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Biomedical subjects

K Parahoo

Publications and source records attributed to K Parahoo.

At least 19 recordsLinked to original sources

Barriers to, and facilitators of, research utilization among nurses in Northern Ireland.

It is clear from the nursing literature that there are a number of factors which can impede or facilitate the use of research in practice. It is important that these are identified and addressed, both at local and national levels, if evidence-based practice is to become a reality. This study surveyed nurses' perceptions of barriers to, and facilitators of, research utilization. The Barriers Scale was administered to a convenience sample of 2600 nurses in 23 hospitals in Northern Ireland. The number of completed questionnaires was 1368 (52.6%). The results show that the top barrier was 'The nurse does not feel she/he has enough authority to change patient procedures' followed by 'statistical analyses are not understandable'. Seven out of the top 10 barriers were related to 'setting'. The implications of these and other findings are discussed.

Communication Barriers↗

Research utilization and attitudes towards research among learning disability nurses in Northern Ireland.

Research utilization and attitudes towards research among learning disability nurses in Northern Ireland The current emphasis on evidence-based practice has focused attention once again on the research activities of health professionals in general and their research utilization in particular. While there has been a limited number of studies on research utilization in the United Kingdom, these have tended to concentrate on general nurses and midwives. Little is known about the research activities, research utilization and the attitudes to research of learning disability nurses. This paper reports on data from a survey of a convenience sample of 87 nurses from three learning disability hospitals in Northern Ireland. The results show that while these nurses generally held positive attitudes to research, a substantial minority (18.3%) believed that 'research is not relevant to the day to day work in nursing'. Only a quarter of the sample reported using research 'frequently/all the time' in their practice. The extent of research utilization among these disability nurses must be considerably improved if evidence-based practice is to become a reality in their field of nursing.

Attitude of Health Personnel↗

A comparison of pre-Project 2000 and Project 2000 nurses' perceptions of their research training, research needs and of their use of research in clinical areas.

Most of the literature on the research training and education of nurses has focused on teaching strategies. Only a few authors have assessed systematically the impact of research modules or courses on the knowledge and attitudes of nurses. There is a lack of research on nurses' use of research following their preparation. This paper reports on some of the data from a large-scale survey of the utilization of research among nurses in Northern Ireland. In particular, a comparison is made of the perceptions of pre-Project 2000 and Project 2000 qualified nurses of their research training, research needs, and use of research in clinical areas. A questionnaire was distributed to a convenience sample of 2600 nurses from 23 hospitals in 14 Trusts in Northern Ireland. The response rate was 52.6% (n = 1368). The findings show, among others, a shortfall in research preparation of pre-Project 2000 nurses in important aspects of research. While Project 2000 nurses reported receiving more training, they did not report higher rates of research utilization than pre-Project 2000 nurses. Registered mental nurses (RMNs) and registered nurses mental handicap (RNMHs) also reported lower rates of research utilization than registered general nurses (RGNs), despite reporting the same amount of research preparation as RGNs. The implications of these findings are discussed.

Curriculum↗

Research utilization and attitudes towards research among psychiatric nurses in Northern Ireland.

Evidence-based practice depends on a number of factors including practitioners' attitudes towards, and knowledge of, research, the availability and access to relevant research, adequate resources and managers' support. Yet little is known about these issues with regard to psychiatric nurses. The aim of this study was to survey psychiatric nurses on their attitudes to research, their perceptions of their use of research and other research-related activities. This paper reports data collected from a convenience sample of 236 nurses from the six main psychiatric hospitals and from the psychiatric wards of six general hospitals. The results show that, while they report positive attitudes towards research, their perception of their use of research in practice indicates that evidence-based practice is far from being realized. There is also some evidence to suggest that psychiatric nurses' reported extent of research utilization and frequency of reading research literature in this study are lower than those of general nurses. The implications of these and other findings are discussed.

Attitude of Health Personnel↗

Research utilization and research related activities of nurses in Northern Ireland.

There is a need for more information about research utilization and other related research activities among nurses in the U.K. This article reports on data from a large scale survey of nurses in Northern Ireland, in particular their self-reported extent of research utilization, their attitudes to research, research projects carried out and their frequency of accessing research information. A questionnaire was administered to a convenient sample of 2600 nurses from 23 hospitals in 14 Trusts. The number of responses was 1368 (52.6%). The findings show that although respondents held positive attitudes to research, only about a third reported utilizing research 'frequently/all the time' and less than 40% reported that they had implemented research findings in the two years prior to the survey. These figures were, however, higher for degree nurses. The implications of these and other findings are discussed.

Attitude of Health Personnel↗

Community mental handicap nursing services in Northern Ireland: a profile of clients and selected working practices.

The aim of this survey of community mental handicap nursing in Northern Ireland (NI) was, among other things, to construct a profile of clients of the service as well as to describe selected working practices. A 25-item questionnaire was developed and administered to all 50 community nurses working with people with learning disabilities in NI. The number of responses was 36, giving a rate of 72%. Fifty-six percent of the clients were female. Young to middle-aged adults made up the largest portion of the caseload. Over 80% of the clients had no history of hospital admission. Caseload size also differed according to the years of service, gender and grade of the nurses. The main reason for visiting clients as reported by respondents was to give physical care.

