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Evolution of Nursing Research

Created Jul 20, 2020 317 PM

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1940s: governments-initiated studies of nursing 1960s - research priorities began to be reorderde


education continued, spurred on by the and practice-oriented research was targeted
unprecedented demand for nursing personnel during
1952 - the journal Nursing Research begins
WWII
publication

1955 - inception of the American Nurses


1950s: An increase in the number of nurses with Foundation to spnosor nursing research
advanced degrees and better research training, an
1957 - establishment of nursing research center at
increase in the availability of funds from the
Walter Reed Army Institure of Research
government and private foundations
establishment of the journal Nursing Research

1960s: practice-oriented research on various clinical During 1960s


topics began to research studies is not only focused on US but
emerge in the literature and nursing research spread out in the ____ territory
advanced worldwide
1960s - nurses werer attaining educational
International Journal of Nursing Studies 1963 preparation in research
Journal of Nursing Scholarship and Canadian practice oriented research on various clinical
Journal of Research 1960s topics began to emerge in the literature and
nursing research advnace worldwide

1970s: change in emphasis in nursing research development if nursing theories and models -
from areas such as teaching and nurses themselves to citrical level of thinking about nursing practice
improvements in client care. Orlando, Peplau, Wiedenbach)

Nurses also began to pay attention to the utilization more collaborative efforts on practice oriented
of research findings in nursing practice research: Diers & Leonard; Dumas & Leonard

Research in Nursing & Health 1963 - International Journal of Nursing Sutdies


begins publications
the Journal of Advanced Nursing
1965 - American Nurses' Association ANA begins
Western Journal of Nursing Research
sponsoring nursing reaserch conferences

1969 - Canadian Jouran of Nursing Resarch begins


1980s: nurses began to conduct formal projects publication
specifically designed
to increase research utilization

Annual Review of Nursing Research 1983

annual reviews include summaries of


During 1970s
current research evidence on selected 1970 - National Committe for the study of Nursing
areas of research practice and and Nursing Education Report was published
encourage utilization of research findings
also saw the new growth in the number of
National Center for Nursing Research NCNR master's and doctoral programs for nursing
1986 1971 - ANA establishes a Commission on Resaerch
The purpose of NCNR was to promote— 1972 - ANA extablishes its Council of Nurse
and financially support—research projects Researchers
and training relating to
patient care 1976 - Stetler and Marram publish giudelines on
assessing research for use in practice

Evolution of Nursing Research 1


National Health Research Development there was a decided change in emphasis on
Program NHRDP and Medical Research nursing research areas such as teaching and
Council of Canada nurses themselves to improvements in client care

funding for nursing research became nurses began to pay attention to the utilization
available in Canada of resaerch findings and nursing practice

Applied Nursing Research 1978 - The journals Research in Nursing & Health
and Advances in Nursing Science begin publication
Australian Journal of Nursing Research
1979 - Western journal of Nursing Research beings
McMaster Medical School: designed a clinical learning
publication
strategy EBP
EBP promulgated the view that research findings
were far superior
to the opinions of authorities as a basis for clinical
During 1980s
decisions, constituted a profound shift for medical
education and practice, and has had a major effect on brought nursing research to a new level of
all health care professions development

Agency for Health Care Policy and Research extensive growth in upper levels of programs
AHCPR 1982 - The Conduct and Utilization of Research in
renamed Agency for Healthcare Research Nursing CURN project publishes report
and Quality AHRQ 1990 increase in the level of development
federal agency that has been charged with below
supporting research specifically designed to
1983 - Annual Review of Nursing Research begins
improve the quality of health care, reduce
publication
health costs, and enhance patient safety
include summaries of current research
evidence of selected areas of research practice
1990s: funding expanded and encourage utilization of research finding
National Institute of Nursing Research NINR 1985 - ANA cabinet on nursing resaerch
1993 establishes priorities
Nursing research was strengthened and 1986 - National Center for Nursing Research
given more national visibility NCNR established within US National Insitutes of
The birth of NINR helped Health
put nursing research more into the NCNR was to promote and financialy support
mainstream of research activities enjoyed research project and trainng related to patient
by care
other health disciplines
nurses began to conduct formal projects spec the
1986 budget 16M dollars sign to inc ulitization such as the conduct and
1999 budget 70M dollars utilisation of research in nursing project

Canadian Health Services Research 1988 - the journal Applied Nursing Research
Foundation begins publication 1989 US Agency for Health Care
Policy and Research ACHPR is established
Qualitative Health Research
(renamed Agency for Healthcare Research and
Clinical Health Research Quality or AHRQ in 1999
Clinical Nursing Research Autralian Journal of Nursing Research
Clinical Effectiveness 1989 - many centers for research developed in
Cochrane Collaboration: an international network of educational setting and in hospitals
institutions and individuals that maintains and updates US established Agency for Healthcare Policy
systematic reviews of hundreds of clinical and Research AHCPR
interventions to facilitate
renamed to Agency for Healthcare
Research and Quality AHRQ in 1999
Sigma Theta Tau International: began to focus federal agency charged with
attention on research utilization, and sponsored the supporting research specifically designed
first to improve quality of healthcare, reduce
international research utilization conference, in

