1. Panel Discussion:
Research Methodology Training
Nursing Research:
Opportunities and challenges
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2. Importance of nursing research
• The ultimate purpose of nursing is to provide highquality patient care.
• Clinical practice without research is practice based on
tradition without validation.
• Research is needed to evaluate the effectiveness of
nursing treatment modalities, to determine the impact
of nursing care on the health of the patients or to test
out theory.
• In order to meet social challenges and needs, nursing
practice must be research based.
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3. GOALS OF NURSING RESEARCH
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Build a body of nursing knowledge
Improve nursing care
Improve patient care outcomes
Improve quality of life
Define and expand the scope of nursing practice
Validate improvements in nursing practice
Make healthcare efficient and cost effective.
Research: Synonyms of problem solving
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4. Evidence Based Practice
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5. Emerging Trends/Challenges in
Nursing
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6. Emerging trends in Nursing:
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Professional judgment
Defining "Care“
Electronic network & Computer use
Problem based learning
Marketing Privatization
Nursing standard
Nursing audit
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7. Emerging trends in Nursing …
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Multidisciplinary health team approach
Independent area of practice
Holistic care approach
Specialized services (dialysis, Psychiatric etc.)
Continuing education
Use of advanced technology: bed Side USG
Consumer protection act on action
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8. Emerging trends …
• Change in uniform and dress code
• Human relation in nursing
• Provision for nurse consultant,
specialist nurse, nurse advisor,
nurse researcher, nurse manager etc
• Mobile technology: every thing
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9. Singapore
2008-2011
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10. Singapore at a glance
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11. Singapore at a glance
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12. Singapore at a glance
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14. I liked in Singapore
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Building
Planned city
Road
Cleanliness
Security
Train services
Bus services
Aeroplane
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15. I liked in Singapore …
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Job oriented people
Rule and regulation
Equal treatment/Behavior for all
Cultural harmony: Malaya, Chinese, Tamil
Punctuality
Cultural diversity: Indian, Chinese colony
Food from Malaysia: fresh
Goods from china but high quality
Freedom for Individuals: under rule e.g:
smoking
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16. I liked in Singapore…
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Single: Tax 45%
With 2 or more child: Tax 6% only
Policy: Plenty of child plenty of money
No bargaining
Every shopping complex auto detector
machines.
• No cheating of tax.
• Phone, Email free inside airport
• No public telephone shops only coin phones
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17. Changi General Hospital (CGH)
Government Hospital
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18. CGH at a glance
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800 beded hospital
Government funded hospital
Facilities : Class A, B1, B2, C
2000 staffs
1200 Nurses
Clinical trial facilities separate units
No separate hospital pharmacy: drugs supplied in
hospital
• Established before 19 years: Same time as BPKIHS
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19. CGH at a glance…
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Separate home care teams
Diet as per individual patient choice
Birth day special diet
Diet and laundry service by Robert
Charge A : 40 S$/day
Insurance for most of citizens
Best referral systems
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20. CGH at a glance…
• Celebration of special days: patient
safety, food festival etc.
• For new nurses: 2 days hospital
orientation and 4 weeks nursing
orientation by in-service education team
on CPR, IVI, etc
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21. CGH at a glance
• Salaries SN: 2000 S$/Month
• IEC in OPD complex, indoor corridors,
duty stations and other public places.
• Need based inventions: e.g. during
SARS, invention of autodetection
mechine in OPD for screening of all
patients TPR BP SPO2 etc.
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22. CGH
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23. CGH
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24. CGH
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25. Similarities with BPKIHS
• Same bed strength
• Same duration of established
But not comparable in quality and
services like Thai air and RNAC (NAC)
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26. Opportunities and challenges
of Nursing Research
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27. RESEARCH UTILIZATION IN NURSING
• The results of nursing research help build
the knowledge base and provide the
evidence to guide interventions to nurses
and other health care workers.