Adolescent↗

Using research to implement change: the introduction of group activities on a psychiatric unit.

Staff in a psychiatric unit of a general hospital proposed the introduction of a programme of structured group activities, based on their casual observation that patients were sometimes unoccupied and bored. It was decided to collect data systematically in order to inform the implementation of activities. An activities record sheet was developed to list all activities taking place over a 1-week period. Questionnaires were administered to patients (n = 23) and staff (n = 20) on the unit to seek their views on the value, type, timing, frequency and location of activities as well as on other related aspects. Overall, staff made practical and realistic suggestions regarding the implementation of structured group activities. The data collected, although useful in planning change, raised questions about the poor quality of patients' responses and the low response rate (50%) from staff. Implications of these and other issues are discussed.

Clinical Nursing Research↗

Job satisfaction of community nurses working with people with a mental handicap.

There is a dearth of studies on the job satisfaction of community nurses, especially those working with people with a mental handicap, in the United Kingdom. This paper reports on some of the data gathered as part of a survey of community nurses (mental handicap) (CNMH) in Northern Ireland in 1992. A 25-item questionnaire was sent to all 50 CNMH. The response rate was 72%. The results showed that most of these CNMH rated their level of satisfaction as high or very high. Additionally, they identified a number of factors which contributed to their job satisfaction and/or dissatisfaction. These findings have implications for theory building, methodology and nursing practice.

Adult↗

Knowledge and use of lifting techniques among a group of undergraduate student nurses.

As part of a nursing degree course, one of the authors (M.K.) gathered data on the knowledge and use of lifting techniques among a group of undergraduate student nurses. A 17-item questionnaire was administered to one cohort of 19 third-year students. The results show that while they were aware of lifts recommended by the RCN and by other researchers, they reported that they frequently used lifts not recommended by the above sources during their medical placement. This behaviour seemed to mirror the practices of ward staff. Possible explanations for the knowledge-practice gap are offered.

Cohort Studies↗

The evaluation of a community coronary specialist nursing service in Northern Ireland.

Providing an efficient service depends partly on evaluation, which itself should take into account, amongst other things, the clients' views. This study set out to evaluate clients' perception of a coronary specialist nursing service (CSNS) in one area health board in Northern Ireland. Postal questionnaires were sent to a random sample of 70 clients of the CSNS. Results showed that the majority expressed satisfaction with the service, as well as with the information they received prior to discharge into the community. Their responses provide food for thought to those involved in the provision of such services.

Adult↗

Student-controlled evaluation--a pilot study.

There is general agreement now that evaluation is an essential part of the education process. However there are methodological, political and ethical issues which still need to be addressed. In this paper a pilot study is described in which students carry out their own evaluation of parts of a curriculum using an approach which allowed them to use their own words to express their views on areas of concern to them.

Curriculum↗

Job satisfaction of community psychiatric nurses in Northern Ireland.

The shift towards community care has created the need for data, amongst other things, on the job facets of community nurses. There is a lack of studies on the job satisfaction of these nurses, in particular of community psychiatric nurses (CPNs) in the United Kingdom. This paper reports on part of a general survey of CPNs in Northern Ireland. It deals with the CPN's perception of their level of job satisfaction and the factors which they identified as contributing to their satisfaction or dissatisfaction with the job.

Community Health Nursing↗

Education: perceptions of supernumerary status.

This, the first of three related articles, explores the attitudes of students, preceptors and lecturers to supernumerary status. While the contractual aspect of supernumerary status is understood by the three groups, there is confusion about the educational aspect. Next week, the reality of supernumerary status from the experience of students will be examined, while the final article will look at the role of students, preceptors, sisters/charge nurses and lecturers in the implementation of supernumerary status.

Faculty, Nursing↗

Education. The reality of supernumerary status.

This is the second of three related articles looking at the reality of supernumerary status for undergraduate nursing students in Northern Ireland. The first (1) explored students, preceptors and lecturers' perceptions of the term 'supernumerary'. Next week, the role of students, charge nurses and preceptors will be examined in relation to its implementation. This article portrays the reality of supernumerary status from the students' perspective, using diaries and a questionnaire.

Humans↗

Education: implementation of supernumerary status.

This series of three articles began with a discussion of perceptions of supernumerary status and was followed by an examination of the reality of the term as seen through the eyes of students, teaching and ward staff. The series concludes this week with an exploration of the context in which supernumerary status can best be implemented.

Education, Nursing↗

Lifting: why nurses follow bad practice.

This article reports on a research study of a group of third-year undergraduate student nurses, investigating their use of lifting techniques and their potential to conform to ward practice in the selection of lifts. A questionnaire which included a vignette was administered to 19 students. Results showed that 50 per cent would conform to the selection of a two-person lift by a staff nurse even when they knew that the lift was unsafe. The authors suggest possible variables which may influence the selection of lifts.

Biomechanical Phenomena↗