation of care plans. Insufficient time challenged practice nurses in monitoring older people over time.
Conclusions:The formulation of care plans and monitoring older people over time offers room for improvement. Once problems are included into the plans, practice nurses mostly adhere to the care plans.
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