The need for the application of research-based data to diversified healthcare systems has led to more attempts by nurse researchers to investigate phenomena across clinical sites. Nurse executives increasingly are asked to justify resource allocation among organizations, and must compare patient-care practices within complex systems that are often geographically distant. This article describes the pitfalls encountered and the progress made by researchers during a 4-year multisite, multimethod clinical investigation collecting clinical outcome and organizational context data from seven hospitals.

Child↗

PubMedDate not supplied

The critical need to capture what nurses do.

Explore the source record for details and available documents.

Child↗

PubMedDate not supplied

Building the ethics of nursing inquiry as we build the science.

Explore the source record for details and available documents.

Ethics, Nursing↗

PubMedDate not supplied

Another perspective on child advocacy.

Explore the source record for details and available documents.

Asthma↗

PubMedDate not supplied

Evidence is information you can count on.

Explore the source record for details and available documents.

Evidence-Based Medicine↗

PubMedDate not supplied

Nursing judgment: the key to pain assessment in critically ill children.

Pain assessment in critically ill children emphasizes the need to place expert nursing judgment prominently on the list of assessment strategies. The expert nurse is uniquely qualified to identify subtle responses to physiologic and environmental stimuli and to titrate analgesics and other pain relief strategies accordingly. While it is challenging to assess pain with limited verbal and behavioral cues, pain assessment is not only possible, but even more critical, when the available cues are subtle and can be easily overlooked or attributed to other causes. The question that sparked these comments reflects the passion I so often witness in intensive care nurses committed to eliminating pain as an emotional and physiological stressor for these vulnerable children. When that passion is empowered by evidence-based nursing judgment, children receive the best possible care.

Adolescent↗

PubMedDate not supplied