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scope of research in nursing services.pptx
The scope of clinical nursing research may range from examining nursing interventions and experiences for health promotion, illness prevention and care for individuals, families, and communities in diverse settings. Nursing research is different from biomedical research because it focuses on examining and expanding the view of health, which emphasizes on health promotion, restoration and rehabilitation as well as a commitment to caring and comfort.
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scope of research in nursing services.pptx
- 1. 1 SCOPE OF RESEARCH INNURSING SERVICES Presented By: Pratiksha Rai
- 2. 2 Introduction • The scopeof clinical nursing research may range from examining nursing interventions & experiences for health promotion, illness prevention and care for individuals, families, and communities in diverse settings. • Nursing research focuses on examining and expanding the view of health.
- 3. 3 Common areas inclinical research practices 1. Health promotion, maintenance and disease prevention • Health promotion (e.g. lifestyle changes), maintenance (e.g. chronic disease management) and prevention (e.g. vaccinations, screenings) • Nurses are well-positioned to lead preventive care interventions at both individual and community levels.
- 4. 4 Common areas inclinical research practices 2. Patient safety and quality of health care • Nurses are key persons to deliver and coordinate safe care. • Improving safety & quality leads to better outcomes, fewer complications and lower costs. • Accreditation bodies demand research based improvements in these areas.
- 5. 5 Common areas inclinical research practices Nursing research often focuses on identifying and minimizing risks such as Hospital acquired infections (HAIs), pressure ulcers, readmissions, etc. E.g. knowledge & perception of medication errors, hand hygiene compliance study, quality nursing care, patient satisfaction & sanitation, etc.
- 6. 6 Common areas inclinical research practices 3.Promotion and risk reduction interventions of health of vulnerable, minority groups and marginalized community • It addresses inequities in health outcome • Nurses are committed to holistic and community centered care • Research in this area informs policy, improves access and creates culturally relevant solutions
- 7. 7 Common areas inclinical research practices 4. Patient-centered care and care coordination • Nurses are directly linked to improving patient outcomes, satisfaction and safety. • Nurses are grounded in the philosophy of treating the whole person, not just the illness • Example- A nursing study testing the impact of a discharge planning checklist on hospital readmission rates.
- 8. 8 Common areas inclinical research practices 5. Promotion of the health and well-being of older people • The aging population is growing rapidly. • Older adults face complex, multidimensional health issues. • Research in this area supports healthy aging, autonomy and quality of life. • E.g. Nurses study how interventions such as music therapy improve emotional wellness in older patients.
- 9. 9 Common areas inclinical research practices 6. Palliative and end-of-life care • Nurses provide continuous and direct care at the end of life. • Growing need due to aging population and chronic illness. • Focus on compassionate, holistic wellbeing and advocacy. • Clinical research drives improvements in symptom management, communication, ethics and family support.
- 10. 10 Common areas inclinical research practices Research often investigates interventions such as: - Communication skills for discussing prognosis - Cultural competence - Bereavement support for families - Reducing unnecessary aggressive treatments. Hospital prevalence survey, nurse’s knowledge & attitude, community need assessment, etc. can be the study types.
- 11. 11 Common areas inclinical research practices 7. Development of EBPs and translational research • It ensures nursing care is scientifically sound, effective and patient- centered. • It bridges the gap between research findings and everyday clinical practice. • It improves patient outcomes, safety and healthcare quality. • It empowers nurses to lead innovations and improvements in health care delivery.
- 12. 12 Common areas inclinical research practices Translational research involves moving findings from laboratory or clinical studies into routine nursing practice. Translational research addresses the question: “How do we apply what we’ve learned to actual care settings?” • This includes testing new models of care, refining interventions and ensuring sustainability.
- 13. 13 Common areas inclinical research practices 8. Care implication of genetic testing and therapeutics • Nurses are increasingly involved in genetic counselling support, coordinate genetic testing services & help patient interpret testing services. • Nursing research explores how to educate patients & families about test results, address ethical concerns & decision making and assess how genetic information influences care outcomes.
- 14. 14 Common areas inclinical research practices • E.g. A study on how nurse-led genetic risk education affects screening behaviors in families with hereditary breast cancer. • Areas can be – patient education & counselling, personalized therapeutics, ethical support and consent, etc.
- 15. 15 Common areas inclinical research practices 9. Nurses working environment • It directly affects nurse performance, patient outcomes and system efficiency. • Research helps identify solutions to burnout, turnover and workplace stress. • A healthy work environment is essential for achieving high-quality, sustainable care.
- 16. 16 Common areas inclinical research practices 10. Home care and community health nursing care practices • Address the rising demand for care outside hospitals. • Support preventive, population-based approaches. • Promote health equity and access in underserved communities. • Align with innovations like telehealth. • E.g. a study on mobile nurses clinics improving maternal health outcomes in underserved areas.
