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Being reflexive in research and clinical practice: a practical example. 研究和临床实践中的反思性:一个实际的例子。
IF 1.2 Q2 Medicine Pub Date : 2022-06-01 DOI: 10.7748/nr.2022.e1833
Wendy English, M. Gott, Jackie Robinson
BACKGROUNDReflexivity is an invaluable skill for nurses and researchers, as it assists in closing the gap between research and practice and improves nursing practice. However, there is some doubt about how well reflexivity is implemented in nursing. There has also been little published showing how reflexivity can be applied in research and nursing.AIMTo provide an example of reflexivity in research to demonstrate that knowledge and experiences are transferable to nursing practice.DISCUSSIONReflexivity is an important tool for research and nursing in finding the meeting points or interface of research and practice. This article provides an example of being reflexive that identified how the research skills of 'listening to understand' and 'finding meaning' filtered into nursing practice.CONCLUSIONReflexivity helped to generate knowledge about research skills filtering across a research project into clinical practice. Being reflexive as a researcher and a nurse can transform the care of patients and families.IMPLICATIONS FOR PRACTICEThis article provides an example of how reflexivity can be applied to research and nursing practice. It also suggests reframing the gap between research and practice as an interface between the two. This could encourage nurses to think of research skills and knowledge as transferable into real-time nursing practice.
对于护士和研究人员来说,灵活性是一项宝贵的技能,因为它有助于缩小研究与实践之间的差距,并改善护理实践。然而,对于反身性在护理中的实施情况,存在一些疑问。也几乎没有发表过关于如何将反射性应用于研究和护理的文章。目的提供一个反身性研究的例子,以证明知识和经验可转移到护理实践中。讨论反身性是研究和护理寻找研究与实践交汇点或界面的重要工具。这篇文章提供了一个反身性的例子,说明了“倾听理解”和“发现意义”的研究技能是如何渗透到护理实践中的。结论反身性有助于产生关于研究技能的知识,这些知识通过研究项目过滤进入临床实践。作为一名研究人员和护士,自反性可以改变对病人和家属的护理。这篇文章提供了一个反身性如何应用于研究和护理实践的例子。它还建议将研究与实践之间的差距重新定义为两者之间的接口。这可以鼓励护士将研究技能和知识转化为实时护理实践。
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引用次数: 3
The changing paradigm of research delivery during a pandemic - a reflective account. 疫情期间研究交付模式的变化——反思性叙述。
IF 1.2 Q2 Medicine Pub Date : 2022-05-12 DOI: 10.7748/nr.2022.e1832
C. Whitehouse, C. Harris, P. Charlton, Naomi Hare
BACKGROUNDAs clinical pressures evolved amid the COVID-19 pandemic, the importance of research activity came to the forefront of health and care service requirements.AIMTo illustrate through reflection the experiences of clinical research teams based in the UK during the pandemic.DISCUSSIONThe article describes operational experiences in different settings and reflects on important themes and implications for future practice. The authors use a reflective model to share perspectives of leading research delivery roles in geographically and organisationally different settings. A patient's perspective was included from the outset of the reflective process. Delegates at an interactive masterclass conference in April 2021 also contributed their experiences. Seven themes characterise the research teams' response to the pandemic: prioritising, team-building, protection, limitation of autonomy, reduced bureaucracy, collaboration and transformation of process. Balance through compassionate leadership underpinned by ethically grounded decision-making was a theme throughout.CONCLUSIONImplicitly held, tacit knowledge progressed to explicit knowledge, formalising the research teams' responses to the pandemic partly into codified learning. The authors characterise the experience as an 