Analysis Current Influences of Research Utilization in Practice According to Squires, Staterooms, Gustafson, & Walling (201 1), research utilization is the use of any kind of research in any way. Concern has been expressed as to Nether nursing practice is guided on the basis of scientific evidence or research. Research is available, but is it used to its fullest potential? The difference between research availability and the application of research to practice is known as the research-practice gap.
Unfortunately, studies conclude that the use of research in practice is slow and haphazard (Squires, Staterooms, Gustafson, & Walling, 2011). Research utilization in nursing practice is influenced strongly by individual determinants. As individual characteristic factors emerged from data extraction, Squires et al. (2011) considered six core categories including beliefs and attitudes, involvement in research activities, information seeking, education, professional characteristics, and other socio-economic factors.
Of these core categories, the nurses attitude toward research was the only individual influencing characteristic hat was consistent, and had a positive effect. Other influencing factors such as attending conferences, having an advanced degree, and clinical specialty were present, but not to the magnitude as attitude (Squires et al. , 2011). When all of the Individual influences on research utilization are considered, attitude and attendance at conferences or in-services seem to be the easiest to manipulate to make a positive impact on the application of research to nursing practice (Squires et al. , 2011).
Maguire (2011) suggests 10 areas of potential difficulty in the implementation of nursing research findings. These areas include the complexity of the change process, the genesis of research programs, formulation of research questions, differences in theoretical approaches, timescales and planning cycles, information overload, credibility, applicability, response to change, and the management of change. The implementation of nursing research findings into practice is a complex process and though management can touch on change tort implementation, the success tot the change remains hinged on the attitude of the nurse (Maguire, 2006).
Case Study Mr.. C, the patient, recently moved in with his daughter-in-law after his wife eased away. The daughter-in-law is no longer married to Mr.. Co’s son, but she is at this visit with Mr.. C and states that she wants to help take care of Mr.. C. She states that when Mr.. C got off the airplane, he was pale and diaphragmatic. She took him to the emergency room at the hospital. He was seen by a cardiologist and has a follow-up appointment next week for a cardiac echo. The patient states he has chronic heart failure (CHEF) and a history of deep vein thrombosis (DTV).
The cardiologist told him to seek out a primary care provider and have his thyroid checked. The patient states he goes not know if he has hyper- or hypothyroidism, but he has been taking medication for years. Mr.. C has a large bag of medications with him, including [email protected], Lassie, Commanding, and meteorology. Mr.. C is very pale. His vital signs are as follows: Pulse- 58, UP 176/84, Respirations- 22, Pulse ox-88. He is 72 inches tall and weighs 147 pounds. His labs results are as follows: homoerotic- 8. 24, hemoglobin- 24. 3, BUN- 29, creating- 2. , INNER-2. 5. The case study is the basis for the following plan of care based on Jean Watson Theory of Transposable Caring……. Priority 1 Assessment Nursing Diagnosis Intervention Outcome Follow-up Outcomes Priority 2 Potential for: Fluid volume excess secondary to decreased circulatory / cardiac output. Teach patient to monitor BP, pulse, edema and respiratory effort and daily weight. Reach patient the importance of medication compliance and possible side effects reach patient importance of maintaining a health diet and nutrition. Each patient importance of informing MD immediately of any noted changes in status. Displays BP and pulse within normal limits. Be free of edema and visual disturbances, breathe with clear sounds. Demonstrates compliance with medication use. Selects nutritionally rich foods, consistent with current guidelines. Reports worsening condition or development tot suspicious signs and symptoms promptly to prevent serious complications Priority 3 Potential for: Decreased endurance and activity secondary to decreased cardiac output Teach patient to be able to assess vital signs especially respiratory rate. Each patient to be able to self assess need for oxygen and importance of oxygen compliance. Encourage patient to plan activities as tolerated and around periods of rest. Monitors BP, pulse and respiratory rate regularly and correctly. Correctly assesses the need for oxygen by recognizing the signs and symptoms of hypoxia. Uses oxygen in the appropriate concentration. Plans regular periods of rest and quiet activities gradually increasing activity as tolerated. Priority 4 Ineffective coping secondary to disease process. Help patient to identify own strengths in providing self care.
Promote patient independence and empowerment Assess patient’s ability and understanding of changes that may occur during disease process Verbalize understanding of what is happening. Identify and use coping techniques. Establishes a positive attitude towards illness. Progresses adaptively through disease process. Priority 5 Ineffective tissue perfusion secondary to decreased cardiac output. Teach patient important signs and symptoms of perfusion dysfunction (unilateral edema, cool extremity, decreased pulse rate, pain/discomfort to area).
Displays BP, pulse, Bass, within normal limb Priority 6 Potential for: Weakness and fatigue secondary to metabolic and endocrine dysfunction Encourage several rest periods in between patient’s activities each patient importance of taking medication as ordered by the physician and monitoring for side effects. Encourage patient to maintain low fat, low cholesterol, high fiber diet. Plans naps and quiet activities on a regular basis between activities rakes medications as prescribed by physician. Promptly reports side effects.