Strengthening Health Research Capacity of Nurses The Need for Evidence Based Practice

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Strengthening Health Research Capacity of Nurses
The Need for Evidence Based Practice

• Dr. Shareen Swastika Ali
• ( BDS,PGDETT,MPH)
• Health Research Officer
• Ministry of Health

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Health Research

• Research is systematic and rigorous amount
  process of enquiry which aims to describe health
  phenomena with an aim to contribute to scientific
  body of knowledge. It aims to improve health,
  health outcome and health services.

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Health Research Capacity

• improve the ability of health personnel to
  conduct research, to use results effectively, and
  to promote demand for research

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Evidence Based Practice

• is an approach which tries to specify the way in
  which professionals or other decision-makers
  should make decisions by identifying such
  evidence that there may be for a practice, and
  rating it according to how scientifically sound
  it may be. Its goal is to eliminate unsound or
  excessively risky practices in favor of those
  that have better outcomes.

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Health Research Capacity in the Pacific

• Are we doing research and applying it to our work
  ?

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Health Research Capacity in the Pacific

• WHO Western Pacific Advisory Committee and
  Health Research Council of the Pacific Mapping
  of the PICS Research Capacity
• 3- 6 October 2007 in Nadi reviewed current
  status of health research in the pacific

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Health Research Capacity in the Pacific

• Why are we not applying EBP at our workplaces??
• Apprehension
• Do not have the knowledge
• Lack skills
• No incentive
• Lack encouragement
• Funding
• Infrastructure
• Translation
• Research culture
• Leadership

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Health Research Capacity in the Pacific

• The Challenge
• There is an urgent need to develop and use
  evidence informed policies and health services to
  address priority health issues
• What is the best way to get timely, effective,
  affordable and sustainable health services in
  place for Pacific Peoples

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Health Research Capacity in the PacificThe
Problem

• Our current approach will achieve
• too little too late.
• So how can we do better

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Health Research Capacity in the Pacific

• What can be done?
• Build pacific partnership which links bilaterally
  research to training

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Role of Global and Regional and Regional
Organizations

• Role of Global and Regional and Regional
  Organizations
• Coordinate activities through conferences and
  workshops
• Facilitate training
• Disseminate knowledge and research outputs

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Pacific Health Research Committee

• Reducing inequality and improve health status of
  Pacific peoples
• Develop and strengthen our internal processes and
  systems
• Foster engagement with Pacific Research
  Communities and Pacific Peoples

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Pacific Health Research Committee

• Vision
• Optimal health for Pacific Peoples through
  promoting and funding health research

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Pacific Health Research Committee

• Mission
• Discovering Pacific Health Solutions through
  Research

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Pacific Health Research Committee

• What does it do?
• Strengthening capacity and capability of Pacific
  health research workforce
• Offer scholarships for Pacific peoples in health
  and research
• Promote Pacific health Research
• Develop Pacific Research policy

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Guidelines for Research on Pacific Peoples

• Relationship
• Positive relationship to be developed with the
  community
• Respect
• For the culture, values and beliefs
• Cultural Competency
• Know your culture and the impact it has on others
  

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Guidelines for Research on Pacific Peoples

• Meaningful Engagement
• Collaboration should be from the beginning
• Reciprocity
• Mutual relationships to be developed
• Utility
• Output should benefit Pacific Peoples

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Guidelines for Research on Pacific Peoples

• Rights
• Informed Consent Procedures
• Balance
• Both parties should benefit
• Protection
• Pacific peoples
• Capacity building
• Learning opportunities for Pacific Peoples

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Evidence Based Nursing

• Within the nursing profession, it is expected
  that new information in the form of research
  findings will be incorporated constantly and
  knowledgeably into nursing practice.
• The staff nurse is a critical link in bringing
  research-based changes into clinical practice

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Evidence Based Nursing

• Isn't new it's what we have been doing for
  years
• Each nurse must care enough about her own
  practice to want to make sure that it is based on
  the best possible information
• 15 years ago, someone said that nursing should be
  renamed to a research based profession

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Evidence Based Nursing Gaps

• Time constraints
• No access to literature
• Lack of training in information seeking and
  critical appraisal
• A professional ideology that emphasizes on
  practical rather than intellectual knowledge
• A work environment that does not encourage
  information seeking

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Evidence Based Nursing Gaps

• We have learned that it is not sufficient to
  give nursing students a few lectures on the
  process of doing research and then expect them to
  use that knowledge throughout their careers in an
  ongoing process of gathering and interpreting
  research evidence and implementing findings.

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Evidence Based Nursing Gaps

• In a study of health agencies in Ontario,
  Canada, Mitchell et al found that only 35 of
  small hospitals (lt250 beds) had nursing research
  journals in their libraries 38 of health
  agencies based change in nursing practice on the
  research process 15 implemented research
  utilization programs for staff nurses and 97
  wanted assistance in teaching their nursing staff
  about research utilization.

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Evidence Based Nursing

• "cookbook" nursing and a disregard for
  individualized patient care
• clinical expertise should be balanced with the
  risks and benefits of alternative treatments for
  each patient

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Evidence Based Nursing Gaps

• there is an over-emphasis on clinical trial and
  systematic reviews in evidence-based health care
• Maybe impractical in clinical practice

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Evidence Based Nursing Situational Analysis

• EBN is gaining wider popularity
• Increasing number of nursing conferences with
  evidence based themes
• Journals that feature evidence based , best
  practices in health care
• Increasing in subscription to nursing journals

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Evidence Based Nursing Journals

• Journal of Advanced Nursing
• Western Journal of Nursing Research
• Evidence Based Nursing
• HINARI website

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Evidence Based Nursing Continuing Education

• In United States a study was done to evaluate
  nursing practice 5 years post graduation.
• Faults
• Contaminated wounds
• Misuse of gloves
• Failed to wash hands
• Decreased wound caring
• Privacy not provided
• How Qualified is Qualified?

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Evidence Based Nursing Continuing Education

• After CE was provided
• Renewed interest in work
• Greater team work
• Registration in online education
• Quality of clinical practice increased, with more
  supervised care

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The End