'operational balancing act', whereby significant innovations were integrated into working practices and research delivery.IMPLICATIONS FOR PRACTICEThe pandemic demonstrated what research progress is possible when all resources are diverted to one novel virus. The value of research teams was elevated through treatment and vaccine trials and the contribution of those involved to patient care. This reinforces an invigorated commitment to resources as well as new acceptance of and belief in research as a core care activity across and throughout systems and organisations at all levels.
背景随着新冠肺炎大流行期间临床压力的演变,研究活动的重要性成为卫生和护理服务要求的前沿。目的通过反思来说明英国临床研究团队在疫情期间的经验。讨论这篇文章描述了在不同环境中的操作经验,并反思了重要的主题和对未来实践的影响。作者使用一个反思模型来分享在地理和组织不同环境中领导研究交付角色的观点。从反思过程的一开始就包含了患者的观点。在2021年4月的一次互动大师班会议上,代表们也分享了他们的经验。研究团队应对疫情的七个主题是:优先次序、团队建设、保护、限制自主权、减少官僚主义、协作和流程转型。通过富有同情心的领导,以合乎道德的决策为基础,实现平衡是贯穿始终的主题。结论隐性知识发展为显性知识,使研究团队对疫情的反应部分正式化为成文学习。作者将这段经历描述为一种“操作平衡行为”,将重大创新融入工作实践和研究交付中。对实践的启示疫情表明,当所有资源都转移到一种新型病毒上时,研究进展是可能的。通过治疗和疫苗试验以及参与患者护理的人员的贡献,研究团队的价值得到了提升。这加强了对资源的积极承诺,以及对研究作为各级系统和组织的核心护理活动的新接受和信念。
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引用次数: 0
Perspectives on reporting non-verbal interactions from the contemporary research focus group. 当代研究焦点小组对报告非语言互动的看法。
IF 1.2 Q2 Medicine Pub Date : 2022-04-07 DOI: 10.7748/nr.2022.e1828
Iseult M. Wilson, Nikki Daniels, P. Gillen, K. Casson
BACKGROUNDThe main defining attribute that delineates focus groups from other methods of collecting data is that data are generated through participants communicating with each other rather than solely with the group moderator. The way in which interactions take place across group interviews and focus groups varies, yet both are referred to as focus groups, resulting in a broad umbrella term for its numerous manifestations.AIMTo reflect on how focus groups are adopted and reported, including the use of the term 'focus group'.DISCUSSIONThe authors recognise that the term 'focus group' is sometimes used synonymously with 'group interview' but argue that this practice must be challenged. They suggest using terms that indicate the type of space and synchronicity of the focus group, prefixed with 'in-person' or 'conventional' to identify traditional focus groups. They also suggest separating virtual group interviews into 'synchronous' and 'asynchronous', based on whether the participants and researchers can engage with each other in real time.CONCLUSIONThere is a need for qualitative researchers to reach a consensus about the nature of focus groups and group interviews, as well as where their differences and similarities lie.IMPLICATIONS FOR PRACTICEThe authors hope to encourage nurse researchers to think about these issues when labelling, planning, analysing and reporting studies involving focus groups.
背景将焦点小组与其他收集数据的方法区分开来的主要定义属性是,数据是通过参与者相互交流而不是仅仅与小组主持人交流产生的。小组访谈和焦点小组之间的互动方式各不相同,但两者都被称为焦点小组,这导致了其众多表现形式的一个宽泛的总括术语。目的反思焦点小组是如何被采用和报道的,包括“焦点小组”一词的使用。讨论作者认识到“焦点小组“一词有时与“小组访谈”同义,但认为必须对这种做法提出质疑。他们建议使用表明焦点群体的空间类型和同步性的术语,前缀为“面对面”或“传统”,以识别传统焦点群体。他们还建议,根据参与者和研究人员是否能够实时互动,将虚拟小组访谈分为“同步”和“异步”。结论定性研究人员需要就焦点小组和小组访谈的性质以及它们的差异和相似之处达成共识。对实践的启示作者希望鼓励护士研究人员在标记、规划、分析和报告涉及焦点小组的研究时考虑这些问题。
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引用次数: 0
Public involvement in participatory research: the experiences of peer interviewers from Roma, Gypsy and Traveller communities. 公众参与参与式研究:来自罗姆人、吉普赛人和游民社区的同伴访谈者的经验。
IF 1.2 Q2 Medicine Pub Date : 2022-03-10 Epub Date: 2022-02-03 DOI: 10.7748/nr.2022.e1818
Louise Condon, Jolana Curejova, Donna Leeanne Morgan, Glenn Miles, Denise Barry, Deborah Fenlon

