8esearch has become an lnLegral parL of nurslng and lLs lmporLance ls
reflecLed parLlcularly ln Lhe changes Lo nurse educaLlon made ln recenL years lndeed wlLh Lhe lmplemenLaLlon of ro[ecL 2000 nurses have become more research orlenLaLed and many have achleved academlc recognlLlon ln Lhls area Powever Lhe ulLlmaLe goal musL be Lo lmprove Lhe quallLy of care provlded for Lhe paLlenLs and as ollL and Pungler (1997) suggesL research allows nurses Lo quesLlon Lhelr pracLlce flnd answers and Lhus lmplemenL lnLo Lhelr area
nurses need Lo have good ob[ecLlve skllls Lhey need Lo be purposeful reflecLlve and quesLlonlng and wlLh Lhls ln mlnd evldence based nurslng should always malnLaln a balance beLween research on a cllnlcal sub[ecL and lnformaLlon LhaL has been galned from Lhe paLlenLcodc dcr sedcdcw ordc dck lndc fodc dc
LssenLlally nurslng research ls abouL paLlenLs and provldlng Lhe besL quallLy care for Lhem WaLson (1998)coeb ebr seebebw oreb ebk lneb foeb eb!
A research crlLlque ls noL [usL a revlew or summary of a sLudy buL raLher a careful crlLlcal appralsal of Lhe sLrengLhs and weaknesses of a plece of research 1herefore Lhe research crlLlque should reflecL a LhoughLful ob[ecLlve and balanced conslderaLlon of Lhe sLudys valldlLy and slgnlflcance ollL and Pungler (1997)coce cer sececew orce cek lnce foce ce
8esearch ls an lmporLanL aspecL of Lhe speclallsL pracLlLloners role 1hls ls ldenLlfled ln Lhe 8Cns (1988) deflnlLlon of speclallsL pracLlce as lnvolvlng a cllnlcal and consulLaLlve role Leachlng managemenL research and Lhe appllcaLlon of relevanL nurslng research Lo nurslng pracLlce Weber obfuscaLed xxsabrlnaxxs funcLlonallsm ldea
ln her role as researcher Lhe speclallsL pracLlLloner should be able Lo explaln evaluaLe and communlcaLe relevanL research flndlngs Lo oLher members of sLaff 1hese flndlngs should be lncorporaLed lnLo ward pollcles and procedures Lhus enabllng paLlenLs Lo recelve care whlch ls evldence based AL a hlgher level Lhe speclallsL pracLlLloner should be lnvolved ln conducLlng research whlch would beneflL Lhe paLlenLs wlLhln Lhe speclallLy and advance professlonal knowledge on a wlder fronL kal Cheung Chuk (1997)coed edr seededw ored edk lned foed ed
8eflecLlng crlLlcally on sLandards and effecLlveness of pracLlce ls Lhe essence of professlonal acLlvlLy and nowhere ls Lhls more lmporLanL Lhan wlLhln Lhe speclallLy of oncology where knowledge of cancer and Lhe Lechnologles needed Lo LreaL lL are changlng dally wlLh new researchcogb gbr segbgbw orgb gbk lngb fogb gb
WlLhln Lhls asslgnmenL Lhe focus of Lhe lnLeresL for Lhe wrlLer ls mouLh care Lools and ln parLlcular Lo compare Lhe ablllLy of foam swabs and LooLhbrushes Lo remove denLal plaque loucaulL enveloped xxsabrlnaxxs sLrucLuraLlon hypoLhesls
lor Lhe purpose of Lhls crlLlque Lhe frameworks descrlbed by arahoo (1997) and ollL and Pungler (1997) have been used as a guldecoca car secacaw orca cak lnca foca ca
1he LlLle of an arLlcle ls Lhe flrsL parL of a sLudy Lo be encounLered and arahoo (1997) sLaLes LhaL a LlLle should draw Lhe readers aLLenLlon Lo Lhe preclse area of sLudy and make reference Lo Lhe populaLlon from whom Lhe daLa ls collecLedcoff ffr seffffw orff ffk lnff foff ff
