Utilization of Nursing Research, Barriers and Change Models for Utilization of Research

Öz

It is an important requirement to implement nursing practice based onresearch evidence in order to accomplish development of the nursingprofession and increase the quality of care. The inadequate facilitiesfor implementation, not been compiled of the relevant literature in oneplace, physicians’ not cooperating with implementation, any availabledocument need to change practice, the nurses’ feeling that the resultsare not generalisable to own setting are the top great barriers toresearch utilization reported in Turkey. For theresearch utilization and to overcome the barriersit is a rational approach to use change models.For this purpose, CURN project, STETLERmodel, IOWA model, Diffusion model, Ottowamodel, PARIHS model are the most commonchange models used in the instutions. It isexpected that using these models will provide animportant change in the nurses’ behaviors andattitudes related to research utilization. In thisarticle, concept of research utilization in nursing,barriers, the change models and how to benefit ofthese models are reviewed

Anahtar Kelimeler

• Nursing,research,barriers,models

HEMŞİRELİK ARAŞTIRMALARININ KULLANIMI, ENGELLER VE ARAŞTIRMA KULLANIMINDA DEĞİŞİM MODELLERİ

Öz

Hemşirelik mesleğini geliştirebilmek ve bakımın kalitesini arttırmakiçin profesyonel hemşirelerin uygulamalarını araştırma sonuçlarınadayalı kanıtlara göre gerçekleştirmeleri önemli bir gerekliliktir.Türkiye’de hemşirelerin araştırma kullanımındaki en yaygın engeller,uygulama olanaklarının yetersizliği, ilgili literatürün toplandığı biryer olmaması, hekimlerin uygulamalarda işbirliği yapmaması,uygulamalarda değişiklik yapmak için gerekli doküman bulunmaması,hemşirelerin çalışma alanlarına sonuçları genelleyememesidir.Hemşirelikte bu engellerin aşılmasında ve araştırma kullanımındadeğişim modellerinden yararlanılması iyi bir yoldur. Bu amaçla,CURN projesi, STETLER model, IOWA model, Difüzyon modeli,Ottowa araştırma kullanma modeli, PARIHS model gibi değişimmodellerinden kurumlarda yaygın olarak yararlanılmaktadır.Kullanılan bu modellerin hemşirelerin araştırma kullanmadavranışlarında ve tutumlarında önemli bir değişim sağlayacağıdüşünülmektedir. Bu makalede, hemşirelik araştırmalarının kullanımıkavramı, engeller, araştırma kullanımında değişim modelleri ve bumodellerden nasıl yararlanılacağı gözden geçirilmiştir

Anahtar Kelimeler

• Hemşirelik,araştırma,engeller,modeller

Kaynakça

1. Beverly F (2005) Contextual factors influencing research use in nursing. Worldviews on Evidence-based Nursing 2(4), 172-182.
2. Brown GD (1995) Understanding barriers to basic nursing practice upon research: A communication model approach. Journal of Advanced Nursing 21, 154-157.
3. Brown CE, Ecoff L, Kim SC, Wickline MA, Rose B, Klimpel K (2010) Multi-institutional study of barriers to research utilisation and evidence based practice among hospital nurses. Journal of Clinical Nursing 19(13-14), 1944-1955.
4. Bryant SL (2005) Research utilization: A guide for managers. Sage Publications, United States of America.
5. Bryar RM, Closs SJ, Baum G, Cooke J, Griffiths J, Hostick T, Kelly S, Knight S, Marshall K, Thompson DR (2003) The Yorkshire barriers project: Diagnostic analysis of barriers to research utilization. International Journal of Nursing Studies 40, 78-84.
6. Burns N, Grove S (1997) The practice of nursing research: Conduct, critique and utilization. Saunders, Philadelphia.
7. Chien WT (2010) A survey of nurses’ perceived barriers to research utilisation in Hong Kong. Journal of Clinical Nursing 19(23-24), 3584-3586.
8. Closs J, Cheater F (1994) Utilization of nursing research: Culture, interest and support. Journal of Advanced Nursing 19, 762-773.

