Research utilisation in clinical practice: the experience of nurses and midwives working in public hospitals

Dagne, Asrat Hailu; Tebeje, Mariam Demewozu

doi:10.1186/s12978-021-01095-x

Cited by 8 publications

(6 citation statements)

References 35 publications

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“…Inclusion of nurse educators, managers, and clinical nurses and midwives as participants in the study contributes to the coproduction of knowledge and increases the chances of the acceptability and utilization of the framework. Nurses will use research if there is guidance on translating research into practice [ 31 ]. Consequently, several frameworks have been developed for RU [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

“…Using research evidence in clinical care has not been fully achieved in nursing practice due to the inability of nurses to translate research into practice [26]. This has been confirmed by studies in Singapore [27], Brazil [28], Malaysia [29], South Africa [30], Ethiopia [31], Kenya [11] and Ghana [22]. This inability of nurses to translate research into practice has reflected on their use of research, as studies show Nigeria uses 17% of research [32].…”

Section: Introductionmentioning

confidence: 99%

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Utilization of Research in Clinical Nursing and Midwifery Practice in Ghana: Protocol for a Mixed Methods Study

Owusu¹,

Scheepers²,

Tenza³

2023

JMIR Res Protoc

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Background The International Council of Nurses’ 2021 code of ethics mandates nurses to provide evidence-informed care to patients. Globally, using research evidence has led to improvement in nursing and midwifery practice, according to the World Health Organization. A study in Ghana found that 25.3% (n=40) of nurses and midwives use research in clinical care. Research utilization (RU) increases therapeutic effectiveness, improves health outcomes, and enhances the personal and professional development of clinicians. However, it is uncertain the extent to which nurses and midwives are prepared, skilled, and supported to utilize research in clinical care in Ghana. Objective This study aims to develop a conceptual framework that can facilitate RU among clinical nurses and midwives in Ghanaian health facilities. Methods This will be a cross-sectional study with a concurrent mixed methods approach. It will be conducted in 6 hospitals and 4 nursing educational institutions in Kumasi, Ghana. The study has 4 objectives which will be executed in 3 phases. Phase 1 follows a quantitative approach to describe the knowledge, attitudes, and practices of clinical nurses and midwives on the use of research in their practice. Using a web-based survey, 400 nurses and midwives working in 6 health facilities will be recruited. Data analysis will be conducted using SPSS, with statistical significance set at .05. Qualitative methodology, using focus group discussions with clinical nurses and midwives, will be conducted to identify the factors influencing their RU. In phase 2, focus group discussions will be used to examine and describe how nurse educators in 4 nursing and midwifery educational institutions prepare nurses and midwives for RU during their education. Views of nurse managers on the RU in Ghanaian health care facilities will be explored in the second section of this phase through one-on-one interviews. Inductive thematic analysis will be used to analyze the qualitative data, and Lincoln and Guba’s principles of trustworthiness will be applied. In phase 3, the stages of model development proposed by Chinn and Kramer; and Walker and Avant will be used to triangulate findings from all objectives and formulate a conceptual framework. Results Data collection started in December 2022. Publication of the results will begin in April 2023. Conclusions RU in clinical practice has become an acceptable practice in nursing and midwifery. It is critical that nursing and midwifery professionals in sub-Saharan Africa shift their practice to embrace the global movement. This proposed conceptual framework will empower nurses and midwives to improve their practice of RU. International Registered Report Identifier (IRRID) DERR1-10.2196/45067

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Utilization of Research in Clinical Nursing and Midwifery Practice in Ghana: Protocol for a Mixed Methods Study

Owusu¹,

Scheepers²,

Tenza³

2023

JMIR Res Protoc

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“…A reasonable explanation for low performance of research by PHC nurse specialists in this study may be due to an increased workload 9 that may negatively impact time management. 36 …”

Section: Discussionmentioning

confidence: 99%

Training needs of professional nurses in primary health care in the Cape Metropole, South Africa

Kordom

Daniels

Chipps

2023

Afr. j. prim. health care fam. med.