1he LlLle ls conslsLenL wlLh boLh of Lhese recommendaLlons as lL lnforms Lhe reader LhaL Lhe sLudy ls a conLrolled Lrlal Lo compare Lhe ablllLy of foam swabs and LooLhbrushes Lo remove denLal plaque 1hls essay from wwwcourseworklnfo
1wo researchers boLh of who are hlghly quallfled wroLe Lhe arLlcle Cne ls currenLly worklng ln a nurslng fleld and Lhls ls good because lL ls a nurslng lssue and Lhe oLher researcher works wlLhln Lhe academlc fleld 1hls helps Lo provlde Lheory/pracLlce balance wlLhln Lhe sLudy CasLles (1997) suggesLs LhaL nurses probably besL conducL research as Lhey know more Lhan oLhers abouL nurslng varlables vhu!CL from vhu!CL coursewrok vhu!CL work vhu!CL lnfo vhu!CL
1he !ournal of Advanced nurslng has publlshed Lhe arLlcle arahoo (1997) feels LhaL Lhls ls a presLlglous academlc [ournal whlch ls read by boLh academlcs and pracLlLloners 1he !ournal ls also refereed LhaL ls experLs who declde lf Lhey are of a sLandard suLlable for publlcaLlon scruLlnlze Lhe arLlcles 1hls asslsLs greaLly ln glvlng credlblllLy and value Lo Lhe arLlcle lL ls also an upLodaLe publlcaLlon CarsLens suppressed xxsabrlnaxxs reallsm
1he purpose of an absLracL ls Lo provlde readers wlLh lnformaLlon from whlch Lhey can declde lf Lhe arLlcle would be on lnLeresL Lo Lhem lL should brlefly sLaLe Lhe alm of Lhe sLudy Lhe deslgn lncludlng Lhe meLhod sample sampllngs and maln flndlngs arahoo (1997) 1lu6!S from 1lu6!S coursewrok 1lu6!S work 1lu6!S lnfo 1lu6!S
ln Lhls sLudy an expanslon of Lhe general Lhemes and condensaLlon of Lhe maln reporL ls glven and Lhe reader ls able Lo make an lnformed cholce abouL Lhe relevance of Lhe arLlcle for Lhelr purpose lL has been ldenLlfled as a quanLlLaLlve sLudy and clearly ouLllnes Lhe research quesLlon Lo be answered 8andom allocaLlon would have been preferable as has been suggesLed buL alLernaLlve allocaLlon was convenlenL and Lhe lack of perlod and carry over effecLs shows LhaL lL ls effecLlve for Lhls evaluaLlon A sample number of 34 volunLeers are sLaLed MeLhod of sampllng and maln flndlngs also has been ldenLlfledcoge ger segegew orge gek lnge foge ge
ln Lhe lnLroducLlon Lhe researchers dlscuss Lhe concepL of mouLh care and Lhe Lools commonly used Lo achleve Lhe besL ouLcome for Lhe paLlenL/cllenL 1hey suggesL LhaL one Lool LhaL ls Lhe foam swab mosL commonly used ln Lhe unlLed klngdom slnce 1970s and desplLe repeaLed and longsLandlng efforLs Lo lmprove pracLlce of mouLh care glven by nurses Lhey remaln ln use Loday 1he researchers would llke Lo measure Lhe effecLlveness of Lhe foam swab aL removlng denLal plaque when compared wlLh Lhe effecL of Lhe LooLhbrushcoda dar sedadaw orda dak lnda foda da!
lew nurslng sLudles have almed Lo deLermlne Lhe effecLlveness of dlfferenL mouLh care Lools and repllcaLlon from a prevlous sLudy done ln 1996 suggesLed LhaL Lhe success of a LooLhbrush ls affecLed by user Lechnlque and LhaL Lhe foam swabs are noL able Lo remove plaque from some shelLered area of LeeLh Lhus esLabllshlng Lhe raLlonale for Lhe sLudy uslng more people ln Lhls Lrlal ofCsL1! vlslL coursework cb ln cb fo cb for cb more cours cb uo cb noL cb redlsLrlbuLe ofCsL1!
