Nursing is a scientific discipline and research has become an integral part of nurse education. Research process is essential for obtaining new knowledge to improve patient health care and for continuous development of nursing as a scientific discipline. To reach this goal, nurses need appropriate support - support in new knowledge accessibility and in pro-research system orientation.
At this point the ProCare project has come to important conclusions within WP1 and WP2. WP1 is addressing identifying various aspects of the nursing work environment. Conducted studies aimed to determine the opinions and obtain a self-evaluation of nursing respondents on the extent of working within or beyond the level of competence they gained as part of their nursing education. Despite professional competencies and activities for different categories of nursing care providers being clearly divided, clinical practice in Italy, Spain and Slovenia still shows that some profiles of healthcare providers are performing competencies not consistent with their formal education and training. The studies also aimed to determine barriers and facilitators of the nursing research. The findings were in many parts consistent with other existing data. Many studies are addressing barriers for implementation of nursing research in clinical environments. We know that the most commonly identified barriers are not knowing the research process, lack of: time and resources, access to obtain research material, knowledge to identify quality evidence and evidence interpretation, knowledge on statistics, competencies, English language competency, computer and electronic literacy etc. All listed deficits significantly affect the implementation of evidence based practice in the clinical environment. Also leadership is an important element of encouraging and providing support to nurses who would like to practice research. Management can have a negative impact on research development and implementation by not providing acceptable development strategy, bad organization, lack of designed evidence based practice implementation strategy, lack of educated managers, etc. WP2 is about linking higher education, research and hospitals to support nursing research development. So far gathered results of the studies are reflecting the need to strengthen the cooperation between hospitals and faculties. Mutual aims of HEIs and clinical environments result in quality nursing care. Cooperation reduces the gap between theory and practice. Clinical environments emphasis procedures and competencies for independent work and only these are not sufficient to develop research and evidence based nursing practice. Research and evidence based practice need to be emphasized and encouraged simultaneously – in clinical and higher education environments. This sort of partnership is beneficial for all involved, starting with students. Students have optimal conditions to successfully integrate into work environments, to maintain critical thinking and research orientation, and to use acquired knowledge autonomously. The empowerment of nurse` knowledge and competencies begins at HEIs. The educational process has the power to positively influence students` attitude towards research, their research competencies, and the perception of evidence based practice in nursing.
As early as the early 19th century, Florence Nightingale was credited with improving patient care when she warned that poor sanitation could adversely affect the health of patients. She continued to record health statistics to determine the number of deaths in hospitals and mortality associated with illness and injury. In the 20th century, more precisely in 1972, Archie Cochrane introduced into nursing care the concept of applied randomized control trials and other experimental and non-experimental research at a lower level of research evidence. Cochrane based his work on the assumption that nursing care is limited by material resources and that only procedures that have been shown to be effective should be used. In his view, randomized controlled trials are the most reliable form of evidence, and his assertion created the foundation for the evidence-based practice doctrine. As part of the higher education study program, nursing students learn about practice and theory, both of which are closely intertwined with evidence-based practice. In recent decades, evidence-based practice became a key part of optimal patient care. Even though the application of evidence-based practice in nursing care brings excellent results that are clearly documented, it is still not used often enough. Collaboration of clinical environments and HEIs; knowledge and material resources; needs to implement research and attitudes towards research; reasons for decisions to become a nurse; management support and financial resources; formal and non-formal education; application of knowledge and understanding of research process are the key factors in promoting and at the same time hindering the development of nurses' research activity.
DISSEMINATION BY THE IRISH TEAM
February 18th 2020, Limerick
The Irish team from Limerick University represented by Christine FitzGerald and Liz Kingston participated in the “HSE West/Midwest Nursing & Midwifery Research & Innovation Conference 2020” in Limerick. This presentation introduced the work that will be developed by the Irish team and Procare Project expected outcomes.
DISSEMINATION BY THE ITALIAN TEAM
in Friuli-Venezia Giulia on 10th December 2019:
The Italian team represented by Barbara Narduzzi participated in the “Safety and Quality Regional Day” in Friuli-Venezia Giulia. This presentation addressed the main aims and tasks that will be developed by each partner team along Procare project.
Hospitals and faculties together for prosperous and scientific based healthcare (ProCare)
Yearly progress report, November 2019
Procare project promised to address 2 relevant issues: the lack of research knowledge among RNs and poor research alliance between hospitals and HEIs. The profile of research in nursing will be raised by increasing both research capacity and capability. Through individual Work packages (WPs) & outputs, 5 set objectives will be addressed: 1. to build infrastructure with research leadership that will support a research active environment (WP1 - analysing nursing work environment and enablers/barriers in facilitating nurses to do research, WP2 - establishing nursing research groups/units; identifying research mentors within the hospitals and linked researchers at HEI, suggesting the online material content); 2. to improve access to research training and support opportunities (WP 3, 4, 5 - online learning programme); 3. to identify research priorities in practice and link in with HEI to address them jointly (WP2); 4. to encourage intra-disciplinary, multi-disciplinary & inter-agency research collaborations (WP2; research group establishment); 5. To raise the profile of research conducted by nurses to internal and external organisations (WP 2, 6: encouraging nurses to submit abstracts to conferences and improve research writing skills).
After 12 months of the project we have gained some important results and set the filed for further work.
From 23rd till 25th of October lead partners of all ERASMUS +, Action KA2 projects met in Brussels to present treir projects and ongoing activities.
Katja and Maja presented ProCare.
2nd Face to Face meeting held place in Limerick, Ireland on 18th & 19th September 2019.
Each project partner presented their Work Package outcomes and future steps to follow. Group discussion about how to tackle difficulties and project sustainability were hold.
Great work was done in two days.
ProCare Fov team presented the selection of e-learning platform for nurses at 38th international conference on developement of organizational science
ProCare team first met in November 2018. Great team spirit was established and basis for the good work were set.