Chapters 1 & 2 2026 |
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, Historical trends in nursing research Began with Florence Nightingale interested in environmental factors that promote
physical and emotional well-being-with university education came more studies
on nursing students (characteristics, problems, satisfactions)-researchers then
focused on demand of nurses and amount of time required for nursing activities-
1950s increase in nurses with advanced degrees and better research training,
increase in funds and estab of journal Nursing research propelled nursing
research
Historical Trends Cont. 1960spractice-oriented research on clinical topics emerge and the International
Journal of Nursing Studies is published *and others-1970s change in emphasis in
research for improvements in client care and more journals published with the
increased need for research-1980s brought research that stressed the importance
of research practice and encouraged its utilization (National Center for Nursing
Research and National Institutes of Health estab.) -the 1990s saw growth in
nursing research funding and more journals
NCNR (National Center for Nursing Research) in the 1980s promoted and financially supported research projects and training
related to patient care
EBM (Evidence Based Medicine) estab. in 1980s by McMaster Med school in Canada which led to view that
research findings are far superior to opinions of authorities as a basis for clinical
decisions (lead to today's EBP)
AHCPR (Aency for Healthcare Research) fed agency developed in 1989 designed to improve quality of health care, reduce
health costs and enhance patient safety (vital for EBP)
National Institute of Nursing Research helped put nursing research more into mainstream research in 1993
Future Directions in Nursing Research -Promotion of excellence in nursing science (sharpening research skills and using
skills to address emerging issues of importance to profession and clientele)
-Heightened Focus on EBP
-Stronger Evidence base through more rigorous methods and multiple
confirmatory strategies
-Greater empasis on systematic reviews
-Expanded local research in health care setting
-Strengthening of Multidisciplinary collab
-Expnaded dissemination of research findings
-Increase visibility of Nursing research
-Increased focus on cultural issues and health disparities
Systematic Reviews rigorously integrate research info on a topic so that conclusions about the state of
evidence can be reached
-can be narrative (qualitative) that merges and synthesizes findings but narrative
reviews are being replaced by meta-analysis
Meta-analysis technique for integrating quantitative research findings statistically and treats the
from a study as one piece info where all info analyzed statistically similar to that in
study--individual studies are the unit of analysis
Meta-synthesis less about reducing information and more about interpreting it