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Carole A. Estabrooks - One of the best experts on this subject based on the ideXlab platform.
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Towards better measures of Research Utilization: a collaborative study in Canada and Sweden
Journal of advanced nursing, 2011Co-Authors: Carole A. Estabrooks, Joanne Profetto-mcgrath, Janet E Squires, Elisabeth Strandberg, Kerstin Nilsson-kajermo, Shannon D. Scott, Dwight Harley, Lars WallinAbstract:estabrooks c.a., squires j.e., strandberg.e., nilsson-kajermo k., scott s.d., profetto-mcgrath j., harley d. & wallin l. (2011) Toward better measures of Research Utilization: a collaborative study in Canada and Sweden. Journal of Advanced Nursing 67(8), 1705–1718. Abstract Aims. This paper is a report of a study examining Research Utilization in nursing. The specific aims were to (1) clarify the construct of Research Utilization, and (2) identify observable indicators of Research Utilization. Background. Robust measures of Research Utilization do not exist despite steadily increasing numbers of studies in the field. One reason for this is theoretical confusion surrounding the central concepts in the field. Method. A qualitative (focus group) design was used to explore the construct of Research Utilization in two countries: Canada and Sweden. A systematic and sequential (three phases) approach to expert sampling framed the study. Phase 1 consisted of initial construct clarification by the Research team (2005). In Phase 2, a face-to-face meeting with a panel of international Research Utilization nursing experts was held (2005). Phase 3 consisted of a series of focus groups with nursing care (direct and non-direct) providers (2005–2007). Data were analysed using content analysis. Findings. The nursing care providers did not commonly use the term ‘Research Utilization’. Several examples of Research Utilization were provided; a majority of these examples related to instrumental Research Utilization and became increasingly concrete as one moved from non-direct to direct care participants. Participants identified several indicators of Research Utilization (instrumental and conceptual). From these indicators, a measurement schematic was derived. Conclusions. The construct of Research Utilization is multi-faceted. Several indicators of Research Utilization were identified, which can be used to augment existing or develop a new and improved measure that taps both instrumental and conceptual use.
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Individual determinants of Research Utilization by nurses: a systematic review update
Implementation science : IS, 2011Co-Authors: Janet E Squires, Carole A. Estabrooks, Petter Gustavsson, Lars WallinAbstract:Background Interventions that have a better than random chance of increasing nurses' use of Research are important to the delivery of quality patient care. However, few reports exist of successful Research Utilization in nursing interventions. Systematic identification and evaluation of individual characteristics associated with and predicting Research Utilization may inform the development of Research Utilization interventions.
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Individual determinants of Research Utilization by nurses: a systematic review update
Implementation Science, 2011Co-Authors: Janet E Squires, Carole A. Estabrooks, Petter Gustavsson, Lars WallinAbstract:Background Interventions that have a better than random chance of increasing nurses' use of Research are important to the delivery of quality patient care. However, few reports exist of successful Research Utilization in nursing interventions. Systematic identification and evaluation of individual characteristics associated with and predicting Research Utilization may inform the development of Research Utilization interventions. Objective To update the evidence published in a previous systematic review on individual characteristics influencing Research Utilization by nurses. Methods As part of a larger systematic review on Research Utilization instruments, 12 online bibliographic databases were searched. Hand searching of specialized journals and an ancestry search was also conducted. Randomized controlled trials, clinical trials, and observational study designs examining the association between individual characteristics and nurses' use of Research were eligible for inclusion. Studies were limited to those published in the English, Danish, Swedish, and Norwegian languages. A vote counting approach to data synthesis was taken. Results A total of 42,770 titles were identified, of which 501 were retrieved. Of these 501 articles, 45 satisfied our inclusion criteria. Articles assessed Research Utilization in general (n = 39) or kinds of Research Utilization (n = 6) using self-report survey measures. Individual nurse characteristics were classified according to six categories: beliefs and attitudes, involvement in Research activities, information seeking, education, professional characteristics, and socio-demographic/socio-economic characteristics. A seventh category, critical thinking, emerged in studies examining kinds of Research Utilization. Positive relationships, at statistically significant levels, for general Research Utilization were found in four categories: beliefs and attitudes, information seeking, education, and professional characteristics. The only characteristic assessed in a sufficient number of studies and with consistent findings for the kinds of Research Utilization was attitude towards Research; this characteristic had a positive association with instrumental and overall Research Utilization. Conclusions This review reinforced conclusions in the previous review with respect to positive relationships between general Research Utilization and: beliefs and attitudes, and current role. Furthermore, attending conferences/in-services, having a graduate degree in nursing, working in a specialty area, and job satisfaction were also identified as individual characteristics important to Research Utilization. While these findings hold promise as potential targets of future Research Utilization interventions, there were methodological problems inherent in many of the studies that necessitate their findings be replicated in further Research using more robust study designs and multivariate assessment methods.
