Nurses experience of using scientific knowledge in clinical practice: a grounded theory study

Renolen, Åste; Hjälmhult, Esther

doi:10.1111/scs.12191

Cited by 15 publications

(26 citation statements)

References 33 publications

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“…To be able to reach and motivate the older person to participate in health promotion, it is necessary to acknowledge and focus on how to empower the older person's own capability. Health promotion interventions with a bottom‐up approach challenges the professionals to use and apply information from all the sources that are involved, professionals’ experiences and knowledge but also knowledge and experiences of the older persons involved in the intervention .…”

Section: Discussionmentioning

confidence: 99%

“…However, a person can experience health and well‐being, despite fulfilling the objective definition of being frail, as long as they can perceive harmony and balance in their life and manage their daily life independently . Richardson et al stated that stereotyped imagination, such as the professional's view, might also be internalised by the older person, resulting in a negative perception of their capacity. Moreover, the subcategory keeping up appearance can be interpreted as the older person's strategy to protect their self‐determination, independence and a way to retain their dignity and integrity, which are essential for their perception of health.…”

Section: Discussionmentioning

confidence: 99%

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Viewing oneself as a capable person – experiences of professionals working with older Finnish immigrants

Arola

Mårtensson

Kronlöf

2016

Scandinavian Caring Sciences

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The proportion of older immigrants in the population is expected to increase in Sweden. Research indicates that older immigrants face the double burden of frailty, caused by a weaker health status, and the immigration process. Health promotion interventions can be used to prevent frailty and support healthy ageing in this population. Healthcare professionals are a crucial part of health promotion and the present study aimed to explore healthcare professionals' experiences of health in context of daily life among older immigrants to and provide a basis for the development of a health promotion intervention targeted at older immigrants. Four focus group discussions were conducted with professionals who worked with home-dwelling older people from Finland, currently living in Sweden. Participants represented a variety of healthcare professions. Data were analysed using qualitative content analysis. The healthcare professionals perceived that health in daily life was (i) connected to the view of oneself as a capable person and (ii) participants strove to maintain their own origin. The findings highlighted that when planning for health promotion interventions for older immigrants, the point of departure should be to recognise the person as a person and the background of immigration is not the first issue to address. Therefore, a person-centred health promotion intervention is recommended to open a dialogue between healthcare professionals and older immigrants, so that a common view of the intervention can be reached.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Viewing oneself as a capable person – experiences of professionals working with older Finnish immigrants

Arola

Mårtensson

Kronlöf

2016

Scandinavian Caring Sciences

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“…The implementation of research evidence has been challenging in nursing practice, and we need more knowledge regarding how to translate research into daily health and nursing care (Kajermo et al, 2010;Mallion & Brooke, 2016;Squires et al, 2011). Clinical nurses seem to value personal experience together with information learned in nursing school and information from colleagues as their most important source of knowledge, rather than basing practice on current research evidence (Adib-Hajbaghery, 2007;Bischoff & Hinojosa, 2013;Renolen & Hjälmhult, 2015;Yoder et al, 2014). An association between higher reported levels of emotional exhaustion and lower reported levels of research use has been affirmed (Estabrooks, Midodzi, Cummings, & Wallin, 2007).…”

Section: Introductionmentioning

confidence: 99%

Evidence‐based practice integration in hospital wards—The complexities and challenges in achieving evidence‐based practice in clinical nursing

et al. 2019

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Aim Exploring the processes involved in two different strategies to integrate evidence‐based practice into nursing practice. Design Classical grounded theory methodology was used. Methods Data were collected through 90 hr of observation and 4 focus groups among clinical nurses in two different hospital wards. Results We identified a multidimensional evidence‐based practice integration framework that illuminates the complexities involved in the integration process. The dimensions were approaches to evidence‐based practice, positions of evidence‐based practice and levels of evidence‐based practice. The interactions between the dimensions gave five combinations; an explicit evidence‐based practice performed as a parallel to daily work at the systems level, an implicit evidence‐based practice integrated into daily work at the systems level, an explicit evidence‐based practice integrated into daily work at the individual level, an explicit evidence‐based practice integrated into daily work at the systems level and an implicit evidence‐based practice integrated into daily work at the individual level.

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“…Nursing is both a science and an art, which uses many forms of knowledge and skills; most critically, nursing has a unique body of knowledge (Edwards, 2002;Sieloff & Raph, 2011). Nursing knowledge is a central part of practice (Hall, 2005;Renolen & Hjälmhult, 2015) and knowledge construction requires a continuous process of development (Bloodgood & Salisbury, 2011).…”

mentioning

confidence: 99%

“Call for the Use of Axial Terms”: Toward Completeness of NANDA‐I Nursing Diagnoses Labels

Miguel

Romeiro

Martins

et al. 2018

Int J of Nursing Knowl

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PURPOSE This article explores the current structure of NANDA‐I nursing diagnoses (ND) labels. METHODS Critical analysis of the ND labels, as categorized in the NANDA‐I terminology. FINDINGS Most of the 244 ND labels are composed of terms from the focus and judgment axes. CONCLUSIONS The specificity of the human responses toward health and life transitions may not be totally represented in the two most common axes, as categorized within taxonomy II. IMPLICATIONS FOR NURSING PRACTICE Improvements in NANDA‐I diagnosis labels would contribute to an advanced terminology and to increased specificity and accuracy of the diagnostic process that is needed in clinical practice. Completeness of the ND labels would reflect clinical reasoning preciseness and help students and nurses in delivering more personalized, safe, and effective patient‐centered care. OBJETIVO Este artigo explora os títulos dos diagnósticos de enfermagem da NANDA‐I. MÉTODOS Análise crítica dos títulos dos diagnósticos de enfermagem da NANDA‐I. RESULTADOS A maioria dos 244 diagnósticos de enfermagem classificados são compostos essencialmente por termos referentes ao foco e ao julgamento. CONCLUSÕES A especificidade das respostas às transições de saúde e vida pode não estar totalmente representada nos dois eixos mais comuns, como apresentado na taxonomia II. IMPLICAÇÕES PARA A PRÁTICA Melhorias nos diagnósticos da NANDA‐I em relação ao seu aspeto multiaxial contribuiriam no desenvolvimento da sua terminologia e poderiam melhorar a especificidade e acurácia do processo diagnóstico que é necessário à prática clínica. Complementar os títulos dos diagnósticos de enfermagem poderia refletir a acurácia do raciocínio clínico e ajudar os estudantes e enfermeiros em prestarem cuidados centrados no paciente mais personalizados, seguros e eficazes.

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Nurses experience of using scientific knowledge in clinical practice: a grounded theory study

Abstract: The grounded theory contextual balancing of knowledge may help us to understand how nurses detect what types of knowledge they can trust in clinical practice. The nurses needed to rely on what they did, and they seemed to rely on their own experience rather than on research.

Cited by 15 publications

References 33 publications

Viewing oneself as a capable person – experiences of professionals working with older Finnish immigrants

Viewing oneself as a capable person – experiences of professionals working with older Finnish immigrants

Evidence‐based practice integration in hospital wards—The complexities and challenges in achieving evidence‐based practice in clinical nursing

“Call for the Use of Axial Terms”: Toward Completeness of NANDA‐I Nursing Diagnoses Labels

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