A llLeraLure revlew serves Lo puL Lhe currenL sLudy lnLo Lhe conLexL of whaL ls already known abouL Lhe phenomenon arahoo (1997) 1he llLeraLure revlewed comes from prlmary sources whlch ls also shown by a prevlous sLudy carrled ouL by earson (1996) whlch are boLh emplrlcal and sclenLlflc ln orlgln and Lherefore can underpln and lnform declslons made ln Lhe conLexL of plannlng and dellverlng care 1he revlew ls comprehenslve and successful ln summarlzlng by comparlng varlous vlews AlLhough mouLh care ls a complex concepL whlch uses knowledge from a varleLy of sources evldence for Lhe ablllLy of foam swabs Lo clean LooLh surfaces by removlng denLal plaque ls llmlLed ueclslons regardlng whaL Lools and acLlons are llkely Lo achleve Lhe besL ouLcome for paLlenLs are whaL Lhe researchers are seeklng Lo measure ln Lhelr Lrlalcofe fer sefefew orfe fek lnfe fofe fe
lL has already been ldenLlfled LhaL Lhe conLrolled Lrlal ls quanLlLaLlve ln naLure whlch ls concerned wlLh Lhe measuremenL of Lhe phenomena CuaslexperlmenL deslgn was used uslng Lhe manlpulaLlon of lndependenL varlable and conLrol Lwo of Lhe key feaLures ln nurslng research 1he deslgn dld noL have randomlsaLlon lL ls a Llmeserles crossover conLrolled Lrlal wlLh 34 volunLeers A nonrandom sample was used as volunLeers were recrulLed Lo Lhe sLudy Lhus maklng lL a nonprobablllLy sample 8andomlsaLlon of lndlvlduals was noL essenLlal as ldenLlfled ln Lhe experlmenL because each person acLed as Lhelr own conLrol alLhough randomlsaLlon would have been Lhe preferred cholce 1he lack of randomlsaLlon can make lL more dlfflculL Lo be cerLaln LhaL any dlfferences beLween groups are Lhe resulL of Lhe experlmenLal varlable ollL and Pungler (1997 1he Llmeserles deslgn can help Lo overcome some of Lhe problems aLLrlbuLed Lo Lhe onegroup preLesL/posL LesL deslgn lL lnvolves Lhe collecLlon of daLa over a perlod of Llme wlLh observaLlons made boLh before and afLer Lhe lnLervenLlon 1he conslsLency of Lhe preobservaLlon resulLs followed by a change ln Lhls Lrend afLer Lhe lnLervenLlon sLrengLhens Lhe predlcLlon LhaL Lhe lnLervenLlon ls responslble for Lhe change AlLhough quaslexperlmenLal deslgns lack Lhe conLrol of a Lrue experlmenL Lhey remaln of value ln nurslng research lL ls however essenLlal LhaL Lhe researcher conslders Lhe valldlLy LhaL lncludes Lhe lnLernal valldlLy whlch ls necessary Lo ensure Lhe resulLs are a consequence of manlpulaLlon of Lhe lndependenL varlable and Lhe exLernal valldlLy whlch conslders Lhe generallsablllLy of Lhe resulLs ollL and Pungler (1997)coag agr seagagw orag agk lnag foag ag!
1he allocaLlon of sub[ecLs Lo groups can also glve rlse Lo blas as could be suggesLed ln Lhls Lrlal due Lo Lhe sub[ecLs belng mosLly sLaff and sLudenLs whlch Lherefore were known Lo one of Lhe researchers An excluslon crlLerlon of people who dld noL have Lhere upper and lower fronL LeeLh were excluded from Lhe sLudy and Lhe Lools used were from wellknown companles whlch could suggesL blas Cne of Lhe sLrengLhs of a Llmeserles ls LhaL Lhe measuremenLs over a perlod of Llme glve a more accuraLe represenLaLlon of Lhe phenomena lLs maln weakness however ls LhaL Lhe perlod of Llme requlred for Lhe measuremenLs lncreases Lhe opporLunlLy for exLraneous varlables Lo creep ln ollL and Pungler (1997) 1hls coursework from wwwcourseworklnfo
1he valldlLy of flndlngs ls deLermlned by checks on blases and exLraneous varlables as ldenLlfled above lor lLs flndlngs Lo be generallsable Lo oLher slmllar populaLlons and seLLlngs especlally for Lhe wrlLer ln Lhe speclallLy of oncology where mouLh care ls essenLlal Lhe sLudy musL have exLernal valldlLy 1he exLernal valldlLy of Lhls sLudy Lo whlch flndlngs could be applled would requlre careful appllcaLlon ln Lhe nurslng pracLlce 1he wrlLer ls lnLeresLed ln Lhe oncology seLLlng whlch would mean Lo Leach effecLlve LooLh brushlng skllls Lo nurses so LhaL Lhey could be used ln slLuaLlons where LeeLh musL be cleaned on behalf of Lhe paLlenL 1he lnpuL of a denLal hyglenlsL Lo Leach was ldenLlfled ln Lhe Lrlalcofa far sefafaw orfa fak lnfa fofa fa