Background: A vital component of research is patient and public involvement (PPI). The challenges of PPI increase when conducting cross-cultural research into sensitive subjects with marginalised ethnic minority groups.

Aim: To present the authors' reflections on conducting peer interviews with members of Roma, Gypsy and Traveller communities.

Discussion: The authors provide examples of reflections on collecting data from a participatory research project that explored Gypsies, Roma and Travellers' experiences of cancer in their communities. They derived the reflections from audio-recorded, post-interview debriefs with co-researchers from the same ethnic backgrounds as interviewees ('peer researchers'). The main challenges for the peer researchers were cultural, linguistic and pragmatic, all fundamentally related to exploring a sensitive health topic through the lens of ethnicity.

Conclusion: Peer researchers recognised their role in building bridges between participants and the research team. They did this by establishing a relationship of trust, minimising distress, representing the views of their communities and obtaining data to meet the aims of the project. Peer researchers perform multiple roles to assist in cross-cultural data collection in participatory research.

Implications for practice: This article highlights underexplored aspects of peer researchers' work that have implications for the planning and conduct of cross-cultural research with marginalised groups.

背景:研究的一个重要组成部分是患者和公众参与(PPI)。目的:介绍作者对罗姆人、吉普赛人和游民社区成员进行同伴访谈的反思:作者举例说明了从参与式研究项目中收集数据的反思,该项目探讨了吉普赛人、罗姆人和游民在其社区中的癌症经历。他们从与受访者具有相同种族背景的共同研究者("同行研究者")进行的录音、访谈后汇报中获得了反思。同行研究人员面临的主要挑战是文化、语言和实用性,所有这些挑战都与通过种族视角探讨敏感的健康话题密切相关:同伴研究人员认识到他们在参与者和研究团队之间搭建桥梁的作用。他们通过建立信任关系、尽量减少困扰、代表其所在社区的观点以及获取数据来实现项目目标。同伴研究人员在参与式研究的跨文化数据收集中扮演着多重角色:这篇文章强调了同伴研究人员工作中尚未被充分探索的方面,这些方面对规划和开展边缘化群体跨文化研究具有重要意义。
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引用次数: 2
Top tips for using social media in research 在研究中使用社交媒体的最佳技巧
IF 1.2 Q2 Medicine Pub Date : 2022-03-10 DOI: 10.7748/nr.30.1.6.s2
C. Stephen, L. Halcomb
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引用次数: 0
The Consolidated Framework for Implementation Research: a reflection on researchers' experiences of its benefits and challenges and the lessons learnt from using it. 实施研究综合框架:研究人员对其益处和挑战的经验反思,以及从使用该框架中吸取的教训。
IF 1.2 Q2 Medicine Pub Date : 2022-03-10 DOI: 10.7748/nr.2022.e1827
Annelysse Jorgenson, Reginaldo Adalberto Luz, Luize Fábrega Juskevicius, Maria Clara Padoveze, Lesley Price

Background: In healthcare implementation research, there is little discussion of researchers' experiences of using frameworks, including the Consolidated Framework for Implementation Research (CFIR).

Aim: To identify and discuss the benefits and challenges encountered and the lessons learnt from researchers' experiences of using the CFIR in different contexts and phases of research.

Discussion: This article synthesises the reflections of nursing and public health researchers on their experiences of using the CFIR across four separate healthcare-associated infection prevention and control implementation studies. The CFIR's benefits and challenges, the resolutions to these challenges and the lessons learnt from the application of the framework were discussed.

Conclusions: Identified benefits included the framework's adaptability and flexibility, and its provision of structure and shared language for research. Translation to another language and differentiating between domains and constructs were challenges.

Implications for practice: Nurse researchers may find this article useful when considering use of the CFIR, or to anticipate and prepare to overcome the challenges highlighted when using the framework.

背景:目的:确定并讨论研究人员在不同背景和研究阶段使用实施研究综合框架(CFIR)所带来的益处、遇到的挑战以及从中汲取的经验教训:本文总结了护理和公共卫生研究人员在四项独立的医疗相关感染预防与控制实施研究中使用 CFIR 的经验。文章讨论了 CFIR 的益处和挑战、应对这些挑战的方法以及从应用该框架中学到的经验教训:已确定的优点包括框架的适应性和灵活性,以及为研究提供结构和共同语言。将框架翻译成另一种语言以及区分领域和结构是面临的挑战:护士研究人员在考虑使用 CFIR 时,或在使用该框架时预测并准备克服所强调的挑战时,可能会发现这篇文章很有用。
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引用次数: 0
The Consolidated Framework for Implementation Research: a reflection on researchers' experiences of its benefits and challenges and the lessons learnt from using it. 实施研究综合框架:反思研究人员对其益处和挑战的经验以及从使用该框架中吸取的教训。
IF 1.2 Q2 Medicine Pub Date : 2022-03-10 DOI: 10.7748/nr.2022.e1827
Annelysse Jorgenson, Reginaldo Adalberto Luz, Luize Fábrega Juskevicius, Maria Clara Padoveze, Lesley Price

Background: In healthcare implementation research, there is little discussion of researchers' experiences of using frameworks, including the Consolidated Framework for Implementation Research (CFIR).