- 17. 17 Common areas inclinical research practices 11. Treatment compliance and adherence to treatment • Nursing studies evaluate how interprofessional collaboration, simplified care plans and clear communication improve compliance. • Nursing research explores strategies to improve adherence to: medications, dietary guidelines, exercise plans, chronic disease self- care routines (e.g. diabetes, hypertension)
- 18. 18 Common areas inclinical research practices 12. Description of holistic nursing situations: social, cultural, religious, traditional and family practices, which have health implications and fall under the nursing care The domains establish territory for research – any practice, intervention, communication style, self care practice, environment or therapeutic relationship, that becomes a legitimate subject for study.
- 19. 19 References • Sharma SK.Nursing research and statistics. 3rd ed. Noida, UP: Elsevier; 2012. • Polit DF, Beck CT. Essentials of nursing research: Generating and assessing evidence for nursing practice. 10th ed. Philadelphia, PA: Wolters Kluwer; 2017 • Grove SK, Gray JR. Understanding nursing research. 1st south Asian ed. Gurgaon, Haryana: Elsevier; 2019
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Editor's Notes
- #2 Nursing research emphasizes on health promotion, restoration and rehabilitation as well as a commitment to caring and comfort.
- #3 Telemonitoring of GDM, Cardiac rehabilitation, nurses & TB prevention A 2023 cross-sectional study (n = 313 students) in Chitwan compared schools with and without a school‑health nurse. Findings showed students in nurse‑led schools had notably higher knowledge and better practices in hygiene, screening, iron supplementation, first aid, and physical activity. Randomized controlled trials in nurse-led clinics for type 2 diabetes, hypertension, hyperlipidemia, rheumatoid arthritis, wound care, and continence have shown improved clinical outcomes, higher patient satisfaction, and cost-effectiveness compared to traditional physician care.
- #4 Example: A systematic review of 85 studies across 32 countries found that nurse burnout correlates with more hospital infections, patient falls, medication mistakes, and lower patient satisfaction—highlighting how safe staffing and well-being affect care quality. Li LZ, Yang P, Singer SJ, Pfeffer J, Mathur MB, Shanafelt T. Nurse burnout and patient safety, satisfaction, and quality of care: a systematic review and meta-analysis. JAMA Netw Open. 2024 Nov;7(11):e2443059. doi:10.1001/jamanetworkopen.2024.43059.
- #5 These are key quality indicators in healthcare and reducing them is a common research goal. Emergency triage practice study, 2024 quali study in BMC health research examined triage protocols for febrile patients and HCWs in emergency care.
- #6 Vulnerable प्रवण समूह / असुरक्षित समुदाय महिलाहरू, अशक्त व्यक्ति, गरिब, प्रवासी, वा वृद्धवृद्धा आदि Minority अल्पसंख्यक समूह मुसलमान, मधेसी, थर्ड‑जेंडर, भाषिक अल्पसंख्यक आदि Marginalized बहिष्कृत / पछाडि पारिएका समुदाय Minorities & vulnerable group often face: limited access to healthcare, cultural and language barriers दलित, आदिवासी जनजाति, भूमिहीन किसान, अशक्त, महिला, अल्पसंख्यक समूह
- #7 Focusing on what matters most to each patient—like their personal preferences and family situation—and working with all healthcare team members so everyone is on the same page about treatment and follow‑up.
- #8 Nutrition, wellbeing, life satisfaction, welfare schemes, family support, neighbourhood and social tiers, Nepal’s ageing index (ratio of those 60+ to under‑15) jumped from 23.3 in 2011 to 36.7 in 2021 With the 60+ group rising at 3.29% per year Older adults (aged 60+) numbered 2.97 million, making up 10.21% of Nepal’s total population—an increase from 8.1% in 2011
- #9 Palliative- relieving symptoms and stress, Providing comfort & support to people whose illnesses can’t be cured—helping manage pain, emotional, cultural & spiritual needs for patients and their families. A quasi-experimental study of the End of Life Nursing Education Consortium (ELNEC) educational program showed nurses improved their knowledge (Palliative Care Quiz Nursing score increased from 13/20 to 15/20) and had more positive attitudes toward end-of-life care post-training. Ferrell BR, Dahlin C, Campbell ML, Paice JA, Malloy P, Virani R. End-of-life nursing education consortium training program: improving palliative care in critical care. Crit Care Nurs Q. 2007;30(3):206–12.
- #10 Providing comfort & support to people whose illnesses can’t be cured—helping manage pain, emotional, cultural & spiritual needs for patients and their families. A quasi-experimental study of the End of Life Nursing Education Consortium (ELNEC) educational program showed nurses improved their knowledge (Palliative Care Quiz Nursing score increased from 13/20 to 15/20) and had more positive attitudes toward end-of-life care post-training. Ferrell BR, Dahlin C, Campbell ML, Paice JA, Malloy P, Virani R. End-of-life nursing education consortium training program: improving palliative care in critical care. Crit Care Nurs Q. 2007;30(3):206–12.
