“Keeping on track”—Hospital nurses’ struggles with maintaining workflow while seeking to integrate evidence-based practice into their daily work: A grounded theory study

Abstract

The "keeping on track" theory contributes to the body of knowledge regarding clinical nurses' experiences with evidence-based practice integration. The nurses endeavoured to minimize workflow interruptions to avoid decreasing the quality of patient care provided, and evidence-based practices were seen as a consideration that was outside of their ordinary work duties.

Camouflaging nursing research-related tasks in clinical practice–Experiences of newly-graduated masters of science in nursing

“…In a study by Oostveen and colleagues [14] on how nurses combine clinical practice with academic work, the results showed how direct-patient care gains focus in clinical practice, while academic tasks are underappreciated. Renolen and colleagues [6] also showed how limited capacity was used as a reason to "off-track" certain activities, such as research and implementation of evidence, in order to "on-track" patient care activities. Hamran's [18] contribution may explain why the MSN graduates tried hard to gain 'street cred' through direct care.…”

“…Nurses conducting research-related tasks in clinical practice often experience a lack of recognition from their colleagues, who downplay the importance of time for research. [6,14,20] In our study, the master's MSN graduates were considered part of the nursing group, but also had specific tasks outside the field of traditional clinical work. Hence, it was hard for them to view themselves as 'valuable contributors to shared projects', which was considered to be of key importance for recognition in the solidarity sphere.…”

“…Most studies exploring and describing nurses' barriers to research utilisation are based on data from registered nurses, who did not learn much about research at nursing school. [6,7] The educational and course-related content of the Master of Science in Nursing (MSN) programme varies between countries and universities in terms of the focus on academic scholarship through research methodologies and theoretical frameworks, advanced clinical care and leadership skills. In Denmark, the focus revolves around building up the MSN students' theoretical and methodological skills in nursing at Aarhus University (2019) and on integrating a strong clinical profile with practical knowledge, new skills and competencies at the University of Southern Denmark (2019).…”

How to make grounded the preferred approach to psychological research? A review

“…Some examples of sentence formulations in psychology research titles that use grounded theory are presented in table 1 below. (2017) Decision-making in giving birth at home: A grounded theory study Rabahi, Yusof, & Awang (2015) Lead learning: A grounded theory perspective on "Orang Asli) Portelli & Eldred (2017) A grounded theory of attitudes towards online psychological interventions in pain management in patients with chronic pain The process of developing a quality of life for individuals living with new families (after adaptation): a grounded theory Ginanjar (2007) Understanding the autistic spectrum holistically Villanueva (2014) Building professional relationship: a study with the classical grounded theory on teacher experience Fletcher & Sarkar (2012) A grounded theory of psychological resilience to Olympic championship Cummings (2018) Transformation in parenting practices for children who have experienced interpersonal trauma: a grounded theory of parental responses Izvercian, Potra, Ivascu (2016) Job satisfaction variables: a grounded theory approach Renolen, Hoye, Hjalmhult, Danbolt, Kirkevold (2018).…”

Improvement of Knowledge and Caring Behavior Through E-Learning

“…If this continuously keeps happening, then the provision of nursing care will be merely based on habit or custom or instruction from a doctor without autonomous intervention (5). This phenomenon is caused by many factors, Renolen et al, states on their research that the overload nurses can affect to their will to update their knowledge and skill (6). Another study also showed that due to busy work, nurses do not have time to find literature on the latest operational standard procedures (7).…”