1701724P - PRIORITIES OF NURSING RESEARCH: KNOWLEDGE GENERATION OR PRACTICE IMPROVEMENT

Presentation at the International Nursing Symposium with the theme: “Cultivating Nursing Talent & Capacity in Saudi Arabia, Road Map to Excellence” held on 23-24 October 2017 at King Fahad Medical City by Professor Omar Hasan Kasule Sr. MB ChB (MUK). MPH (Harvard), DrPH (Harvard) Chairman of the Institutional Review Board / Research Ethics Committee at King Fahad Medical City, Riyadh.

WHERE IS THE HEART OF MODERN NURSING: THE MAJOR DICHOTOMIES:

• Information vs knowledge (the accomplished lawyer who knows a bit about everything including law)
• Healer vs technician; Physician vs barber.
• Academic nurse vs professional nurse (concept of phronosis)
• Independent profession vs supportive profession 
• Research for knowledge vs research for promotion
• Priorities based on needs vs priorities based on funding sources

WHAT IS THE PURPOSE OF NURSING RESEARCH?:

• Basic research vs applied research?[*]
• Scientific knowledge vs practice improvement?
• The micro vs. the macro?
• Holistic vs specific?
• My conviction is that nursing research should prioritize applied operational research to improve services.

SETTING NURSING RESEARCH PRIORITIES - 1:

• Peltonen LM et al. Nursing Informatics Research Priorities for the Future: Recommendations from an International Survey. Stud Health Technol Inform. 2016;225:222-6.
• Scott ES et al. Nursing Administration Research Priorities: Findings From a Delphi Study. J Nurs Adm. 2016 May;46(5):238-44.
• Garcia AB et al. A systematic review of nursing research priorities on health system and services in the Americas. Rev Panam Salud Publica. 2015 Mar;37(3):162-71.
• Spies LA et al. Uganda nursing research agenda: a Delphi study. Int Nurs Rev. 2015 Jun;62(2):180-6.
• Wynaden D et al. Identifying mental health nursing research priorities: A Delphi study. Contemp Nurse. 2014;47(1-2):16-26.

SETTING NURSING RESEARCH PRIORITIES - 2:

• Di Massimo DS et al. Nursing research priorities in internal medicine nursing practice: an Italian Delphi study. Ann Ig. 2015 Sep-Oct;27(5):760-8.
• Monterosso L et al. Developing a research agenda for nursing and midwifery: a modified Delphi study. Contemp Nurse. 2015;51(1):83-95.
• Sun C et al. Clinical Nursing and Midwifery Research Priorities in Eastern and Southern African Countries: Results From a Delphi Survey. Nurs Res. 2015 Nov-Dec;64(6):466-75.
• Cooley ME et al. The 2014-2018 Oncology Nursing Society Research Agenda. Oncol Nurs Forum. 2015 Sep;42(5):450-65.
• Mayer DK.  Improving Cancer Care Through Nursing Research. Oncol Nurs Forum. 2015 Sep;42(5):439.

SETTING NURSING RESEARCH PRIORITIES - 3:

• Wielenga JM et al. European neonatal intensive care nursing research priorities: an e-Delphi study. Arch Dis Child Fetal Neonatal Ed. 2015 Jan;100(1):F66-71.
• Tume LN et al. An electronic delphi study to establish pediatric intensive care nursing research priorities in twenty European countries*. Pediatr Crit Care Med. 2014 Jun;15(5):e206-13.
• Tume LN. Pediatric Critical Care Nursing Research Priorities-Initiating International Dialogue. Pediatr Crit Care Med. 2015 Jul;16(6):e174-82.
• Schoenly L. Research Priorities in Correctional Nursing Practice: Results of a Three-Round Delphi Study. J Correct Health Care. 2015 Oct;21(4):400-7. 
• Sun C et al. Clinical nursing and midwifery research in African countries: a scoping review. Int J Nurs Stud. 2015 May;52(5):1011-6.

LISTING OF NURSING RESEARCH PRIORITIES (NON-CLINICAL):

• EDUCATION-centered: Education and training, experience, learning, development, knowledge, skills, recruitment and retention, critical thinking, critical judgment, workforce issues, clinical competencies
• SYSTEM-centered: Policy, economics, Healthcare delivery systems organization and management, health care systems, Implementation, evaluation, data management, bioinformatics,
• RESEARCH-centered: biomarkers, large data, dissemination of knowledge.

LISTING OF NURSING RESEARCH PRIORITIES (CLINICAL):

• PRACTICE-centered: nursing practice, Clinical decisions, clinical quality, ethics, nursing protocols, new practice guidelines, professionalism.
• PATIENT-centered: Patient safety, patient engagement, risk reduction, pain, stress, patient outcomes.
• DISEASE/PROCESS-centered: Infectious disease control, cancer, resuscitation, ventilation, intensive care unit, neonatal care, trauma.
• FAMILY-centered: family caregivers, maternal health, impact of illness on the family, intensive care.
• LIFE CYCLE: Palliative and end of life care, aging, children.

TABLE 1: KFMC NURSING RESEARCH 2012-2014

TABLE 2: KFMC NURSING RESEARCH 2015

TABLE 3: KFMC NURSING RESEARCH 2016

TABLE 4: SUMMARY OF KFMC NURSING RESEARCH (NON- CLINICAL) 2012-2016

TABLE 5: SUMMARY OF KFMC NURSING RESEARCH (CLINICAL) 2012- 2016

TABLE 6: COMPARISON OF NURSING RESEARCH: KFMC vs LITERATURE (NON-CLINICAL)

TABLE 7: COMPARISON OF NURSING RESEARCH: KFMC vs LITERATURE (CLINICAL)

GENERAL CONCLUSIONS

• Most nursing research is applied and operational.
• Practice-centered research has higher priority.

NOTE:

* Parmar J et al. Rev Panam Salud Publica. 2015 Jun;37(6):409-14. Almost all of the studies (98%) were applied research and had a descriptive (55%) or qualitative (30%) design. The most prevalent topic was nursing care (23.4%). Health systems and services were the least studied topics. /About 25% of the studies contained some reference to United Nations Millennium Development Goals.