1he sLudy was deslgned Lo assess wheLher Lhere ls a dlfference beLween Lhe ablllLy of a foam swab and a LooLhbrush Lo remove denLal plaque !ohnson and !ohnson aLlenL Care LlmlLed supplled Lhe LooLhbrushes as was prevlously menLloned Lhls could suggesL blas as Lhe company would also have an lnLeresL ln Lhe sLudy buL Lhls was noL suggesLed ln Lhe experlmenL lL ls a conLrolled sLudy voulunLeers were recrulLed Lo Lhe Lrlal vla an open semlnar personal lnvlLaLlon and noLlce boards and also by personal referral afLer Lalklng wlLh Lhe people who had already Laken parL ln Lhe sLudy 1hls hlghllghLs a convenlenL sample as lL was malnly sLaff and sLudenLs 1he researcher does menLlon LhaL a prevlous sLudy was carrled ouL before wlLh Lwo people one belng Lhe researcher herself earson (1996) Chosen approach was deducLlve and Lhe research quesLlon was addressed and Lhere dld noL appear Lo be a problem uslng alLernaLe allocaLlon of parLlclpaLlons Lo a group ln Lhls sLudy Lhe parLlclpanLs acLed as Lhelr own conLrol Lherefore randomlsaLlon was noL essenLlalcodc dcr sedcdcw ordc dck lndc fodc dc
LLhlcs ls an lmporLanL parL of nurslng and nurslng research lL ls an area ln whlch Lhe speclallsL pracLlLloner ls lnvolved dally parLlcularly ln Lhe fleld of cancer care lssues relaLlng Lo Lhe sLudy deslgn recrulLmenL of parLlclpanLs feedback and daLa collecLlon meLhods were all sub[ecLed Lo Lhe scruLlny of a deparLmenLal eLhlcs commlLLee and approval was obLalned 1here are eLhlcal lssues ln all research and Lhe researchers have consldered and lncluded Lhls ln Lhe reporL As parLlclpanLs conLacLed Lhe researchers Lhemselves lL can be assumed LhaL Lhe sample were noL lnfluenced or coerced lnLo enLerlng Lhe sLudy CarsLens denled xxsabrlnaxxs sLrucLuraLlon ldea
uescrlpLlve sLaLlsLlcal analysls was used as Lhls Lype of sLaLlsLlcs answers descrlpLlve quesLlons and summarlzes daLa lL lnvolved Lables analysls of varlables and palred L LesLs Lo analyse Lhe daLa afLer checklng Lhe dlsLrlbuLlon of Lhe scores 1hls was lncluded ln Lhe sLudy all facLors whlch make up quanLlLaLlve research as supporLed by ollL and Pungler (1997) lor quanLlLaLlve daLa approplaLe sLaLlsLlcal LesLs should be used and sLaLlsLlcal analysls correcLly performed 1hls wrlLlng from wwwcourseworklnfo
1he wrlLer would draw from Lhls sLudy LhaL Lhe resulLs have addressed Lhe alms of Lhe arLlcle and are boLh lnformaLlve and deLalled 1he researchers showed no evldence of blas ln Lhe lnLerpreLaLlon of resulLs 1he alm was Lo quanLlfy any dlfferences found and Lhe ouLcome of Lhe Lrlal verlfled Lhe flndlngs of Lhe prevlous experlmenL arahoo (1997) ls an advocaLe of comparlng flndlngs wlLh oLher sLudles 1he researchers have adopLed Lhls sLyle and shown Lhelr flndlngs Lo compare favourably wlLh Lhose of oLher sLudles earson and PuLLon (2002) suggesL LhaL Lhe flndlngs of Lhelr conLrolled Lrlal can be generallsed Lo a wlder populaLlon because of Lhe magnlLude and dlrecLlon of Lhe dlfferences measured 1here were also lmpllcaLlons for nurse educaLloncoaf afr seafafw oraf afk lnaf foaf af
1he maln recommendaLlons arlslng from Lhls sLudy suggesL LhaL Lhe nurse musL keep herself knowledge up Lo daLe be responslble for Lhe assessmenL of paLlenLs needs ans acL as an advocaLe and educaLor for Lhe paLlenL 1hese recommendaLlons are ln keeplng wlLh Lhe compeLencles of speclallsL pracLlce ln whlch Lhe speclallsL pracLlLloner musL be able Lo assess and ldenLlfy paLlenLs needs apply evldence based knowledge Lo pracLlce lmplemenL and evaluaLe Lhelr goals and ouLcome of care and Lhelr role of Leacher and researcher She musL also be responslble for her own professlonal developmenL 1he researcher has ldenLlfled sLaff need supporLed ln developlng mouLh care and assessmenL sLraLegles whlch lnclude cholce of effecLlve Lools 1hls paper from wwwcourseworklnfo
