Capstone Project Reflection

This process provides an effective method for handling all of the scientific and technical information as well as the emotional, social, and physical factors that they deal with for each patient. A national study is important to further educate nurses because it will enhance their knowledge and skills to continue improving quality and patient safety. Nurses play major roles in patient outcomes, monitoring and assessing patients and making necessary interventions to reduce any risks. Nurses also collaborate with other health care providers and act as educators to and advocates for patients and family members, and a I believe a national study will allow nurses to come together, let their roles as health care providers be known, and become health care leaders who make up a majority of the health care field and bring about policies to enhance the health care system.

Nursing education is constantly evolving as new techniques are introduced within the medical profession. Thus, it is imperative nurses are kept updated, and continuously learning new methods to enhance and improve patient care. Over the last 150 years there has been a drastic change in nursing`s participation in research. Nursing research advanced initially from the investigations made by Nightingale in the nineteenth century of nursing education during the 1930`s. This further progressed to the research of nursing roles in 1950s following on to the 1990s where nurses began to focus on clinical problems and finding solutions to these problems which had a major impact within the nursing profession. As of today many health professionals are focusing on clinical research which in turn has helped to establish an evidence informed practice for nurses. (Burns and Grove 2003)

Gerrish, K. Lathlean, J. (2015). The research process in nursing. West Sussex: John Wiley & Sons. p263.

Another important barrier is nursing education. Nurses who graduated many years ago were not taught evidence-based practice and even current schools focus too much researching rather than how to implement current research into care (AJN, 2012). This lack of knowledge on how to implement may stem from the lack of knowledge on how to read and interpret research data or that nurses might feel overwhelmed due to the fact that there is so much and might not know how to narrow what is important or how to read all of it (Brown et al., 2009). In the Tacia study (2015), advanced care nurses could easily point out

Nurses play and important role in the health care system. Nurses have excellent inherent to manage change to improve the health care system (The Future of Nursing: Leading Change, Advancing Health. n.d.). They can be as innovators to lead changes. Nurses understand how to approach care and enhance quality at the lower cost (Nursing 's role in health care reform - American Nurse Today. n.d.). They can engage in research to Generate evidence-based practice and help shape the quality and safety through collecting and tracking data to enhance care. Nursing research benefits create the logical framework for clinical usage, prevention, and improved patient outcomes. Nurses can Redesign nursing education (Nursing 's role in health care reform - American Nurse Today. n.d.). All nurses should to maintain necessary competencies to match the requirements of the population aging and various culture and community health care needs, (Nursing 's role in health care reform - American Nurse Today. n.d.).

In this 21st century, health care is advancing remarkably and achieving various results through research. Research is vital to bring about new inventions, techniques and improvements and create a new body of knowledge. In nursing, research helps to bring about improvements in current practice, knowledge, patient outcomes as well as to create new polices and upgrade the existing ones. For example, a “re-challenge protocol” was created by the researchers to reduce the drug reactions caused by two chemotherapeutic agents. Likewise, numerous research is conducted to improve scientific knowledge in various fields of science. One such knowledge in the field of science is the nursing knowledge.

Nursing improves when Evidence Based Research findings can be utilized and implemented by nurses in their daily practice. J. Dracup (2006) stated what some nurses had identified as barriers to Evidence Based Research, namely: “accessibility of research findings, anticipated outcomes of using research, organizational support to use research, and support from others to use research.” Dracup believed that “evidence-based practice must include an assessment of the available resources” since the cost of implementation is yet another barrier and “will not be adopted if resources are insufficient to incorporate them into the daily routine” nursing care. G. Mitchell (1999) raised “ the lack of sufficient meaningful research” as an additional barrier.

Nursing research can be defined as the knowledge that is developed and built on the foundation of scientific inquiries of clinical practices (Grove and Burns, 2013). As part of the United States National Institute of Health (NIH), the National Institute of Nursing Research (NINR) was established to promote wellness and to prevent diseases, to improve the overall quality of life across populations, to eliminate disparities, and finally to set the directions for end-of-life, palliative research. This essay will explore the history of the NINR in terms of its location, dates of operation, overall purpose, mission, and Strategic Goals. The essay will then outline the NINR 's current initiatives, describe the organization 's priorities in terms of funding. Training opportunities available through the organization will also be described. Finally, the experience attained by group members through doing the assignment will be explored and summarized.