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Mapping the Research Utilization field in nursing.
The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres, 2009Co-Authors: Carole A. EstabrooksAbstract:The recent increase in interest in the field of Research Utilization, often embedded in the notions of evidence-based practice, presents a rich opportunity to advance the field in nursing. While an extensive literature on the subject exists in nursing, close examination reveals that much of it is opinion and anecdotal literature, and that sustained and programmatic theory building and testing in this field has been sporadic at best. This article maps the field of Research Utilization, proposing that we focus on major areas of inquiry: scientific, historical, and philosophical foundations, synthesis, determinants, policy, interventions to increase Research Utilization, and outcomes. In so doing, alternative ways of viewing and conceptualizing this field are possible. In conducting the kinds of studies and supporting the kinds of programs identified in this map, nursing, in collaboration with appropriate partners, can significantly advance the field of Research dissemination and Utilization studies and practice at many levels in the health system.
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Patterns of Research Utilization on patient care units
Implementation science : IS, 2008Co-Authors: Carole A. Estabrooks, Joanne Profetto-mcgrath, Janet E Squires, Shannon D. Scott, Linda O'brien-pallas, Bonnie Stevens, Judy Watt-watson, Katherine S. Mcgilton, Karen Golden-biddle, Janice LanderAbstract:Organizational context plays a central role in shaping the use of Research by healthcare professionals. The largest group of professionals employed in healthcare organizations is nurses, putting them in a position to influence patient and system outcomes significantly. However, investigators have often limited their study on the determinants of Research use to individual factors over organizational or contextual factors. The purpose of this study was to examine the determinants of Research use among nurses working in acute care hospitals, with an emphasis on identifying contextual determinants of Research use. A comparative ethnographic case study design was used to examine seven patient care units (two adult and five pediatric units) in four hospitals in two Canadian provinces (Ontario and Alberta). Data were collected over a six-month period by means of quantitative and qualitative approaches using an array of instruments and extensive fieldwork. The patient care unit was the unit of analysis. Drawing on the quantitative data and using correspondence analysis, relationships between various factors were mapped using the coefficient of variation. Units with the highest mean Research Utilization scores clustered together on factors such as nurse critical thinking dispositions, unit culture (as measured by work creativity, work efficiency, questioning behavior, co-worker support, and the importance nurses place on access to continuing education), environmental complexity (as measured by changing patient acuity and re-sequencing of work), and nurses' attitudes towards Research. Units with moderate Research Utilization clustered on organizational support, belief suspension, and intent to use Research. Higher nursing workloads and lack of people support clustered more closely to units with the lowest Research Utilization scores. Modifiable characteristics of organizational context at the patient care unit level influences Research Utilization by nurses. These findings have implications for patient care unit structures and offer beginning direction for the development of interventions to enhance Research use by nurses.
Lars Wallin - One of the best experts on this subject based on the ideXlab platform.