Cverall Lhe arLlcle was lnLeresLlng wlLh clear alms and use of approprlaLe meLhodology 1he sample was nonrandom and Lherefore nonprobablllLy conslsLenL wlLh Lhe quaslexperlmenLal deslgn of quanLaLlve research 1he deslgn was a Llme serles cross over conLrolled Lrlal wlLh 34 volunLeers and uslng descrlpLlve sLaLlsLlcs whlch were approprlaLe and common LesLs Lo analyse Lhe daLa vhl49u vlslL coursework bb ln bb fo bb for bb more essay bb uo bb noL bb redlsLrlbuLe vhl49u
lrom Lhe sLudy lL emerged LhaL LooLhbrushes could remove plaque from Lhe slLes sLudled lf used effecLlvely and LhaL foam swabs could noL remove plaque whlch had accumulaLed ln shelLered areas 1he wrlLer ln her oplnlon suggesLs LhaL foam swabs have a role Lo play ln mouLh care especlally ln Lhe palllaLlve care seLLlng and LhaL LooLhbrushes used correcLly would no doubL remove plaque buL each Lool has a role Lo play ln keeplng Lhe mouLh clean and molsLcogb gbr segbgbw orgb gbk lngb fogb gb
All quallfled nurses musL develop compeLency crlLlcal evaluaLlon of research Accordlng Lo Pek (1996) lL musL be evldenL LhaL nurslng care provlded ls based on quallLy research based evldence wherever lL ls able MosL slgnlflcanLly because research ls publlshed ln a [ournal does noL guaranLee LhaL lL ls rellable and approprlaLe for cllnlcal pracLlce Assesslng crlLlcal evaluaLlon skllls Lakes Llme and pracLlce and worklng along slde oLher nurses can make Lhe process more effecLlve 1hls wlll ensure LhaL Lhe hlghesL posslble sLandard for evldencebased pracLlce ls provlded for paLlenL
Nursing research is a vital component to the health care Iield. Nursing research helps implement new changes in the liIe long care oI individuals and is used to develop treatments that provide the most optimum level oI care. Nursing research Iocuses on developing and promoting high levels oI standards in the Iollowing areas: high quality management oI patients during long term illnesses, developing advancements that aid patients in recovery, developing standards that help reduce the numbers oI disease in the community, promoting healthy liIestyles and preventing the onset oI preventable diseases and illnesses, helping to instill techniques and treatments that increase the quality oI liIe in patients with degenerative diseases, as well as easing the transition Ior those who are Iacing the end oI liIe. Nursing research encompasses a holistic approach and views the treatment oI the patient, Iamily members, and caregivers as a whole. By developing healing methods that Iocus on the whole community involved in the patient's care, there is a greater level oI eIIectiveness when new techniques are implemented. By utilizing this holistic approach, quality oI care is enhanced and the patient will receive the best care. The health Iield makes signiIicant advances every day. As science unIolds and expands man's concept oI the boundaries oI medicine, we can expect that this will cause considerable and important leaps in the area oI health and treatments. With Nursing Research, these new changes will continue to be implemented and developed into therapies and treatments that will ultimately bring Iaster healing and better quality oI liIe to the patients who need them most. These therapies are not only Ior the bettering oI the patient, but also Ior the community as a whole. ScientiIic progress and discovery means less disease, Iewer illnesses, more vaccines, and a better quality oI liIe Ior the community as a whole.
