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Evidence-Based Practice Research Paper

Evidence-Based Practice Task a: Nursing Research Journal in APA-Format

Chaney, D. & Glacken, M. (2004). Perceived Barriers and Facilitators to Implementing Research Findings in the Irish Practice Setting. Journal of Clinical Nursing, 13, 731-740.

The five areas of research, background information, literature review, methodology discussion, data analysis, and conclusion in the journal article.

Areas of Research Report

Issues Addressed

The researchers used information from previous studies like Treacy & Hyde, 2003 to create background for the research. The background indicates that nurses increasingly recognize the role of research in daily practice. However, there is evidence that there is a lack of actual application of research results in practice. The researchers identify the researches background as the lack of empirical investigations of the barriers to the implementation of research findings in nursing practice.

Review of literature

The researchers carry out a review of literature to support the topic and find evidence of the barriers to research in nursing application. The researchers use findings in the review of literature to indicate the increased awareness of the importance of research findings by nurses. The review of literature identifies barriers like nurses' negative perception of research in (Camiah,1997 and Baessler et al., 1994), communication and organizational barriers in Kajermo et al. (1998), and negative nurses' attitudes. The review of literature is used to construct the background of the research in terms of accessibility of research findings to nurses, attitudes of nurses to research utilization, and barriers to the utilization of research.

Discussion of methodology

The research describe the research method to be used to find data that supports the research objectives. The discussion of methodology first identifies the aims of the research. The researchers then describe the method as "a cross-sectional survey," of registered nurses enrolled in a nursing focused academic course selected through a non-probability sampling method. Data from the sample population is collected with a barriers 29-item, 5-point likert scale questionnaire.

Specific data analysis

The data collected using the survey method produced numerical data which was analyzed using the SPSS version 10.0 package in a personal computer, and presented as inferential and descriptive statistics. The data was presented as "response rate," "access to research findings," "biographical profile of respondents," "barriers to research utilization," and "factors of research utilization," Presented in graphs, percentages, and tables, using ANOVA statistics, measures of central tendency and measures of dispersion.

Conclusion

The researchers make a summary of their research findings and the relation to the findings of the review of literature. The conclusion identifies the key barriers to the utilization of research findings in nursing practice and makes recommendations for solving these barriers.

The analysis of the evidence presented by the research supports the conclusion that research findings are not being applied in nursing practice. The research's main evidence of this is barriers like access to research material due to time barrier due to insufficient time at work and to review research. This also includes the lack of confidence to use sources like the internet, lack of authority from their subordinate position in healthcare system. The five areas of the research are able to lead up to data that identifies the common barriers to the use of research findings in nursing practice from the perspective of registered nurses. In addition, the research areas also finds evidence of the factors that can lead to the utilization of research findings in nursing practice. Moreover, the evidence identifies the need for future studies to research reasons why nurses cannot access research reports, and the need to carry out research among clinicians.

The analysis of the research indicates there are several ethical issues the researchers may have faced during the survey process. Ethical issues arose from carrying out a human research, which calls for the researchers to protect the rights of respondents according to the International Council of Nurses (1996). This body identifies that in research human respondents have a right not to be harmed, right to self-determination, right of full disclosure, and right of confidentiality and privacy. Moreover, the researchers are bound by ethical principle of obtaining the consent or approval from the respondents, respondents affiliate institutions like colleges, and from authors of research instruments to be used in the data collection.

The type of research used in this research is the quantitative research method that uses empirical research method and produces data that has discrete values. The research method is considered quantitative research for it uses structured questions with responses on a 5-point likert scale that produced discrete or numerical data. Quantitative survey research as used in this research is suitable for giving factual evidence and descriptive information that was required to meet the objectives of the research (De Vaus, 2002). This hard evidence was necessary given the gap in the research field indicating the lack of behavior of the use of research findings in nursing practice. In the same situation, other forms of research that would have provided empirical evidence required include ethnographic studies, which would have called for a longer period for the study, as the researchers analyze the behavior of a focus group. Secondly, empirical evidence would also have been elicited from an interview-based research survey for it provides the views and opinions of nurses on the use of research finding in nursing practice.
Task B: Nursing Collaboration intervention in mental health therapeutic care

Nursing interventions in therapeutic care for patients entails dependent and interdependent interventions. Dependent interventions are those specific nursing responsibilities, which require a particular technical nursing knowledge from the nurse like classification of drug, medication administration, normal dosage, physiological action, side effects. Interdependent or collaborative nursing interventions are actions performed jointly with other members of the healthcare system. In therapy, collaborative interventions use knowledge and skills from other disciplines like psychology, physical therapy, medicine, and require collaboration with patient, family and friends, community, and healthcare providers. This is a research of nursing collaboration intervention as a nursing care in therapeutic nursing for mental health patients.