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Towards better measures of Research Utilization: a collaborative study in Canada and Sweden
Journal of advanced nursing, 2011Co-Authors: Carole A. Estabrooks, Joanne Profetto-mcgrath, Janet E Squires, Elisabeth Strandberg, Kerstin Nilsson-kajermo, Shannon D. Scott, Dwight Harley, Lars WallinAbstract:estabrooks c.a., squires j.e., strandberg.e., nilsson-kajermo k., scott s.d., profetto-mcgrath j., harley d. & wallin l. (2011) Toward better measures of Research Utilization: a collaborative study in Canada and Sweden. Journal of Advanced Nursing 67(8), 1705–1718. Abstract Aims. This paper is a report of a study examining Research Utilization in nursing. The specific aims were to (1) clarify the construct of Research Utilization, and (2) identify observable indicators of Research Utilization. Background. Robust measures of Research Utilization do not exist despite steadily increasing numbers of studies in the field. One reason for this is theoretical confusion surrounding the central concepts in the field. Method. A qualitative (focus group) design was used to explore the construct of Research Utilization in two countries: Canada and Sweden. A systematic and sequential (three phases) approach to expert sampling framed the study. Phase 1 consisted of initial construct clarification by the Research team (2005). In Phase 2, a face-to-face meeting with a panel of international Research Utilization nursing experts was held (2005). Phase 3 consisted of a series of focus groups with nursing care (direct and non-direct) providers (2005–2007). Data were analysed using content analysis. Findings. The nursing care providers did not commonly use the term ‘Research Utilization’. Several examples of Research Utilization were provided; a majority of these examples related to instrumental Research Utilization and became increasingly concrete as one moved from non-direct to direct care participants. Participants identified several indicators of Research Utilization (instrumental and conceptual). From these indicators, a measurement schematic was derived. Conclusions. The construct of Research Utilization is multi-faceted. Several indicators of Research Utilization were identified, which can be used to augment existing or develop a new and improved measure that taps both instrumental and conceptual use.
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Individual determinants of Research Utilization by nurses: a systematic review update
Implementation Science, 2011Co-Authors: Janet E Squires, Carole A. Estabrooks, Petter Gustavsson, Lars WallinAbstract:Background Interventions that have a better than random chance of increasing nurses' use of Research are important to the delivery of quality patient care. However, few reports exist of successful Research Utilization in nursing interventions. Systematic identification and evaluation of individual characteristics associated with and predicting Research Utilization may inform the development of Research Utilization interventions. Objective To update the evidence published in a previous systematic review on individual characteristics influencing Research Utilization by nurses. Methods As part of a larger systematic review on Research Utilization instruments, 12 online bibliographic databases were searched. Hand searching of specialized journals and an ancestry search was also conducted. Randomized controlled trials, clinical trials, and observational study designs examining the association between individual characteristics and nurses' use of Research were eligible for inclusion. Studies were limited to those published in the English, Danish, Swedish, and Norwegian languages. A vote counting approach to data synthesis was taken. Results A total of 42,770 titles were identified, of which 501 were retrieved. Of these 501 articles, 45 satisfied our inclusion criteria. Articles assessed Research Utilization in general (n = 39) or kinds of Research Utilization (n = 6) using self-report survey measures. Individual nurse characteristics were classified according to six categories: beliefs and attitudes, involvement in Research activities, information seeking, education, professional characteristics, and socio-demographic/socio-economic characteristics. A seventh category, critical thinking, emerged in studies examining kinds of Research Utilization. Positive relationships, at statistically significant levels, for general Research Utilization were found in four categories: beliefs and attitudes, information seeking, education, and professional characteristics. The only characteristic assessed in a sufficient number of studies and with consistent findings for the kinds of Research Utilization was attitude towards Research; this characteristic had a positive association with instrumental and overall Research Utilization. Conclusions This review reinforced conclusions in the previous review with respect to positive relationships between general Research Utilization and: beliefs and attitudes, and current role. Furthermore, attending conferences/in-services, having a graduate degree in nursing, working in a specialty area, and job satisfaction were also identified as individual characteristics important to Research Utilization. While these findings hold promise as potential targets of future Research Utilization interventions, there were methodological problems inherent in many of the studies that necessitate their findings be replicated in further Research using more robust study designs and multivariate assessment methods.
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Individual determinants of Research Utilization by nurses: a systematic review update
Implementation science : IS, 2011Co-Authors: Janet E Squires, Carole A. Estabrooks, Petter Gustavsson, Lars WallinAbstract:Background Interventions that have a better than random chance of increasing nurses' use of Research are important to the delivery of quality patient care. However, few reports exist of successful Research Utilization in nursing interventions. Systematic identification and evaluation of individual characteristics associated with and predicting Research Utilization may inform the development of Research Utilization interventions.