Aim: To identify and discuss the benefits and challenges encountered and the lessons learnt from researchers' experiences of using the CFIR in different contexts and phases of research.

Discussion: This article synthesises the reflections of nursing and public health researchers on their experiences of using the CFIR across four separate healthcare-associated infection prevention and control implementation studies. The CFIR's benefits and challenges, the resolutions to these challenges and the lessons learnt from the application of the framework were discussed.

Conclusions: Identified benefits included the framework's adaptability and flexibility, and its provision of structure and shared language for research. Translation to another language and differentiating between domains and constructs were challenges.

Implications for practice: Nurse researchers may find this article useful when considering use of the CFIR, or to anticipate and prepare to overcome the challenges highlighted when using the framework.

背景:在医疗保健实施研究中,很少讨论研究人员使用框架的经验,包括实施研究综合框架(CFIR)。目的:识别和讨论研究人员在不同背景和研究阶段使用CFIR的好处和遇到的挑战,以及从他们的经验中吸取的教训。讨论:本文综合了护理和公共卫生研究人员在四个独立的卫生保健相关感染预防和控制实施研究中使用CFIR的经验。讨论了CFIR的利益和挑战,解决这些挑战的方法以及从应用该框架中获得的经验教训。结论:确定的好处包括框架的适应性和灵活性,以及它为研究提供的结构和共享语言。翻译成另一种语言和区分领域和结构是挑战。对实践的启示:护理研究人员可能会发现这篇文章在考虑使用CFIR时很有用,或者在使用该框架时预测并准备克服突出的挑战。
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引用次数: 0
One size does not fit all - overcoming barriers to participant recruitment in qualitative research. 一刀切--克服定性研究中参与者招募的障碍。
IF 1.2 Q2 Medicine Pub Date : 2022-03-10 Epub Date: 2022-01-06 DOI: 10.7748/nr.2022.e1809
Philip John Archard, Michelle O'Reilly

Background: It can be challenging to recruit participants for qualitative research. Recruitment can be affected by factors such as systemic barriers, as well as potential participants being reluctant to enrol in research they view as time-consuming and burdensome - particularly research exploring sensitive topics.

Aim: To analyse and describe the implementation of multiple recruitment strategies used to overcome the recruitment barriers in a qualitative study exploring the use of physical restraints during mechanical ventilation in intensive care.

Discussion: Recruitment strategies that are helpful for one study may not be successful in another. Qualitative researchers may face many recruitment challenges specific to the contexts of their studies. Overcoming these challenges can be costly, time-consuming and often frustrating, so it is important that researchers develop qualities and skills that enable them to navigate these barriers.

Conclusion: Nurse researchers must consider the contexts of their target populations and tailor their recruitment strategies to the populations' needs. They must also be flexible, innovative and persistent in their approach, despite the challenges they face.

Implications for practice: This paper provides insights into the recruitment barriers faced during a qualitative study and possible solutions. These insights can guide nurse researchers facing similar challenges in qualitative research.

背景:为定性研究招募参与者具有挑战性。招募工作可能会受到一些因素的影响,例如系统性障碍,以及潜在参与者不愿意参加他们认为费时费力的研究--尤其是探讨敏感话题的研究。目的:分析并描述在一项探讨重症监护机械通气期间使用物理约束的定性研究中,为克服招募障碍而实施的多种招募策略:对某项研究有帮助的招募策略在另一项研究中可能并不成功。定性研究人员可能会面临许多与其研究背景相关的招募挑战。克服这些挑战可能需要花费大量的成本和时间,而且往往令人沮丧,因此研究人员必须培养能够克服这些障碍的素质和技能:护士研究人员必须考虑其目标人群的背景,并根据人群的需求调整其招募策略。尽管面临挑战,他们还必须采取灵活、创新和坚持不懈的方法:本文深入探讨了定性研究中面临的招募障碍以及可能的解决方案。这些见解可以为在定性研究中面临类似挑战的护士研究人员提供指导。
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引用次数: 3
The Consolidated Framework for Implementation Research: a reflection on researchers' experiences of its benefits and challenges and the lessons learnt from using it. 实施研究综合框架:研究人员对其益处和挑战的经验反思,以及从使用该框架中吸取的教训。
IF 1.2 Q2 Medicine Pub Date : 2022-03-10 Epub Date: 2022-03-03 DOI: 10.7748/nr.2022.e1827
Annelysse Jorgenson, Reginaldo Adalberto Luz, Luize Fábrega Juskevicius, Maria Clara Padoveze, Lesley Price