9. Crane J (1995). Research utilization-nursing models. Western Journal of Nursing Research 7(4), 494-7.
10. Estabrooks CA (1999) The conceptual structure of research utilization. Research in Nursing and Health 22, 203-216.
11. Findlay SS, Biddle KG (2005) Understanding how organizational culture hapes research use. JONA 35(7/8), 359-365.
12. Fink R, Thomson C, Bonnes D (2005) Overcoming barriers and promoting the use of research in practice. JONA 35(3), 121-129.
13. Funk S, Champagne M, Wiese R, Tornquiest E (1991) Barriers: The barriers to research utulization scale. Applied Nursing Research 4, 39-45.
14. Hajbaghery MA, Salsali M (2005) A model for empowerment of nursing in Iran BMC, Health Services Researh, 5, Retrieved July, 15, 2006 from http://biomedcential.com.
15. Halladay M, Bero L (2000) Implementing evidence-based practice in health care. Public Money and Management 20(4), 43-50.
16. Haller KB, Reynolds MA, Horsley JA (1979) Developing research based innovation protocols: Process, criteria and issues. Research in Nursing and Health 2, 49-51.
17. Horsley JA, Crane J, Bingle JD (1978) Research utilization as an organizational process. Journal of Nursing Administration, July, 4-6.
18. Kajermo KN, Boström AM, Thompson DS, Hutchinson AM, Estabrooks CA, Wallin L (2010) The barriers scale- the barriers to research utilization scale: a systematic review. Implementation Science 5(32), 1-22.
19. Kitson A, Harvey G, Mc Cormack B (1998) Enabling the implementation of evidence-based research: A conceptual framework. Quality in Health Care 7, 149-158.
20. Kocaman G, Seren S, Lash AA, Kurt S, Bengu N, Yurumezoglu AH (2010) Barriers to research utilisation by staff nurses in a university hospital. Journal of Clinical Nursing 19(13-14), 1908-1918.
21. Kuuppelomaki M, Tuomi J (2003) Finnish nurses’ views on their research activities. Journal of Clinical Nursing 12(4), 589-600.
22. Lippitt GL (1973) Hospital organization in the post-industrial society. Hospital Progress 54(6), 55- 64.
23. Logan J, Graham D (1998) Toward a comprehensive interdisiplinary model of health care research use. Science Communication 20(2), 227-246.
24. Parahoo K (2000) Barriers to and facilitators of research utilization among nurses in Northern Ireland. Journal of Advanced Nursing 31(1), 89-98.
25. Retsas A, Nolan M (1999) Barriers to nurses’ use of research: An Austraslian hospital study. International Journal of Nursing Studies 36, 335-343.
26. Rodgers SE (1994) An exploratory study-of research utilization by nurses in general medical and surgical wards. Journal of Advanced Nursing 20, 904-911.
27. Rogers ME (1995) Diffusion of innovation, Fourth edition, The free pres, New York, 1-37. http://www.courses.ceit.metu.edu.tr
28. Stetler CB (1994) Refinements of the stetler/marram model for application of research findings to practice. Nursing Outlook 42(1), 15-25.
29. Stetler CB, Marram G (1976) Evaluating research findings for applicability in practice. Nursing Outlook 24, 559-563.
30. Temel AB, Uysal A, Ardahan M, Özkahraman S (2010) Barriers to research utilization scale: Psychometric properties of the Turkish version. Journal of Advanced Nursing 66(2), 456-464.
31. Titler MG, Kleiber C, Steelman V, Goode C, Rakel B, Barry-Walker J, Small S, Buckwalter K (1994) Infusing research into practice to promote quality care. Nursing Research 43(5), 307-313.
32. Tsai SL (2003) The effects of a research utilization in service program on nurses, International Journal of Nursing Studies 40, 10-113.
33. Uysal A, Temel AB, Ardahan M, Özkahraman S (2010) Barriers to research utilisation among nurses in Turkey. Journal of Clinical Nursing 19(23-24), 3443- 3452.
34. Walsh M (1997) How nurses perceive barriers to research implementation. Nursing Standard 11( 29), 34-39.
35. Weiss CH (1979) The many meanings of research utilization. Public Administration Review 5, 426-431.
36. Winch S, Henderson A, Creedy D (2005) Read, thing, do!: A method for fitting research evidence into practice. Journal of Advanced Nursing 50(1) 20-26.
37. Yava A, Tosun N, Çiçek H, Yavan T, Terakye G, Hatipoğlu S ( 2007) Hemşirelerin araştırma sonuçlarını kullanımında engeller ölçeğinin geçerlilik ve güvenirliliği. Gülhane Tıp Dergisi 49, 72-80.
38. Yava A, Tosun N, Çiçek H, Yavan T, Terakye G, Hatipoğlu S (2009) Nurses’ perceptions of the barriers to and the facilitators of research utilization in Turkey. Applied Nursing Research 22(3), 166-175.