The Connection

ISS NO46 Winter 2016

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Nursing research offers a great deal of opportunity for discovery, innovation and pioneering work in a variety of healthcare settings. Nurses use research to deliver evidence- based care that supports quality health outcomes for patients, families, communities and healthcare institutions. Nurses may also use research to influence healthcare policy in direct patient care, within an institution, or even at community, state and federal levels. Nurses may be involved in conducting, using and teaching research. The National Institute of Nursing Research (NINR) has been in existence for 30 years, building the scientific foundation for nursing practice. Using numerous philosophical and theory- based methods, and varied methodologies, nursing research centers on the platform to 1 : • Construct the scientific groundwork for clinical practice • Prevent disease and disability • Control and eliminate symptoms triggered by disease • Augment end-of-life and palliative care How does one begin to participate in research activities? One way to start is to look at practice. Is it evidence based? Is it up to date? When evidence-based content is assimilated into the workplace regularly as part of everyday practice and workflow, nurses are encouraged to improve patient care and outcomes, while decreasing liability. The University of Iowa has developed evidence-based practice (EBP) guidelines, which provide fast and uncomplicated access to care models developed by skilled researchers and are endorsed by experts. 2 Several years ago, as our institution was on the road to magnet designation, an opportunity to conduct research surfaced. What, do research? I was a direct patient care provider, not a nurse with a doctorate! What did I know about research? Nevertheless, we explored the path, evaluating our practice of patient education. Using the Ask Me 3 principles, initially developed by the Partnership of Clearer Communication, we explored these three questions in our practice with heart failure (HF) patients 3 : 1. What is my main problem? 2. What do I need to do? 3. Why is it important for me to do this? The results were eye opening. Principles were taught, but the patients did not get it! What was wrong? I taught, but they did not get it… why? The content was there, however, something was wrong. The simple, first-time research study using the Ask Me 3 demonstrated a flawed practice — mine. I taught, but did not reach the patient where they were at. Months later, a book, entitled "Real Stories of Nursing Research: The Quest for Magnet Recognition," 4 was published. The book describes how nurses in clinical practice can conquer anxiety and conduct nursing research that influences and enhances patient care. Advice from librarians, statisticians and Institutional Review Board (IRB) reviewers help coach the reader and make the research experience easier. The book tackles conquering fears of research and is an excellent resource for any nurse who is in the beginning phase of research, or any hospital seeking magnet status. So, choose a topic and start on the road to inquiry! References 1. The National Institute of Nursing Research website. https://www.ninr.nih.gov/. Accessed September 3, 2015. 2. University of Iowa College of nursing website. http://www.nursing.uiowa.edu/excellence/ evidence-based-practice-guidelines. Accessed September 5, 2015. 3. Ask Me 3. National Patient Safety Foundation website. http://www.npsf.org/?page=askme3. Accessed September 5, 2015. 4. Kirkpatrick-McLaughlin MK, Bulla SA. Real Stories of Nursing Research: The Quest for Magnet Recognition. Sudbury, MA: Jones and Bartlett Publishers; 2010. A A H F N . O R G | 1 9 E D I T O R I A L B O A R D C O L U M N RESEARCH AT THE BEDSIDE: INQUIRING MINDS WANT TO KNOW Jean M. Mau, DNP, MSN, CAN-BC, CHFN Advocate Lutheran General Hospital, Park Ridge, IL

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