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influence of organizational characteristics and context on Research Utilization
Nursing Research, 2007Co-Authors: Greta G Cummings, Carole A. Estabrooks, Lars Wallin, William K Midodzi, Leslie A HaydukAbstract:BACKGROUND: Despite three decades of empirical investigation into Research Utilization and a renewed emphasis on evidence-based medicine and evidence-based practice in the past decade, understanding of factors influencing Research uptake in nursing remains limited. There is, however, increased awareness that organizational influences are important. OBJECTIVES: To develop and test a theoretical model of organizational influences that predict Research Utilization by nurses and to assess the influence of varying degrees of context, based on the Promoting Action on Research Implementation in Health Services (PARIHS) framework, on Research Utilization and other variables. METHODS: The study sample was drawn from a census of registered nurses working in acute care hospitals in Alberta, Canada, accessed through their professional licensing body (n = 6,526 nurses; 52.8% response rate). Three variables that measured PARIHS dimensions of context (culture, leadership, and evaluation) were used to sort cases into one of four mutually exclusive data sets that reflected less positive to more positive context. Then, a theoretical model of hospital- and unit-level influences on Research Utilization was developed and tested, using structural equation modeling, and 300 cases were randomly selected from each of the four data sets. RESULTS: Model test results were as follows--low context: chi2= 124.5, df = 80, p <. 001; partially low: chi2= 144.2, p <. 001, df = 80; partially high: chi2= 157.3, df = 80, p <. 001; and partially low: chi2= 146.0, df = 80, p <. 001. Hospital characteristics that positively influenced Research Utilization by nurses were staff development, opportunity for nurse-to-nurse collaboration, and staffing and support services. Increased emotional exhaustion led to less reported Research Utilization and higher rates of patient and nurse adverse events. Nurses working in contexts with more positive culture, leadership, and evaluation also reported significantly more Research Utilization, staff development, and lower rates of patient and staff adverse events than did nurses working in less positive contexts (i.e., those that lacked positive culture, leadership, or evaluation). CONCLUSION: The findings highlight the combined importance of culture, leadership, and evaluation to increase Research Utilization and improve patient safety. The findings may serve to strengthen the PARIHS framework and to suggest that, although it is not fully developed, the framework is an appropriate guide to implement Research into practice.
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Influence of organizational characteristics and context on Research Utilization.
Nursing research, 2007Co-Authors: Greta G Cummings, Carole A. Estabrooks, Lars Wallin, William K Midodzi, Leslie A HaydukAbstract:BACKGROUND: Despite three decades of empirical investigation into Research Utilization and a renewed emphasis on evidence-based medicine and evidence-based practice in the past decade, understanding of factors influencing Research uptake in nursing remains limited. There is, however, increased awareness that organizational influences are important.OBJECTIVES: To develop and test a theoretical model of organizational influences that predict Research Utilization by nurses and to assess the influence of varying degrees of context, based on the Promoting Action on Research Implementation in Health Services (PARIHS) framework, on Research Utilization and other variables.METHODS: The study sample was drawn from a census of registered nurses working in acute care hospitals in Alberta, Canada, accessed through their professional licensing body (n = 6,526 nurses; 52.8% response rate). Three variables that measured PARIHS dimensions of context (culture, leadership, and evaluation) were used to sort cases into one of four mutually exclusive data sets that reflected less positive to more positive context. Then, a theoretical model of hospital- and unit-level influences on Research Utilization was developed and tested, using structural equation modeling, and 300 cases were randomly selected from each of the four data sets.RESULTS: Model test results were as follows--low context: chi2= 124.5, df = 80, p
Hsiang-chun Lee - One of the best experts on this subject based on the ideXlab platform.
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Barriers to Research Utilization by registered nurses in Taiwan.
Research in nursing & health, 2013Co-Authors: Su-hui Chen, Jung-hua Shao, Ya-chu Hsiao, Hsiang-chun LeeAbstract:This cross-sectional study was designed to identify barriers to Research Utilization among registered nurses (N ¼ 510) in clinical settings in Taiwan. Data were collected by mailed survey. Barriers were measured by the Barriers to Research Utilization Scale-Chinese version, which has four subscales: characteristics of the adopter (nurse), organization (setting barriers and limitations), innovation (Research qualities), and communication (presentation/accessibility of the Research). Research Utilization was predicted by frequency of reading professional literature, years of Research experience, hospital classification, and the barriers of communication, innovation, and adopter characteristics. These findings indicate the need to enhance Taiwanese nurses� Research efficacy, Research-based information, and Research experiences. Nursing administrators should create a Research-friendly climate and support implementing Research findings.
