Nursing research in theory and practice - is implementation the missing link?

This brief commentary is in response to the article titled: Engaging clinicians in research: Issues to consider (Dunning, 2013). The article presented an overview of nursing research that included the various definitions of nursing research, a synopsis of the paradigms associated with nursing research, and a brief presentation of how nurses can engage in research. Engaging in research is more than just producing evidence. It involves the active seeking out, critiquing, and application of research in the clinical setting. Many clinicians do not have the skills to be able to adequately read or interpret empirical evidence. I would argue that before a clinician can consider designing and implementing a study, they should have a solid understanding of the relationships between research and knowledge and theory and practice.

Download Full-text

Experiences in SIS Implementation in UK Healthcare

Effective Healthcare Information Systems ◽

10.4018/978-1-931777-01-8.ch002 ◽

2011 ◽

pp. 13-36

Author(s):

Stuart J. Barnes

Keyword(s):

Health Sector ◽

Theory And Practice ◽

Case Mix ◽

Institutional Reforms ◽

Is Implementation ◽

New Information ◽

Financial Audit ◽

The Subject ◽

The Uk ◽

The U.S

Implementing large strategic IS in the UK health sector has recently become the subject of much debate, as hospitals have undergone wide-reaching government-led institutional reforms involving the introduction of IT. Many of the developments have followed the patterns in the U.S. One such example is that of Case Mix, introduced strategically as part of the Resource Management Initiative and aimed at the facilitation of both clinical and financial audit. Moreover, Case Mix was implemented alongside significant changes in hospital structure and culture, requiring clinicians to get involved in management tasks and decision making within the structure of the hospital, supported by a new information infrastructure. Case Mix was implemented blanket-fashion throughout many UK hospitals, and the success of such systems has varied significantly. A number of lessons can be learned from the way that the implementation was approached. This chapter stems from a research project focusing longitudinally on the implementation of Case Mix in four UK hospitals. It draws a number of findings from the cases, and importantly, explicates a framework for strategic IS implementation, as generated from the cases and supported by the extant literature. Such a framework has implications for both theory and practice, and assists in the understanding of what is often a dynamic and poorly understood situation.

Download Full-text

Experiences in Strategic Information Systems Implementation in UK Healthcare

Strategies for Healthcare Information Systems ◽

10.4018/978-1-878289-89-6.ch002 ◽

2011 ◽

pp. 11-30 ◽

Cited By ~ 4

Author(s):

Stuart J. Barnes

Keyword(s):

Health Sector ◽

Theory And Practice ◽

Case Mix ◽

Institutional Reforms ◽

Is Implementation ◽

Systems Implementation ◽

New Information ◽

Information Systems Implementation ◽

Financial Audit ◽

The Uk

Implementing large strategic IS in the UK health sector has recently become the subject of much debate, as hospitals have undergone wide-reaching government-led institutional reforms involving the introduction of IT. Many of the developments have followed the patterns in the U.S. One such example is that of Case Mix, introduced strategically as part of the Resource Management Initiative and aimed at the facilitation of both clinical and financial audit. Moreover, Case Mix was implemented alongside significant changes in hospital structure and culture, requiring clinicians to get involved in management tasks and decision making within the structure of the hospital, supported by a new information infrastructure. Case Mix was implemented blanket-fashion throughout many UK hospitals, and the success of such systems has varied significantly. A number of lessons can be learned from the way that the implementation was approached. This chapter stems from a research project focusing longitudinally on the implementation of Case Mix in four UK hospitals. It draws a number of findings from the cases, and importantly, explicates a framework for strategic IS implementation, as generated from the cases and supported by the extant literature. Such a framework has implications for both theory and practice, and assists in the understanding of what is often a dynamic and poorly understood situation.

Download Full-text

Pesquisa em enfermagem: construindo caminhos para assistir

Revista de Enfermagem UFPE on line ◽

10.5205/reuol.149-181-1-rv.0303200942 ◽

2009 ◽

Vol 3 (3) ◽

pp. 755

Author(s):

Samanta Bastos Maagh ◽

Juliana Graciela Vestena Zillmer ◽

Lenice Muniz de Quadros ◽

Sabrina Gomes Ferreira ◽

Caroline De Leon Linck ◽

...

Keyword(s):

Social Context ◽

Master's Degree ◽

Theory And Practice ◽

Nursing Research ◽

Construction Process ◽

Research Education ◽

The Social ◽

Master’S Degree

ABSTRACTObjective: to show the construction of the knowledge of Nursing, through the research, interrelating it with the social context and attendance to the health. Methodology: as sources of obtaining the data we had used articles of newspapers, books, as well as critical works presented in the Course of Academic Master's degree of ,ad Universities Federal de Pelotas. Texts were analyzed that focused the historical and social context of Nursing in the period from 1981 to 2000. Results: thematic nucleus emerged as "Research in nursing: articulation between theory and practice in the social context" and "Weaving bonds between the assistential nursing and the teaching". Conclusions: in the reflections accomplished in readings, discussions in classroom we evidenced that the construction process and invigoration of Nursing, as profession and science, happened through the research. The knowledge had been built with other sciences, but the construction of the scientific "know” still is a challenge for Nursing in the current society. Descriptores: nursing; nursing research; education. RESUMOObjetivo: refletir acerca da construção do conhecimento de Enfermagem, inter-relacionando-a com o contexto social e assistência à saúde. Metodologia: como fontes de obtenção dos dados, foram utilizados artigos de periódicos, livros, bem como trabalhos críticos apresentados no Curso de Mestrado Acadêmico da Faculdade de Enfermagem da Universidade Federal de Pelotas. Foram analisados textos que enfocavam o contexto histórico e social da Enfermagem no período de 1981 a 2000. Resultados: emergiram núcleos temáticos, como “Refletindo sobre a pesquisa em enfermagem: articulação entre teoria e prática no contexto social” e “Tecendo vínculos entre a enfermagem assistencial e a docência”. Conclusão: nas reflexões realizadas em leituras e discussões em sala de aula, evidenciamos que o processo de construção e fortalecimento da Enfermagem, como profissão e ciência, ocorreu através da pesquisa. O conhecimento foi sendo construído com outras ciências, mas a construção do “saber” científico ainda é um desafio para a Enfermagem na sociedade atual. Descritores: enfermagem; pesquisa em enfermagem; educação.RESUMENObjetivo: abordar la construcción del conocimiento de Enfermería, a través de la investigación, interrelacionándolo con el contexto social y asistencia a la salud. Metodología: como fuentes de obtención de los datos se usaron artículos de periódicos, libros, así como los trabajos críticos presentados en el Curso de Maestria Académica de la Facultad de Enfermería de la Universidad Federal de Pelotas. Fueran analizados textos con enfoque al contexto histórico y social de Enfermería, en el período 1981 a 2000. Resultados: los núcleos temáticos surgieron como la “Investigación en enfermería: la articulación entre teoría y practica en el contexto social” y "Tejiendo vínculos entre la enfermería asistencial y la docencia". Conclusión: en las reflexiones logradas en las lecturas, discusiones en el aula nosotros evidenciamos que el proceso de la construcción y fortalecimiento de la Enfermería, como profesión y ciencia, pasaron a través de la investigación. El conocimiento se había construido con otras ciencias, pero la construcción del "saber " científico todavía un desafío para la Enfermería en la sociedad actual. Descriptores: enfermería; investigación en enfermería; educación.

Download Full-text