- #11 Translational research: focuses on translating research findings into practical applications to improve patient care and promote public health. Using the latest, best scientific studies to guide nursing care. Nurses read research and apply proven strategies to improve treatment—like following heart attack care protocols shown to work. The Nurses’ Health Study linked lifestyle factors—like smoking and trans-fat intake—with chronic illness such as heart disease, diabetes, and cancer, leading directly to public health changes in dietary guidelines. Hu FB, Stampfer MJ, Manson JE, et al. Intake of trans‑fatty acids and risk of coronary heart disease among women: Evidence from the Nurses’ Health Study. Lancet. 1993 Mar 6;341(8845):581–5. Another example: Integrated Maternal–Child Health Intervention via CHWs 📍 Rural Nepal – districts supported by Possible and Nyaya Health Study design: A Type II hybrid effectiveness–implementation study (2014–18), evaluating an evidence-based maternal and child health protocol delivered by trained community health workers (CHWs) using a mobile app PMCPubMed. Focus: The intervention followed WHO-based best practices and integrated antenatal care, institutional birth referrals, postnatal home visits, and danger sign education. Sample: 65 CHWs enrolled ~30,785 families across two rural districts. Approximately 35% were from marginalized castes (Dalit, Janajati, others) PubMed. Outcomes: Institutional birth rates increased by ~30% post-intervention (statistically significant, p<0.0001). Home visits for postpartum women reached 78–89% within 60 days of childbirth PubMed. ▶ Implementation successes: Ten out of 19 planned local municipalities adopted the intervention during the study. After the formal evaluation, the program was extended to four additional hubs, with institutionalization under local health authorities (albeit with management adaptations) Wikipedia+8PubMed+8BioMed Central+8. ✅ Why it qualifies as evidence-based practice (EBP) successfully implemented: Based on WHO‑recommended protocols from the literature. Delivered with fidelity through trained and supervised CHWs. Showed measurable health outcomes and was sustainably adopted into local systems.
- #12 1. The SUSTAIN Project: Translating Neonatal Resuscitation Evidence into Routine Practice Context & Goal: Based on the global "Helping Babies Breathe" framework, the project introduced a resuscitation quality improvement package in multiple referral hospitals across Nepal, aiming to reduce neonatal mortality research.dhulikhelhospital.org+4MDPI+4PubMed+4PMC+1BioMed Central+1. Research Design: Employed a Plan‑Do‑Study‑Act (PDSA) model to iteratively adapt clinical practices, train staff, and monitor performance in the local hospital context . Implementation Outcome: Identified facilitators and barriers to successful adoption; observed changes in provider behavior and improvements in neonatal resuscitation practices. Translational Impact: The QI (quality improvement) package became embedded in hospital routines, reinforcing sustainability and institutional ownership beyond the study period PMC. This qualifies as translational research because it moved a proven protocol through contextual adaptation → iterative design → real-world implementation → sustained practice change.
- #13 Helping patients understand genetic test results (like risk for certain diseases) and what that means for their health care—such as adjusting treatment based on gene-related drug responses. A narrative review of 78 studies on genetic cancer predisposition outlined key psychological, ethical, and social implications of genetic testing, emphasizing the rising role of nurses in counseling and patient support. Acton J, Taverner P, Kirk S. Genetic testing for cancer predisposition and implications for nursing practice: a narrative review. J Adv Nurs. 2010;66(7):1452–60.
- #14 Helping patients understand genetic test results (like risk for certain diseases) and what that means for their health care—such as adjusting treatment based on gene-related drug responses. A narrative review of 78 studies on genetic cancer predisposition outlined key psychological, ethical, and social implications of genetic testing, emphasizing the rising role of nurses in counseling and patient support. Acton J, Taverner P, Kirk S. Genetic testing for cancer predisposition and implications for nursing practice: a narrative review. J Adv Nurs. 2010;66(7):1452–60.
- #15 Focusing on how hospitals and clinics are organized—like staffing levels, shift schedules, and rest time—to help nurses do their best care (and avoid burnout). In GuangDong, China, a survey of 1,104 nurses found that improving the work environment cut job dissatisfaction by 50% and burnout by 33%. Liu K, You LM, Chen SX, Hao YT, Zhu XW, Zhang LF, Aiken LH. The relationship between hospital work environment and nurse outcomes in Guangdong, China: a nurse questionnaire survey. J Clin Nurs. 2012 Mar;21(9–10):1476–85.
- #17 उपचार अनुपालन, compliance – is provider led, prescriptive Degree to which patient behavior aligns with the provider's instructions Adherence – is Patient‑centered, collaborative Degree to which patient behavior aligns with mutually agreed instructions Van Camp YP, Van Rompaey B, Elseviers MM. Nurse-led interventions to enhance adherence to chronic medication: systematic review and meta-analysis of randomised controlled trials. Eur J Clin Pharmacol. 2013;69(4):761–70. Helping patients stick with their care plan—like taking medicine regularly, following diet advice, or attending follow-up visits—by giving reminders, explaining why it's important, and solving problems that get in the way. A meta-analysis of 10 RCTs (2006–2011) on nurse-led interventions (mostly counseling) showed adherence improved by +5.4% short-term and +9.5% long-term, with consistent benefits across chronic disease types.