"In 2008, the Robert Wood Johnson Foundation (RWJF) and the Institute of Medicine (IOM) began a two-year study initiative to respond, the need to assess and transform the nursing profession."("The-Future-of-Nursing-Leading-Change-Advancing-Health," 2010).An interdisciplinary committee was put together to report the nations issues impacting health care. Recommendations were set forth by the IOM in a way to improve and restructure the nursing profession to fit the future of the medical field. ("The-Future-of-Nursing-Leading-Change-Advancing-Health," 2010) The recommendation from the committee starts with an action-oriented blueprint for the future of nursing also to identify matters of medical care, research, education. (AJN, American Journal of Nursing: 2010). The Affordable Healthcare ACT (ACA) of 2010 introduced new changes to United States healthcare system. These changes were the improvement of research and evidence-based practice, health awareness, prevention screenings, and community-based wellness promotion and applied. (Affordable Care Act, 2010) Before the IOM’s action-oriented blueprint nurses came up against barriers that prevented them from being able to the start to make those transformations. Today nurses have the potential to overcome obstacles by leading innovative strategies to transform nursing education, practice, and leadership. ("The-Future-of-Nursing-Leading-Change-Advancing-Health," 2010)

According to Gale and Schaffer (2009) explains that nursing comprises autonomous and collaborative care of individuals of all ages, families, groups and communities, well or sick and in all settings. Nurses promote health, prevent illnesses and care for the sick and disabled people. Other roles of nurses include promotion of a safe environment, participation in shaping health policies, research and system management (Gale & Schaffer, 2009). Research is important in nursing because it validates and refines exiting knowledge and generates new knowledge. According to Newhouse (2007) nursing research helps build an evidence-based practice for nursing. EBP in turn contributes evidence to the effective care of patients. Studies have supported the conclusion that patient outcomes are substantially improved when health care is based on evidence from well-defined studies versus tradition or clinical expertise and opinions alone. The ultimate goal of nursing is therefore an evidence-based practice that promotes quality, cost effective outcomes for patients, families, healthcare providers and the healthcare system (Closson, 2005; Salbach, Jaglal, Korner-Bitensky, Rappolt & Davis, 2007). EBP evolves from the integration of the best research evidence with clinical expertise and patient needs and values (Aarons, Wells, Zagursky, Fettes & Palinkas,

Why should nurses incorporate research? Nurses should incorporate research in their scope of practice to deliver the highest and safest quality health care. This is based on proven scientific evaluation, peer review, combined with one’s clinical experience, critical thinking, and competency. (Stevens, 2013), “research produces the most reliable knowledge about the likelihood that a given strategy will change a patient's current health status into desired outcomes”. With these analyses, I believe that nurses can achieve great outcomes and patient satisfaction. However in our class lecture, Chamberlain College of Nursing (CCN, 2015), states that “research yields evidence upon which nurses may base their practice, i.e., evidence-based practice”. In a nut-shell, nurses’ combine research to improve their scope of practice, innovate nursing concept, and enlarge nursing knowledge (Hood, 2014, p. 243).

The health care industry is ever changing, requiring the practice of nursing to be continually transformed. Since nurses are in direct, constant contact with patients, we are in a position to facilitate change and it is our duty to be proactive in the processes that have a positive effect in our field. Likewise, it is imperative that nurses be actively involved in education in order to stay abreast of new evidenced based processes that will result in increased positive outcomes while elevating patient care. This paper will discuss initiatives set for the Robert Wood Johnson Foundation Committee (RWJF) on the Future of Nursing and the

Nursing research has been a part of nursing practice for many years, consisting of both qualitative and quantitative research; it is essential in guiding nursing practice. Many nurses have a baseline understanding of research in general, but it is important for the researcher to understand their own values and beliefs when determining the type of research they will be performing. By understanding the differences between epistemology, methodology, and methods, the researcher can confidently conduct a valid research project.

In this assignment I will be writing about the importance of research in nursing considering history of nursing and the difference between how research is performed nowadays. I will also be defining different types of research such as quantitative and qualitative research and giving an example of a nursing based research study that was carried out and how it is important to nursing presently.

Furthering nursing research is essential, as it forms the basis for evidence-based practice in healthcare today. With this in mind, developing the skills to critically appraise research articles is of the utmost importance in order to determine the relevance of research findings for clinical practice. As I pursue a doctorate degree in nursing practice, I am reminded of the necessity of these skills. Thus, in the following paragraphs, I will reflect on the research goals I developed at the beginning of the Critique and Design of Nursing Research course, and will discuss my views on the role of the graduate nurse in regard to