Shannon D. Scott - One of the best experts on this subject based on the ideXlab platform.
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Towards better measures of Research Utilization: a collaborative study in Canada and Sweden
Journal of advanced nursing, 2011Co-Authors: Carole A. Estabrooks, Joanne Profetto-mcgrath, Janet E Squires, Elisabeth Strandberg, Kerstin Nilsson-kajermo, Shannon D. Scott, Dwight Harley, Lars WallinAbstract:estabrooks c.a., squires j.e., strandberg.e., nilsson-kajermo k., scott s.d., profetto-mcgrath j., harley d. & wallin l. (2011) Toward better measures of Research Utilization: a collaborative study in Canada and Sweden. Journal of Advanced Nursing 67(8), 1705–1718. Abstract Aims. This paper is a report of a study examining Research Utilization in nursing. The specific aims were to (1) clarify the construct of Research Utilization, and (2) identify observable indicators of Research Utilization. Background. Robust measures of Research Utilization do not exist despite steadily increasing numbers of studies in the field. One reason for this is theoretical confusion surrounding the central concepts in the field. Method. A qualitative (focus group) design was used to explore the construct of Research Utilization in two countries: Canada and Sweden. A systematic and sequential (three phases) approach to expert sampling framed the study. Phase 1 consisted of initial construct clarification by the Research team (2005). In Phase 2, a face-to-face meeting with a panel of international Research Utilization nursing experts was held (2005). Phase 3 consisted of a series of focus groups with nursing care (direct and non-direct) providers (2005–2007). Data were analysed using content analysis. Findings. The nursing care providers did not commonly use the term ‘Research Utilization’. Several examples of Research Utilization were provided; a majority of these examples related to instrumental Research Utilization and became increasingly concrete as one moved from non-direct to direct care participants. Participants identified several indicators of Research Utilization (instrumental and conceptual). From these indicators, a measurement schematic was derived. Conclusions. The construct of Research Utilization is multi-faceted. Several indicators of Research Utilization were identified, which can be used to augment existing or develop a new and improved measure that taps both instrumental and conceptual use.
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Patterns of Research Utilization on patient care units
Implementation science : IS, 2008Co-Authors: Carole A. Estabrooks, Joanne Profetto-mcgrath, Janet E Squires, Shannon D. Scott, Linda O'brien-pallas, Bonnie Stevens, Judy Watt-watson, Katherine S. Mcgilton, Karen Golden-biddle, Janice LanderAbstract:Organizational context plays a central role in shaping the use of Research by healthcare professionals. The largest group of professionals employed in healthcare organizations is nurses, putting them in a position to influence patient and system outcomes significantly. However, investigators have often limited their study on the determinants of Research use to individual factors over organizational or contextual factors. The purpose of this study was to examine the determinants of Research use among nurses working in acute care hospitals, with an emphasis on identifying contextual determinants of Research use. A comparative ethnographic case study design was used to examine seven patient care units (two adult and five pediatric units) in four hospitals in two Canadian provinces (Ontario and Alberta). Data were collected over a six-month period by means of quantitative and qualitative approaches using an array of instruments and extensive fieldwork. The patient care unit was the unit of analysis. Drawing on the quantitative data and using correspondence analysis, relationships between various factors were mapped using the coefficient of variation. Units with the highest mean Research Utilization scores clustered together on factors such as nurse critical thinking dispositions, unit culture (as measured by work creativity, work efficiency, questioning behavior, co-worker support, and the importance nurses place on access to continuing education), environmental complexity (as measured by changing patient acuity and re-sequencing of work), and nurses' attitudes towards Research. Units with moderate Research Utilization clustered on organizational support, belief suspension, and intent to use Research. Higher nursing workloads and lack of people support clustered more closely to units with the lowest Research Utilization scores. Modifiable characteristics of organizational context at the patient care unit level influences Research Utilization by nurses. These findings have implications for patient care unit structures and offer beginning direction for the development of interventions to enhance Research use by nurses.