Evolution of Nursing Research 2


cooperation with the faculty of the University of health cost and enhance patient safety,
Toronto, in 1998. and place a pivotal role in supporting
evidence base practice

journals and reviews now provide additional


forums for communicating research
19th Century - after 1850
Florence Nightingale - promotion of health,
prevention of disease, and care of the sick were the
central ideas of her system during Crimean war During 1990s
Nursing Research began with Florence Nightingale nurses and nursing students at all elvel learned
about nursing research
changes in nursing care

promotion of health 1990s - nursing research stood on its own

nursing research was strengthened and given


prevention of disease
more national visibility when below
care of sick
1995 - The Joanna Briggs Institute, an
Systematic collection and exploration of data international EBP colaboratie, is established in
were necessary for nursing Australia
collection and analysis of data on health status of 1993 - National Institutes of Health NIH
British soldiers - led to variety of Health Care reauthorization bill gave NCRC institure status
reforms
it became known as the National Institute of
1859 - Nightingale's Landmark publication - Notes Nursing Research NINR
on Nursing was published
help put nursing research more in the
this described her early interest on mainstream of research acitivities enjoyed by
environmental factors that promotes physical other health disciplines
and emotional wellbeing
funding has also grown

Cochrane Collaboration - maintains and


20th Century - before 1950 updates systemic reviews
research focused mainly on nursing education, but an international network of institutions and
some patient and technique oriented research was individuals that maintains and updates
evident systemic reviews of hundreds of clinical
clinically oriented research - centered on intrventions to facilitate evidence based
morbidity and mortality rates considering WWII practice

Wald and Dock 1902 - led to the employment of


school nurses in NYC 1998 - Donaldson - "Breakthroughs in Nursing
school nurse experiment Research"

nurses gave free care to school children and identified "pathfinder" in nursing reaserch
visited the homes of sick children
faculty develop and implement nursing research
1900 - American Nursing Journal begins 1994 - The journal Qualitative Health Researh
publication begins publication
first journal publication owned and operated looks in the quality of practice rendered to
by nurses clien care
1923 - Columbia University establishes first
doctoral program for nurses

Goldmark Report in nursing and nursing


education in the US was published
21st Century
continuin exploration provdes numerous
recommended that nursing education be
moved in the mainstream the nursing opportuniteis for nurses to study important

university education and that the learning research questions and issues
needs of nursing students should have Nure researchers are challenged to bring research
precedence over hospitals need for worker based knowledge to life

major shifts in the edlivery of health care

Evolution of Nursing Research 3


the emphasis is to improve and enhance focus on qualitative and quantitative and clinically
the educational status of nurses and student based outcome studies
nurses by incorporating research in university
as nurses becomes oriented to research they are
education
particular in terms of quality of care based on
1920s - American Journal of Nursing publishes evidence based practice and the amount time
clinical cases studies being rendered to clients to improve patient's
recovery
1936 - Sigma Thea Tau awards first nursing
research grant in the US 2004 - the journal Worldviews in Evidence-Based
Nursing begins publication
this begins the funding of research studies in
the US 2005 - Sigma Theta Tau International publishes
research priorities
1948 - Brown publishes report on inadequacies of
nursing education begins to focus attention and research
utilization and they also sponsored international
changes the focus of nursing education
research utilization conferences
nursing schools began to view accreditations
use of research findings for effective clinical
and standardization as necessary steps for
decision making are refined and identified as
success
priorities
it allows nurses to locally and internationally
Evidence based practice guidlines, standardsn
be active and improve leadership skill
protocols, and citrical pathways - become
benchmark for cost effective quality clinical practice
20th Century - After 1950 ciritcal pathways - this guides and and hekps
Nursing research blossmed and alid the ground for nurses in providing care and being accurate and
nursing's current elvel of research skills critical in decision making esp in ER, ICU or
cardio unit
Nursing School (graduate and undergraduate
level) grew - includes research cource in the nurses becomes consumers of research based
program on evidences

an increase in number of nurses wth an


advanced degrees and better research training,
an increase in the availability of funds from the
government and private foundation, and
establishments of journal nursing research are
few of the courses providing nurses to conduct
research

Future Direction and Recent Trends for the 21st Century


trends in Nursing Research heightened focus on EBP

funding continues to grow translational research: research on how


findings from studies can best be
priority for nursing research in the future will be
translated into nursing practice
the promotion of excellence in nursing science
stronger evidence base through more rigorous
sharpening research skills for nurse researchers
methods and multiple, confirmatory strategies

Confirmatory stretegieis

Rolse of Nurse in Research  deliberate replication (i.e., repeating) of


studies with different clients, in different
 principal investigator clinical settings, and at different times
 member of a research team  conduct
 identifier of a research problem of multisite studies by researchers in
several locations
 evaluator of reseach findings

Evolution of Nursing Research 4


 user of research findings greater emphasis on systematic reviews

 patient or client advocate Systematic reviews are a cornerstone of EBP

 subject in studies amass and integrate comprehensive


research information on a
topic to draw conclusions about the state
of evidence

expanded local research in health care setting

strengthening of mutlidisciplinary collaboration

expanded dissemination of research findings

increasing the visibility of nursing research

increased focus on cultural issues and health


disparities

ecologic validity: refers to the extent


to which study designs and findings have
relevance and meaning in a variety of
real-world contexts

Roles of the Nurse in Nursing research


ANA,1989 - identified research competencies related to the type of educational program

Associate Degrees Graduates Master's Level


assist with identification of research problem active research team member

assist with data collection enhance the quality and relevanve of nursing
research - clinical expertise evidence-based
use research findings in practice with supervision
knowledge

conduct research to monitor the quality of nursing


Baccalaureate Graduates practice and provide leadership

intelligent consumer of rsearch Doctorally prepared Nurse


use competencies to advance te nursing or most expertise in appraising, designin, and
intersciplinary EBP projects conducting research
participate in research projects develop nursing kowledge through research and
theory development

conduct an independent research project

act as role models and mentors who guide,


stimulate, and encourage other nurses who are
developing thier research skills

they can dissseminate research findings to


scinetific community, physicians, and to the public

conduct funded independent research project

Evolution of Nursing Research 5

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