Annotated Biography:

Davies, M.A., McBride, L. & Sajatovic, M. (2008). The Collaborative Care Practice Model in the Long-term Care of Individuals with Bipolar Disorder: A Case Study. Journal of Psychiatric and Mental Health Nursing, 15, 649-653.

The researchers carry out a case study analysis to show the need for applying collaborative practice in the long-term care of patients with bipolar disorder under outpatient treatment. The paper lays emphasis on the co-management of the illness and the successful outcomes of a supportive environment by joint patient-provider partnership in treatment and decision-making. The case study shows the success of the collaborative intervention model and recommends it for psychiatric nurses.

Browne, G. & Quinn, C. (2009). Sexuality of People Living with a Mental Illness: A Collaborative Challenge for Mental Health Nurses. International Journal of Mental Health Nursing, 18, 195-203.

The research seeks to establish the need for nurse-consumer relationship in creating a collaborative environment required to provide support for creating positive outcomes to therapy for patients with sexual issues. Collaborative approaches are identified as therapeutic intervention measures mental health nurses can employ to assist sexual mental health patients recover.

Buck, K.D. & Lysaker, P.H. (2010). Clinical Supervision for the Treatment of Adults with Severe Mental Illness: Pertinent Issues when Assisting Graduate Nursing Students. Perspectives in Psychiatric Care, 46(3), 234-244.

The article discusses the importance of student nurses acquiring the skills in therapeutic collaborative in treatment if severe mental illnesses. The establishment of meaningful therapeutic relationships between the psychiatric clinical nurse, the patient, other clinical health providers, and family of the patient is necessary in assisting mental health patients recover.

Allison, R., Flowerdew, K., & Elsmlie, A. (2012). Promoting a discussion about adherence to psychiatric medication. Mental Health Practice, 16(3), 18-22.

The research finds that patients are adversely affected by psychiatric medication, thereby calling for good practice by encouraging collaboration therapy. This entails open discussions on prescription and treatment with the patient, healthcare providers, and family in reducing the effects of psychotic drugs. Collaborative interventions in therapeutic treatment of mental health are identified as effective clinical management approaches for nurses today.

Berk, M., Berk, L., & Castle, D. (2004). A collaborative approach to the treatment alliance in bipolar disorder. Bipolar Disorders, 6(6), 504-518. doi:10.1111/j.1399-5618.2004.00154.x

Collaborative approach entails treatment alliances in therapeutic interventions for mental illnesses like bipolar disorder, and is identified as an effective treatment in clinical practice. This is because collaborative approaches allow for the modification of risk factors of non-adherence treatment to patients. Collaborative intervention entails treatment alliances between therapists, therapy nurses, pharmacologists, patients, family, and other areas of treatment like psychology.

Rossen, E.K., Bartlett, R., & Herrick, C.A. (2008). Interdisciplinary Collaboration: The Need to Revisit. Issues In Mental Health Nursing, 29(4), 387-396. doi:10.1080/01612840801904449.

The healthcare system and the prevalence of chronic and acute mental illnesses calls for multi-system interventional approach. This implies that primary healthcare providers or nurses must collaborate with others from different disciplines of healthcare to address the different needs of psychiatric and mental health patients.

Keady, J., Woods, B., Hahn, S., & Hill, J.…

Sources used in this document:
References

Allison, R., Flowerdew, K., & Elsmlie, A. (2012). Promoting a discussion about adherence to psychiatric medication. Mental Health Practice, 16(3), 18-22.

Browne, G. & Quinn, C. (2009). Sexuality of People Living with a Mental Illness: A Collaborative Challenge for Mental Health Nurses. International Journal of Mental Health Nursing, 18, 195-203.

Buck, K.D. & Lysaker, P.H. (2010). Clinical Supervision for the Treatment of Adults with Severe Mental Illness: Pertinent Issues when Assisting Graduate Nursing Students. Perspectives in Psychiatric Care, 46(3), 234-244.

Chaney, D. & Glacken, M. (2004). Perceived Barriers and Facilitators to Implementing Research Findings in the Irish Practice Setting. Journal of Clinical Nursing, 13, 731-740.
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