Background: In healthcare implementation research, there is little discussion of researchers' experiences of using frameworks, including the Consolidated Framework for Implementation Research (CFIR).

Aim: To identify and discuss the benefits and challenges encountered and the lessons learnt from researchers' experiences of using the CFIR in different contexts and phases of research.

Discussion: This article synthesises the reflections of nursing and public health researchers on their experiences of using the CFIR across four separate healthcare-associated infection prevention and control implementation studies. The CFIR's benefits and challenges, the resolutions to these challenges and the lessons learnt from the application of the framework were discussed.

Conclusions: Identified benefits included the framework's adaptability and flexibility, and its provision of structure and shared language for research. Translation to another language and differentiating between domains and constructs were challenges.

Implications for practice: Nurse researchers may find this article useful when considering use of the CFIR, or to anticipate and prepare to overcome the challenges highlighted when using the framework.

背景:目的:确定并讨论研究人员在不同背景和研究阶段使用实施研究综合框架(CFIR)所带来的益处、遇到的挑战以及从中汲取的经验教训:本文总结了护理和公共卫生研究人员在四项独立的医疗相关感染预防与控制实施研究中使用 CFIR 的经验。文章讨论了 CFIR 的益处和挑战、应对这些挑战的方法以及从应用该框架中学到的经验教训:已确定的优点包括框架的适应性和灵活性,以及为研究提供结构和共同语言。将框架翻译成另一种语言以及区分领域和结构是面临的挑战:护士研究人员在考虑使用 CFIR 时,或在使用该框架时预测并准备克服所强调的挑战时,可能会发现这篇文章很有用。
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引用次数: 0
An introduction to Bayes' theorem and examples of its application to a diagnostic test and a clinical trial. 介绍贝叶斯定理及其在诊断测试和临床试验中的应用实例。
IF 1.2 Q2 Medicine Pub Date : 2022-03-10 Epub Date: 2022-02-17 DOI: 10.7748/nr.2022.e1816
Ha Thi Mai, Steven He, Evan Alexandrou, Steven Alfred Frost

Background: The Bayesian approach to updating scientific knowledge involves using a probability distribution to describe a prior belief concerning an outcome of interest and combines this with some new information to create a posterior probability distribution to describe the updated current knowledge.

Aim: To introduce the application of Bayes' theorem, using the conditional probability example of the Monty Hall problem and two examples of the clinical application of a Bayesian approach.

Discussion: Bayesian approaches enable the incorporation of prior knowledge into the interpretation of research findings and summaries of evidence to date. Bayesian approaches are being incorporated into most clinical trials.

Conclusion: Bayesian approaches to interpreting the results of a diagnostic test and a clinical trial highlight the utility of these approaches to clinical nursing and the application of evidence-based practice.

Implications for practice: Stimulation of an understanding and interest in the Bayesian approach among nurse researchers should lead to its wider application in nursing research.

背景:更新科学知识的贝叶斯方法涉及使用概率分布来描述有关结果的先验信念,并将其与一些新信息相结合,创建后验概率分布来描述更新的当前知识。目的:使用蒙蒂-霍尔问题的条件概率例子和贝叶斯方法临床应用的两个例子,介绍贝叶斯定理的应用:贝叶斯方法能够将先验知识纳入对研究结果的解释和迄今为止的证据总结中。贝叶斯方法正被纳入大多数临床试验中:贝叶斯方法对诊断测试和临床试验结果的解释凸显了这些方法对临床护理和循证实践应用的实用性:对实践的启示:激发护士研究人员对贝叶斯方法的理解和兴趣,应能使其在护理研究中得到更广泛的应用。
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引用次数: 0
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