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A Context of Uncertainty: How Context Shapes Nurses' Research Utilization Behaviors
Qualitative health research, 2008Co-Authors: Shannon D. Scott, Carole A. Estabrooks, Marion Allen, Carolee PollockAbstract:Context has often been cited as a significant factor in shaping Research Utilization behavior, yet scholars have been unable to provide specific detail as to how and why it is important. From an ethnographic study of Research Utilization in a pediatric intensive care unit, we determined that the primary characteristic of this nursing unit was uncertainty. We identified four major sources of uncertainty: (1) the precarious status of seriously ill patients, (2) the inherent unpredictability of nurses' work, (3) the complexity of teamwork in a highly sophisticated hospital environment, and (4) a changing management. We found that uncertainty shaped nurses' behaviors such that Research use was irrelevant. Reducing uncertainty is a necessary precursor to any increase in Research Utilization by nurses. Future knowledge translation strategies need to begin by decreasing and managing uncertainty.
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The role of nursing unit culture in shaping Research Utilization behaviors
Research in nursing & health, 2008Co-Authors: Shannon D. Scott, Carolee PollockAbstract:We conducted a focused ethnography of a pediatric critical care unit to examine the role of nursing unit culture related to Research Utilization. Four significant aspects of the unit culture shaped nurses' Research Utilization. A hierarchical structure of authority, routinized and technology-driven work at the bedside, a workplace ethos that discouraged innovation, and an emphasis on clinical experience acted together to teach nurses both that they were to do as they were told and that they were not expected to use Research. Nurses perceived that the behaviors expected of them were arbitrarily determined by physicians and managers in charge. Consequently, they were reluctant to step outside of routine and physician-ordered nursing care. This left little opportunity for Research Utilization.
Janet E Squires - One of the best experts on this subject based on the ideXlab platform.
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Towards better measures of Research Utilization: a collaborative study in Canada and Sweden
Journal of advanced nursing, 2011Co-Authors: Carole A. Estabrooks, Joanne Profetto-mcgrath, Janet E Squires, Elisabeth Strandberg, Kerstin Nilsson-kajermo, Shannon D. Scott, Dwight Harley, Lars WallinAbstract:estabrooks c.a., squires j.e., strandberg.e., nilsson-kajermo k., scott s.d., profetto-mcgrath j., harley d. & wallin l. (2011) Toward better measures of Research Utilization: a collaborative study in Canada and Sweden. Journal of Advanced Nursing 67(8), 1705–1718. Abstract Aims. This paper is a report of a study examining Research Utilization in nursing. The specific aims were to (1) clarify the construct of Research Utilization, and (2) identify observable indicators of Research Utilization. Background. Robust measures of Research Utilization do not exist despite steadily increasing numbers of studies in the field. One reason for this is theoretical confusion surrounding the central concepts in the field. Method. A qualitative (focus group) design was used to explore the construct of Research Utilization in two countries: Canada and Sweden. A systematic and sequential (three phases) approach to expert sampling framed the study. Phase 1 consisted of initial construct clarification by the Research team (2005). In Phase 2, a face-to-face meeting with a panel of international Research Utilization nursing experts was held (2005). Phase 3 consisted of a series of focus groups with nursing care (direct and non-direct) providers (2005–2007). Data were analysed using content analysis. Findings. The nursing care providers did not commonly use the term ‘Research Utilization’. Several examples of Research Utilization were provided; a majority of these examples related to instrumental Research Utilization and became increasingly concrete as one moved from non-direct to direct care participants. Participants identified several indicators of Research Utilization (instrumental and conceptual). From these indicators, a measurement schematic was derived. Conclusions. The construct of Research Utilization is multi-faceted. Several indicators of Research Utilization were identified, which can be used to augment existing or develop a new and improved measure that taps both instrumental and conceptual use.