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Background: In the fast-changing healthcare environment, it is important to ensure that primary health care (PHC) nurses are suitably qualified and have access to appropriate and relevant ongoing education.Aim: The aim of this study was to determine the training needs of professional nurses working in PHC facilities.Setting: The research was conducted in PHC facilities in the Cape Metropole, Western Cape, South Africa.Methods: A quantitative descriptive survey with all-inclusive sampling was used. All professional nurses (N = 303), employed for at least a minimum of 6 months in PHC facilities were included in the study. The Hennessy–Hicks Training Needs Analysis (TNA) questionnaire was used to collect the data on professional tasks training needs and open-ended questions for specific PHC contextual training needs. Importance and performance means for each of the TNA subsections and training needs were calculated. Open-ended questions were analysed using content analysis, identifying training domains and topics in terms of frequency and ranking.Results: The TNA identified ‘Research’ as the highest training need. Research tasks were significantly rated as the least important and the lowest rated performance compared to other domains. Child mental health was rated as the most important specific training need.Conclusion: The results of this survey provide insight into the training needs of professional nurses employed in PHC facilities and highlight the need for child mental healthcare and research training in this setting.Contribution: The study contributes to the understanding of the training and education needs of professional nurses working in PHC facilities.

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“…Consistently, aforementioned barriers were compounded further with two (2) major perceptions of inadequacies like (1) nurse practitioners had no "enough authority" to change current prevailing practice considering new innovations, and (2) results are not even "generalizable" to their own local situation. Dagne & Tebeje [34] research study provided descriptions like "nonintentional research utilization" questioning their "belief towards research utilization" that must have meant both the process and output. On some other aspects serving as barriers to research utilization in practice, physicians, administration and other staff were felt uncooperative and have even prevented implementation, and the presence of perceived inadequate facilities to support relevant implementable research results.…”

Section: Discussionmentioning

confidence: 99%

Nurse Practitioners’ Perception on Research Utilization and Possible Barriers; A Saudi Arabian Experiential Perspective during Covid-19 Pandemic

2022

Int J Nurs Health Care Res

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Background: Research utilization in any professional practice, just like in the nursing profession, is an important component needed by practitioners to be able to incorporate into practice current innovations and best practices as such provided by Evidence-Based Practice (EBP). Most especially so during the current predicament when the world is plunged into a pandemic situation. Aim: The goal of this research endeavor is to know nurse practitioners' perception in the utilization of research in individual practice and possible barriers that prevent its application in a Saudi Arabia context during the Covid-19 Pandemic period. Method: Through a survey research design done on-line, about 303 nurses from different departments participated who were all working currently in one of largest government Medical Cities in Riyadh. Descriptive statistics were used including tests of association and significant differences. Results: Results showed the following basic demographic features: female-dominated aged 31-40 years old, mostly married and non-Saudi. Respondents extended the same level of moderate research utilization, and acknowledging barriers in the same. Additionally, there seemed to have statistical associations found between research barriers concept and in the following demographic characteristics: sex (p=.001), nationality (p=.001), education (p=.05), and years of experience (p=.05). Statistically significant differences in responses were found in the following when computed bivariate on research utilization: nationality (.05), and area of assignment (.05). While there were also more significant differences in responses found on research barriers; sex (p=.001), nationality (p=.001), education (p=.05), and professional role (p=.05). Conclusion: The experience of research utilization found in this Saudi Arabia medical institution was characterized by moderate level utilization with same level of recognized research barriers even during this current pandemic situation. This can imply an acceptable level of research utilization among nurse practitioners with existing comparable barriers that could become for them areas of possible improvement and a venue to improvement on especially during Pandemic situation where innovations happen and much needed in the practice.

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Research utilisation in clinical practice: the experience of nurses and midwives working in public hospitals

Cited by 8 publications

References 35 publications

Utilization of Research in Clinical Nursing and Midwifery Practice in Ghana: Protocol for a Mixed Methods Study

Utilization of Research in Clinical Nursing and Midwifery Practice in Ghana: Protocol for a Mixed Methods Study

Training needs of professional nurses in primary health care in the Cape Metropole, South Africa

Nurse Practitioners’ Perception on Research Utilization and Possible Barriers; A Saudi Arabian Experiential Perspective during Covid-19 Pandemic

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