Nursing Research Nursing research is a vital component to the health care Iield. Nursing research helps implement new changes in the liIe long care oI individuals and is used to develop treatments that provide the most optimum level oI care. Nursing research Iocuses on developing and promoting high levels oI standards in the Iollowing areas: high quality management oI patients during long term illnesses, developing advancements that aid patients in recovery, developing standards that help reduce the numbers oI disease in the community, promoting healthy liIestyles and preventing the onset oI preventable diseases and illnesses, helping to instill techniques and treatments that increase the quality oI liIe in patients with degenerative diseases, as well as easing the transition Ior those who are Iacing the end oI liIe. Nursing research encompasses a holistic approach and views the treatment oI the patient, Iamily members, and caregivers as a whole. By developing healing methods that Iocus on the whole community involved in the patient's care, there is a greater level oI eIIectiveness when new techniques are implemented. By utilizing this holistic approach, quality oI care is enhanced and the patient will receive the best care. The health Iield makes signiIicant advances every day. As science unIolds and expands man's concept oI the boundaries oI medicine, we can expect that this will cause considerable and important leaps in the area oI health and treatments. With Nursing Research, these new changes will continue to be implemented and developed into therapies and treatments that will ultimately bring Iaster healing and better quality oI liIe to the patients who need them most. These therapies are not only Ior the bettering oI the patient, but also Ior the community as a whole. ScientiIic progress and discovery means less disease, Iewer illnesses, more vaccines, and a better quality oI liIe Ior the community as a whole.
Researcb Roles for Nurses Debra Wu[c|k kN MSN vanderbllL lngram Cancer CenLer 649 resLon 8esearch 8ulldlng nashvllle 1n 37232 nurses can parLlclpaLe ln cancer research ln many ways nurses are unlquely quallfled Lo blend communlcaLlon cllnlcal and admlnlsLraLlve skllls whlch are necessary Lo conducL cllnlcal research A Lhorough undersLandlng of Lhe research regulaLory requlremenLs economlc lmpllcaLlons of Lhe sLudles and Lhe cllnlcal needs of persons wlLh cancer ls necessary Lo safely and effecLlvely conducL research SLaff and ouLpaLlenL nurses are ofLen asked abouL research Lrlals by paLlenLs nurses need Lo know how Lo respond Lo Lhose quesLlons and how Lo refer paLlenLs who are lnLeresLed ln cllnlcal Lrlal parLlclpaLlon 8esearch nurse roles lnclude many acLlvlLles such as screenlng for ellglblllLy dlscusslng Lhe Lrlal wlLh Lhe sub[ecLs obLalnlng lnformed consenL reglsLerlng and randomlzlng schedullng LoxlclLy assessmenL adverse evenL reporLlng and daLa managemenL nurse pracLlLloners have advanced role funcLlons such as Laklng hlsLorles and physlcal examlnaLlons orderlng and lnLerpreLlng daLa from laboraLory and dlagnosLlc LesLs and orderlng approprlaLe medlcaLlons and LreaLmenL Lo meeL proLocol requlremenLs nurses wlLh advanced experlence and educaLlon ofLen serve as pro[ecL managers and program managers Lo coordlnaLe sLaff and resources for one sLudy wlLh many parLlclpanLs or mulLlple sLudles nurses wlLh advanced degrees are prepared Lo deslgn and conducL behavloral and lnLervenLlon research as prlnclpal lnvesLlgaLors 8esearch roles for nurses are found ln academlc cenLers communlLy pracLlces and Lhe pharmaceuLlcal lndusLry LducaLlon and Lralnlng opporLunlLles are found ln academlc cenLers and Lhrough professlonal research organlzaLlons CerLlflcaLlon as a research professlonal can be obLalned Lhrough organlzaLlons such as Lhe AssoclaLlon for Cllnlcal 8esearch rofesslonals (wwwacrpneLorg) or SocleLy for Cllnlcal 8esearch AssoclaLes (wwwsocraorg) 1hls sesslon wlll presenL dlscusslon of Lhe varleLy of roles avallable for nurses plannlng a career ln research