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Individual determinants of Research Utilization by nurses: a systematic review update
Implementation Science, 2011Co-Authors: Janet E Squires, Carole A. Estabrooks, Petter Gustavsson, Lars WallinAbstract:Background Interventions that have a better than random chance of increasing nurses' use of Research are important to the delivery of quality patient care. However, few reports exist of successful Research Utilization in nursing interventions. Systematic identification and evaluation of individual characteristics associated with and predicting Research Utilization may inform the development of Research Utilization interventions. Objective To update the evidence published in a previous systematic review on individual characteristics influencing Research Utilization by nurses. Methods As part of a larger systematic review on Research Utilization instruments, 12 online bibliographic databases were searched. Hand searching of specialized journals and an ancestry search was also conducted. Randomized controlled trials, clinical trials, and observational study designs examining the association between individual characteristics and nurses' use of Research were eligible for inclusion. Studies were limited to those published in the English, Danish, Swedish, and Norwegian languages. A vote counting approach to data synthesis was taken. Results A total of 42,770 titles were identified, of which 501 were retrieved. Of these 501 articles, 45 satisfied our inclusion criteria. Articles assessed Research Utilization in general (n = 39) or kinds of Research Utilization (n = 6) using self-report survey measures. Individual nurse characteristics were classified according to six categories: beliefs and attitudes, involvement in Research activities, information seeking, education, professional characteristics, and socio-demographic/socio-economic characteristics. A seventh category, critical thinking, emerged in studies examining kinds of Research Utilization. Positive relationships, at statistically significant levels, for general Research Utilization were found in four categories: beliefs and attitudes, information seeking, education, and professional characteristics. The only characteristic assessed in a sufficient number of studies and with consistent findings for the kinds of Research Utilization was attitude towards Research; this characteristic had a positive association with instrumental and overall Research Utilization. Conclusions This review reinforced conclusions in the previous review with respect to positive relationships between general Research Utilization and: beliefs and attitudes, and current role. Furthermore, attending conferences/in-services, having a graduate degree in nursing, working in a specialty area, and job satisfaction were also identified as individual characteristics important to Research Utilization. While these findings hold promise as potential targets of future Research Utilization interventions, there were methodological problems inherent in many of the studies that necessitate their findings be replicated in further Research using more robust study designs and multivariate assessment methods.
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Individual determinants of Research Utilization by nurses: a systematic review update
Implementation science : IS, 2011Co-Authors: Janet E Squires, Carole A. Estabrooks, Petter Gustavsson, Lars WallinAbstract:Background Interventions that have a better than random chance of increasing nurses' use of Research are important to the delivery of quality patient care. However, few reports exist of successful Research Utilization in nursing interventions. Systematic identification and evaluation of individual characteristics associated with and predicting Research Utilization may inform the development of Research Utilization interventions.
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Patterns of Research Utilization on patient care units
Implementation science : IS, 2008Co-Authors: Carole A. Estabrooks, Joanne Profetto-mcgrath, Janet E Squires, Shannon D. Scott, Linda O'brien-pallas, Bonnie Stevens, Judy Watt-watson, Katherine S. Mcgilton, Karen Golden-biddle, Janice LanderAbstract:Organizational context plays a central role in shaping the use of Research by healthcare professionals. The largest group of professionals employed in healthcare organizations is nurses, putting them in a position to influence patient and system outcomes significantly. However, investigators have often limited their study on the determinants of Research use to individual factors over organizational or contextual factors. The purpose of this study was to examine the determinants of Research use among nurses working in acute care hospitals, with an emphasis on identifying contextual determinants of Research use. A comparative ethnographic case study design was used to examine seven patient care units (two adult and five pediatric units) in four hospitals in two Canadian provinces (Ontario and Alberta). Data were collected over a six-month period by means of quantitative and qualitative approaches using an array of instruments and extensive fieldwork. The patient care unit was the unit of analysis. Drawing on the quantitative data and using correspondence analysis, relationships between various factors were mapped using the coefficient of variation. Units with the highest mean Research Utilization scores clustered together on factors such as nurse critical thinking dispositions, unit culture (as measured by work creativity, work efficiency, questioning behavior, co-worker support, and the importance nurses place on access to continuing education), environmental complexity (as measured by changing patient acuity and re-sequencing of work), and nurses' attitudes towards Research. Units with moderate Research Utilization clustered on organizational support, belief suspension, and intent to use Research. Higher nursing workloads and lack of people support clustered more closely to units with the lowest Research Utilization scores. Modifiable characteristics of organizational context at the patient care unit level influences Research Utilization by nurses. These findings have implications for patient care unit structures and offer beginning direction for the development of interventions to enhance Research use by nurses.
