Attitudes of registered nurses employed in primary and tertiary health care towards research in nursing
DOI:
https://doi.org/10.14528/snr.2019.53.4.2971Keywords:
evidence-based practice, scientific research work, obstacles, educationAbstract
Introduction: Since nursing is a scientific discipline, registered nurses should conduct research that follows developments in scientific research. The aim of the study was to establish the attitudes of nurses towards research, identify the challenges they face and determine to what extent they participate in scientific research.
Methods: A quantitative, non-experimental research method was employed. The study was conducted using a structured questionnaire, which was distributed among 110 registered nurses working in primary and tertiary health care. The reliability of the research was checked with Cronbach's alfa coefficient (Cronbach α = 0.72). The study was conducted in May and June 2018. Descriptive statistics were used. Bivariate analysis was performed with Mann-Whitney and Kruskal-Wallis tests.
Results: Nurses mainly agree (x = 4.23, s = 0.895) that it is highly important for nursing to be evidencebased. They consider their lack of knowledge (x = 3.39, s = 1.000) and lack of time (x = 3.76, s = 0.877) as obstacles to conducting research. Registered nurses in tertiary health care tend to favor research more (x = 4.16) compared to nurses employed in primary health care (x = 3.79, U = 1102.00, p = 0.008).
Discussion and conclusion: Registered nurses agree that evidence-based practice is necessary in nursing. Nurses do not participate in research due to their lack of knowledge, time and support from their colleagues. In order to encourage participation in research activities among nurses, research results should be applied to practice and the knowledge of nurses related to research and the implementation of research in practice should be increased.
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Akerjordet, K., Lode, K. & Severinsson, E., 2012. Clinical nurses'attitudes towardes reasearch, management and organisational resources in a university hospital: part 1. Journal of Nursing Management, 20(6), pp. 814–823. https://doi.org/10.1111/j.1365-2834.2012.01477.x PMid:22967299
Berthelsen, C.B. & Hølge-Hazelton, B., 2014. Orthopaedic nurses' attitudes towards clinical nursing research: a cross sectional survey. International Journal of Orthopaedic and Trauma Nursing, 19(2), pp. 74–84. https://doi.org/10.1016/j.ijotn.2014.10.004 PMid:25846220
Björkström, M.E., Johansson, I.S. & Athlin, E.E., 2014. An attempt to improve nurses' interest in and use of research in clinical practice by means of network support to "facilitator nurses". Journal of Nursing Education and Practice, 4(3), pp. 58–68. https://doi.org/10.5430/jnep.v4n3p58
Bole, U. & Skela-Savič, B., 2017. Odnos, znanje in ovire medicinskih sester pri implementaciji na dokazih podprte prakse. In: B. Skela-Savič & S. Hvalič Touzery, eds. 10. mednarodna znanstvena konferenca: kontinuiran razvoj zdravstvene nege v družbi in njen prispevek k promociji zdravja. Bled, 8. in 9. junij 2017. Jesenice: Fakulteta za zdravstvo Angele Boškin, pp. 357–363.
Breimaier, H.E., Halfens, R.J. & Lohrmann, C., 2011. Nurses' wishes, knowledge, attitudes and perceived barriers on implementing research findings into practice among graduate nurses in Austria. Journal of Clinical Nursing, 20(11/12), pp. 1744–1756. https://doi.org/10.1111/j.1365-2702.2010.03491.x PMid:21362075
Brown, C.E., Ecoff, L. & Kim, S.C., 2010. Multi-institutional study of barriers to research utilisation and evidence-based practice among hospital nurses. Journal of Clinical Nursing, 19(13/14), pp. 1944–1951. https://doi.org/10.1111/j.1365-2702.2009.03184.x PMid:20920021
Cenčič, M., 2009. Kako poteka pedagoško raziskovanje: primer kvantitativne empirične neeksperimentalne raziskave. 1st ed. Ljubljana: Zavod RS za šolstvo.
Gerrish, K., McDonnell, A., Nolan, M., Guillaume, L., Kirshbaum, M. & Tod, A., 2011. The role of advanced practice nurses in knowledge brokering as a means of promoting evidence-based practice among clinical nurses. Journal of Advanced Nursing, 67(9), pp. 2004–2014. https://doi.org/10.1111/j.1365-2648.2011.05642.x PMid:21507046
Hvalič Touzery, S., Pesjak, K. & Skela-Savič, B., 2017. Odnos medicinskih sester do doktorskega študija in raziskovanja v zdravstveni negi. In: B. Skela-Savič & S. Hvalič Touzery, eds. 10. mednarodna znanstvena konferenca: Kontinuiran razvoj zdravstvene nege v družbi in njen prispevek k promociji zdravja. Bled, 8. in 9. junij 2017. Jesenice: Fakulteta za zdravstvo Angele Boškin, pp. 99–109.
