Doing clinical research: The challenges and benefits
Isabel Higgins
Older Person Nursing, School of Nursing and Midwifery, University of Newcastle; Center for Practice Opportunity and Development, John Hunter Hospital, Hunter New England Health, Newcastle NSW
Vicki Parker
Rural Nursing, University of New England, Nursing and Midwifery, Armidale, NSW; Centre for Practice Opportunity and Development (CPOD), Hunter New England Health, NSW
Diana Keatinge
Paediatric, Youth and Family Health Nursing, School of Nursing and Midwifery, University of Newcastle; Centre for Education and Nursing Research in Child Health (CENRiCH), Hunter New England Area Health Service, Newcastle NSW
Michelle Giles
CNC Research, PD and Knowledge Management Nursing and Midwifery; CPOD Hunter New England Area Health Service; School of Nursing and Midwifery, University of Newcastle, Newcastle NSW
Rhonda Winskill
CNC Paediatric Rural Outreach and HNE Health, Southern Sector/Northern Child Health Network, Hunter New England Area Health Service; School of Nursing and Midwifery, University of Newcastle, Newcastle NSW
Eileen Guest
Child and Family Health Nursing, Northern Child Health Network, Hunter New England Health Service; School of Nursing and Midwifery, University of Newcastle, Newcastle NSW
Elizabeth Kepreotes
Clinical Improvement Kaleidoscope, GNS Hunter New England Area Health Service; School of Nursing and Midwifery, University of Newcastle, Newcastle NSW
Caroline Phelan
CNC Hunter Integrated Pain Service, John Hunter Hospital/Hunter New England Area Health Service, Newcastle NSW
PP: 171 - 181
Abstract
The need for research in practice is well documented within nursing and other health care disciplines. This acceptance is predicated on the belief that clinically applied research will inform and improve practice and health service delivery resulting in better outcomes for consumers and their families. Nurses, however, find doing clinical research challenging.
This paper describes nurses' experiences of doing clinical research. The main challenges of doing clinical research arise from a culture that prioritises practice where nursing work is core business and there is the need to address immediate and short term goals.
There are also problems associated with the use of research language amongst clinical nurses and ambiguity in relation to research role expectations. Lack of support and resources for doing research along with keeping up the momentum for a research project also pose significant challenges. The benefits of doing clinical nursing research include experiential learning that has the potential to lead to practice change and improved patient outcomes that are evidence based.
Keywords
nursing; clinical research; challenges; benefits
References
ACCCN (2002) Competency standards for specialist critical care nurses. Retrieved 20 April 2009 from http://www.acccn.com.au/content/view/119/150/
ANMC (2006) National competency standards for the registered nurse. Retrieved 20 April 2009 from http://www.anmc.org.au/docs/competency_standards_RN.pdf
Carlson C and Plonczynski D (2008) Has the BARRIERS scale changed nursing practice? An integrative review. Journal of Advanced Nursing 63(4), 322-333.
Cummings G, Estabrooks C, Midodzi W, Wallin L and Hayduk, L (2007) Influence of organizational characteristics and context on research. Nursing Research 56(4), S24-S39.
Darbyshire P (2008) Children's nurses' research involvement: making practice-focused research happen. Journal of Clinical Nursing 17, 3238-3244.
Fitzgerald M and Armitage D (2005) Clinical research: The potential of practice development. Practice Development in Health Care 4(3), 150-159.
Frasure J (2007) Analysis of instruments measuring nurses' attitudes towards research utilization: A systematic review. Journal of Advanced Nursing 6(1), 5-18.
Funk S, Champagne M, Weise R and Tornquist E (1991) BARRIERS: The barriers to research utilization scale. Applied Nursing research 4(1), 39-45.
Hunt JM (1996) Barriers to research utilization. Journal of Advanced Nursing 23(3), 423-425.
Hutchinson A and Johnston L (2004) Bridging the divide: A survey of nurses' opinions regarding barriers to, and facilitators of, research utilization in the practice setting. Journal of Clinical Nursing 13, 304-315.
Kitson A, Harvey G and MCCormack B (1998) Enabling the implementation of evidence based pratice: A conceptual framework. Quality Health Care 7, 149-158.
McCaughan D, Thompson C, Cullum N and Sheldon T (2002) Acute care nurses' perceptions of barriers to using research information in clinical decision-making. Journal of Advanced Nursing 39(1), 46-60.
McCormack B, Manley K and Garbett R (2004) Practice development in Nursing, Blackwell: Oxford.
Mulhall A (1997) Nursing research: Our world not theirs? Journal of Advanced Nursing 25, 969-976.
Mulhall A (2001) Nursing research and nursing practice: An exploration of two different cultures. European Journal of Oncology Nursing 5(2), 121-127.
Parker V, Giles M and Higgins I (2009) Current challenges confronting clinicians in acute care setting. Journal of Nursing Management 17(6), 667-678.
Ravert P and Merril K (2008) Hospital nursing research program: Partnership of service and academia. Journal of Professional Nursing 24(1), 54-58.
Reed J (2005) Using action research in nursing practice with older people: Democratizing knowledge. Journal of Clinical Nursing 14, 594-600.
Retsas A and Nolan M (1999) Barriers to nurses' use of research: An Australian hospital study. International Journal of Nursing Studies 36, 335-343.
Roxburgh M (2006) An exploration of factors which constrain nurses from research participation. Journal of Clinical Nursing 15, 535-545.
Segrott J, McIvor M and Green B (2006) Challenges and strategies in developing nursing research capacity: A review of the literature. International Journal of Nursing Studies 43, 637-651.
Smirnoff M, Ramirez M, Kooplimae L, Gibney M and McEvoy M (2007) Nurses' attitudes towards nursing research at a metropolitan centre. Applied Nursing Research, 20, 24-31.
Thompson D (2003) Fostering a research culture in nursing. Nursing Inquiry 10(3), 143-144.
Walker K (1994) Research with/in nursing: 'Troubling the field'. Contemporary Nurse 3, 162-168. http://www.contemporarynurse.com/archives/vol/3/issue/4/article/852/research-with/in-nursing
Watson B, Clarke C, Swallow V and Forster S (2005) Exploratory factor analysis of the research and development culture index among qualified nurses. Journal of Clinical Nursing 14, 1042-1047.
Woodward V, Webb C and Prowse M (2007) The perceptions and experiences of nurses undertaking research in the clinical setting. Journal of Research in Nursing 12, 227-244.

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