nsg research

8/2/2019 Nsg Research

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A comprehensive

framework to teachresearch in Nursing

Dr Susan Wright

Department of Nursing


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Introduction

Teaching research is challenging

Teacher

Student: resistant, unwilling

Definition of research

Umbrella term

Inquiring mind

Sees patterns

Asks why


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Why engage in research?

Gather knowledge about their subject

Viability of a profession is dependent uponongoing generation and dissemination of

knowledge Nursing is an art and science

Credibility of nursing

Value Quality of service

Requires a sound knowledge base


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In nursing, knowledge is often based on

Tradition Authority

Trial and error

Personal experience Little research is done outside the

requirements of academia

Clinical studies few and far between Underlying problem: education


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Attitude: own experience

B Tech Nursing students

Core component

Protocol

2003 topic: knowledge andattitude of registered nursesregarding research

In 9 units 16

Serious lack of researchknowledge

Why?


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South African Nursing Council:

Nursing science is a human clinical health sciencethat constitutes the body of knowledge for thepractice of persons, registered or enrolled under

the Nursing Act as nurses or midwifes. Withinthe parameters of nursing philosophy and ethicsit is concerned with the development ofknowledge(my accentuation) for the nursingdiagnosis, treatment and personalised healthcare of persons exposed to, suffering, orrecovering from physical or mental ill-health.


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Focus

Few aspects of the definition

clinical health, nursing diagnosis, treatment,health care and individuals, groups and

communities. The focus is on people with ahealth-related problem that they can assistand care for in some way, be it preventative,promotive, curative or rehabilitative


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Thinking is demarcated along specific

interventions Masters of discipline

Knowledgeable and comfortable in role of

a registered nurse Safe practitioners of the art and science of

nursing


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But?

Definition of Nursing: development ofknowledge

Registered nurses are charged with notonly using existing knowledge, but also todevelop new knowledge

Method for doing so: research

No specific category


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Research: taught how?

Conceptual framework:

theoretical knowledge of

research scientific writing

psychological support

experiential learning


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Background

B Tech Nursing programme Registered nurses Research is a core programme

Composition variable Work

Age

Experience

Common attributes: Registered nurses

Exposure to a taught research programme No research engagement after registration

Willingness: 7,5

Ability: 3


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Experiential learning

Scientific writing skillsTheoretical knowledge

Research

Psychological support


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Conceptual framework

Theoretical knowledge How much?

Use of textbooks

Open book discipline

Apply principles in: drafting an accountable proposal

implementing the research

writing a scientific report

Application and synthesis is the cognitive levelsrequired of the student, not memorising

Core lecture: 11 decision model


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11-Decision modelResearch components

Research problem

Purpose and aims

Theoretical basis of study

Strategy

Context

Research design

Population

Data gathering

Data analysis

Reliability and validity / trustworthiness

Concepts


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11 Decision model

Coherence of choices in terms of researchproblem

Start writing proposal only after all 11

decisions have been approved Writing becomes less frustrating

Bridge to writing:

Concepts = background 11 decision = basis of proposal

What to write is now known


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Scientific writing

Writing is part of nursing, but style ofwriting is of a direct nature, directly statingan observed problem or action taken

Sentences short and often incomplete

Learning activity: 300 words

English second language Scientific writing is a skill


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Scientific writing

Instruction in scientific writing pre-plannedcurriculum

Specific objectives

Assessment criteria Develop learning activities to assist students

Writing assignments

Macro and micro organisation of a scientific document

Citation and references Structured approach

How to write is now known


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Psychological support

Most crucial of the four pillars

Address feelings of insecurity to changenegative attitude

Acknowledge the negative feelings

Emphasise the importance of the researchrole of nurses, because students have

never internalised this role Have an open door policy

Be a role role model; be a researcher


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Student's fee lings after first attempt

to write a research proposal

0.0 10.0 20.0 30.0

Incompetent

Confused

Frustrated

Lost

Challenged

Positive

%


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Experiential learning

Without doing research and becomingexperienced to some extent before theycomplete the module, students will still not

overcome their negativity regardingresearch

Accomplish specific outcomes


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Specific outcomes

Enhancement of scientific writing assignments Development of a data gathering instrument Analysing quantitative and qualitative data

Writing letters of consent Writing the group proposal that is implemented,the data analysed and a scientific report written.

Writing of an abstract

Drafting a proposal of the students own choice. Presenting the proposal and evaluating co-students proposals


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Role of facilitator

Knowledgeable researcher

Published author

Psychological supporter Research role model


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Conclusion The four pillars of the conceptual framework are

of equal importance

There are no research role models in the clinicalsetting

Registered nurses furthering their careers aremost prone to uncertainty

Acknowledge feelings of confusion andincompetence

With good planning, even if the facilitator is stillinexperienced, success in teaching researchcould be achieved

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