Kodeks etike v zdravstveni negi in oskrbi Slovenije, 2014. Ljubljana: Zbornica zdravstvene in babiške nege Slovenije – Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije.
Maze, H. & Plank, D., 2012. Zdravstvena nega in raziskovanje: skripta predavanj za študijsko leto 2012/13. Celje: Visoka zdravstvena šola v Celju. Available at: www.vzsce.si/si/files/default/pdf/spletna_gradiva/Skripta_ZN2012-13_3646Z.pdf [7. 3. 2018].
McCloskey, D.J., 2008. Nurses' perceptions of research utilisation in a corporate health care system. Journal of Nursing Scholarship, 40(1), pp. 39–45. https://doi.org/10.1111/j.1547-5069.2007.00204.x PMid:18302590
Melnyk, B.M., Fineout-Overholt, E. & Mays, M.Z., 2008. The evidence-based practice beliefs and implementation scales: psychometric properties of two new instruments. Worldviews on Evidence-Based Nursing, 5(4), pp. 208–216. https://doi.org/10.1111/j.1741-6787.2008.00126.x PMid:19076922
Polit, D.F. & Beck, C.T., 2008. Nursing research: generating and assessing evidence for nursing practise. 8th ed. Philadelhia: Lippincoot, Williams & Wilkins.
Ryan, E.J., 2016. Undergraduate nursing students' attitudes and use of research and evidence-based practice: an integrative literature review. Journal of Clinical Nursing, 25(11/12), pp. 1548–1556. https://doi.org/10.1111/jocn.13229 PMid:26990808
Skela-Savič, B., 2009. Zdravstvena nega in raziskovanje: nekateri vplivni dejavniki za razvoj zdravstvene nege kot znanstvene discipline v Sloveniji. Obzornik zdravstvene nege, 43(3), pp. 209–222. Available at: https://obzornik.zbornica-zveza.si/index.php/ObzorZdravNeg/article/view/2726 [7. 3. 2018].
Skela-Savič, B., 2010. Zakaj potrebujemo raziskovanje in na dokazih podprto prakso v zdravstveni negi? In: B. Skela-Savič, B.M. Kaučič, B. Filej, K. Skinder Savić, M. Mežik Veber, et al., eds. Teoretične in praktične osnove zdravstvene nege: izbirna poglavja. Jesenice: Visoka šola za zdravstveno nego, pp. 28–39.
Skela-Savič, B., 2017. Razvoj elementov profesionalizacije v slovenski zdravstveni negi: tehnika skupinskih intervjujev. Obzornik zdravstvene nege, 50(4), pp. 274–297. https://doi.org/10.14528/snr.2017.51.4.199
Skela-Savič, B., Pesjak, K. & Lobe, B., 2015. Prepričanja in uporaba na dokazih podprte prakse med diplomiranimi medicinskimi sestrami v Slovenskih bolnišnicah: preliminarni rezultati. In: B. Skela-Savič & S. Hvalič Touzery, eds. 8. mednarodna znanstvena konferenca: Zdravstvene stroke in njihov odziv na zdravstvene potrebe družbe: na dokazih podprto in usklajeno delovanje. Bled, 11. in 12. junij 2015. Jesenice: Fakulteta za zdravstvo Angele Boškin, pp. 24–35.
Strojan, N., Zurc, J. & Skela-Savič, B., 2012. Odnos medicinskih sester do raziskovanja v zdravstveni negi. Obzornik zdravstvene nege, 46(1), pp. 47–55. Available at: https://obzornik.zbornica-zveza.si:8443/index.php/ObzorZdravNeg/article/view/2867 [8. 5. 2018].
Trako, K. & Skela-Savič, B., 2015. Odnos, znanje in ovire pri uporabi na dokazih podprte zdravstvene nege pri diplomiranih medicinskih sestrah Splošne bolnišnice Jesenice. In: B. Skela- Savič & S. Hvalič Touzery, eds. 8. mednarodna znanstvena konferenca: Zdravstvene stroke in njihov odziv na zdravstvene potrebe družbe: na dokazih podprto in usklajeno delovanje. Bled, 11. in 12. junij 2015. Jesenice: Fakulteta za zdravstvo Angele Boškin, pp. 378–388.
World Medical Association, 2013. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. Journal of the American Medical Association, 310(20), pp. 2191–2194. Available at: http://www.wma.net/en/20activities/10ethics/10helsinki/DoH-Oct2013-JAMA.pdf [1. 9. 2016].
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