Research and the Health Profession.ppt

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    Train ing Workshop:

    Basic Research Methodology: Towards

    Developing and Writing ResearchProposals

    RESEARCH AND THE HEALTH

    PROFESSION

    Erlinda Castro-Palaganas, Ph.D.

    DOH-CAR Training Center

    BGH-MC Compound, November 25-27 2008

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    Objectives

    Analyze relevant and feasible strategies tointegrate and sustain research findings andevidence into practice;

    Examine findings and outcomes of selectednursing studies for their translation to carepractices;

    Engage in networking opportunities to increase

    knowledge of evidence-based practice, linkingresearch to practice; and

    Assist in the formation of a national nursingresearch group in the Philippines.

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    To be able to adopt an evidence-basedpractice

    To document the social relevance andeffectiveness of ones practice not only to theprofession but to health care consumers,health care administrators and third party

    payors To be effective consumers of research and

    producers of research

    Why research ?

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    Why Research?

    Health profession is a practice profession, thusresearch is essential to develop and refineknowledge that can be used to improve clinicalpractice.

    Health Professional need to be able to:

    - read research reports,

    - identify effective interventions for practice, and

    - implement these interventions to promotepositive outcomes for patients and families

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    What is your role in health and

    health related research?

    Bachelor s Degree (e.g. BSN, MD, MT, etc): Critiqueresearch findings for use in practice; use researchfindings in practice

    Masters Degree (e.g.MSN/MAN): Collaborate inresearch projects; provide clinical expertise for

    research

    PhD: Develop health knowledge through research and

    theory development; conduct funded independentresearch projects

    PostDoc: Develop and coordinate funded research

    programs

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    How do we acquire knowledge?

    Knowledge is essential informationacquired in a variety of ways, expected to

    be accurate reflection of reality, and

    incorporated and used to direct a personsactions.

    The quality of health practice depends onthe quality of the knowledge that you

    acquired.

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    How do we acquire knowledge?

    Traditions Authority

    Borrowing

    Trial and Error Personal Experience (Novice, advanced beginner,

    competent, proficient, expert)

    Role Modeling (mentorship)

    Intuition

    Reasoning (Inductive vs. deductive)

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    Research in Health Professions

    For health professions as a discipline to be effective inresearch, the focus of research-directed activity shouldbe creating a

    culture within nursing that values,uses, and supports research.

    As practitioners of a discipline, health

    professionals must perceive that research isimportant in developing evidence-based(informed) practice in all settings andspecialties.

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    Building an Evidence-Based Practice

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    Why evidence-based?

    Health professionals are accountable tosociety for providing high-quality, cost-effective care for patients and families.

    Care provided must be constantly evaluatedand improved on the basis of new andrefined research knowledge.

    Health professionals need to use researchfindings to determine the best way to deliverhealth care services to ensure that thegreatest number of people receive care.

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    Why evidence-based ?

    Promoting an understanding of patients andfamilies experiences with health and illness(a common focus of qualitative research)

    Implementing effective health interventionsto promote patient health ( a common focusof quantitative research)

    Providing high-quality, cost-effective carewithin the health care system (a common

    focus of outcome research)

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    Remember

    Evidence-based practice in the

    health profession should be

    based on the synthesis of

    findings from a collection of

    research studies addressinghealth practice.

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    Building an Evidence-Based

    Practice

    Developing an evidence-based practice

    for the health profession requires that

    the knowledge generated throughresearch be communicated to:

    ones particular profession (e.g. nurses)

    other health care professionals consumers for use in practice

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    Rogers' Theory: Levels of

    innovativeness

    early adopters. innovators.

    late majority.

    laggards.

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    A level of innovativeness where nurses activelypromote change: Early adopters

    A level of innovativeness where nurses learn new

    ideas rapidly, utilize them, and then serve as rolemodels in their use: Innovators A level of innovativeness where nurses are skeptical

    about new ideas and will adopt them only if group

    pressure is great: Late majority A level of innovativeness where nurses are security

    oriented, tend to cling to the past, and often do not

    adopt new ideas: Laggards

    Rogers' Theory: Levels of

    innovativeness

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    Application to practice

    Direct application involves the implementationof research findings straight into practice asthey were developed from the studies.

    Indirect effects implementation occurs whenthe practitioner incorporates the knowledgeand uses it to strengthen an argument or asdocumentation in a clinical paper.

    Reinvention implementation involvesmodifying research findings to fit a particularpractice situation before utilization

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    journey together in this adventure of healthresearch;

    tell our stories from the field and learn from each

    other.

    May this adventure inspire us to come up withresearch proposals that will assist in alleviatingthe health problems of the region.

    Let us