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28. National Health Research Priority Areas
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1. Health Care Delivery System
2. Communicable Diseases
3. Non Communicable Diseases
4. Neonatal and Child Health
5. Reproductive Health
6. Mental Health and Substance Abuse
7. Injuries, Accidents and Violence
8. Nutrition and Food Safety
9. Environmental and Occupational Health
10. Traditional Medicine
11. Urban Health
12. Geriatric Health
Opportunities
13. Miscellaneous
For Nurses
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29. Research Utilization
in the clinical setting
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Promotes critical thinking
Enhances professional self-concept
Ensures safe and reflective practice
Practice based on current, scientific, sound
knowledge
• Enrich nurse’s self-confidence
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30. Researcher: Role
• Validates researcher’s efforts
• Provides motivation for scholars to
continue to discover new knowledge
• Reinforces professional accountability
• Helps uncover new clinical problems for
investigation
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31. Health Care Agency: demand
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Cost effective nursing care
High-quality care
Improved client outcomes
Retention and recruitment
Professionally satisfied and stimulated nursing
staff
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32. Profession of Nursing: Needs
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Enhances practice autonomy
Positive professional image
Strengthen professional status
Expands nursing’s scientific knowledge base
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33. Criteria for Research Utilization
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Utility to nursing
Applicability to practice
Replication
Scientific merit
Client safety
Feasibility
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34. Koshi Flood
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35. The Struggle to survive: Koshi Flood
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36. • There will always be a need for new
evidence to support or challenge
practice
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37. Nursing research in perspective
• In today´s world:
–Nurses must become lifelong learners
–Capable of reflecting on, evaluating,
and modifying their clinical practice
based on new knowledge
–Expected to become producers of new
knowledge through nursing research
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38. R S MEHTA, MSND
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39. Threats/Barriers for Nurse Researcher:
• Temporary posts and limited opportunities for
career progression
• Common frustrations experienced by these
nurses include often working in isolation
• Difficulties have been identified around
integrating into clinical teams
• Clinical nurse researcher need better
support, training and professional
development
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40. Constraints on developing countries research:
A. Personal:
– Intellectual isolation
– Low salaries
– Limited promotion
– Few carrier paths
– Restricted research choice
– Insufficient training
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41. B. Work-Environment:
• - Lack of access to information
• - Inadequate support of staffs
• - Institutional instability
• - Weak facilities
C. Macro-Environment
• - Lack of demand for research
• - Lack of scientific Culture
• - Weak public Support
• - Bureaucratic rigidity
• - Political instability
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42. Nurse must involve in the following
activites RT Research:
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Participating in a journal club
Attending research presentations
Participate in professional conferences
Discussing the implications and relevance
of research findings with clients
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43. To foresee the future is
to know the past
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44. Websites, Search Engine, and address of
Journals
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www.pubmed.com
www.google.com
www.yahoo.com
www.msn.com
www.rn.com
www.who.int (WHO website)
www.randamization.com
www.tnaionline.org (TNAI Journal)
www.hellis.org (NHRC library site)
www.kumj.com.np
www.nhrc.org.np
www.uicc.org (cancer website)
www.unaids.org (HIV/AIDS website)
www.ncasc.org.np (HIV/AIDS website)
www.healthinternetwork.org (HINARI: needs password)
www.blackwell-synergy.com (need passwords)
www.doaj.org (free online journal)
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45. Some Popular Resource Sites for Nurses
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www.delicious.com
www.connotea.org
www.scribd.ocm
www.authorstream
www.zotero.org
www.scratch.mit.edu
www.myebook.com
www.forvo.com
www.biomedcentral.com
www.library.nams.org.np (all study conducted in Nepal)
www.refworks.com
www.sourceforge.net
www.citationmachine.net
You can
create your
own account
and use it.
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46. Web 2.0 includes:
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Social networking
Blogs
Wikis
Video sharing sites
Hosted services
Web application
Etc.
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47. Key messages:
1. Nurses should practice to the full extent of their
education and training.
2. Nurses should achieve higher levels of
education and training through an
improved education system that promotes
seamless academic progression.
3. Nurses should be full partners, with physicians
and other health care professionals, in
redesigning health care.
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48. we have a choice
Government have a choice
Organization have a choice
Nursing has a choice
Nursing leaders have a choice
Need to be major transformation even
though it is radical and uncertain
other wise Death /Stagnation?
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49. “Knowing is not enough; we must apply.
Willing is not enough; we must do.”
—Goethe
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50. • Reasonable man adapts himself to
world; the unreasonable one persists
in trying to adapt others to himself.
- Peter F Druker
Thank you
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