The National Institute of Nursing Research (NINR) aims to promote individuals, families, and communities’ health and well-being through research. The NINR strategic plan for 2011 identified the current priorities for nursing research as:
Enhance health promotion and disease prevention
Improving the quality of life by managing symptoms of acute and chronic illness
Improve palliative and end-of-life care
Enhance innovation in science and practice
Develop the next generation of nurse scientists (NINR, 2011).
The nursing priorities cover some of the most critical challenges in today’s healthcare system. The first priority focuses on health promotion and disease prevention, as nurses should play a more proactive role in creating healthy communities. Nurses should venture outside hospitals to work with the community to prevent diseases. Other priorities, such as better management of symptoms for acute and chronic illnesses, palliative, and end-of-life care, are equally important (NINR, 2011). The last two priorities of enhancing innovation in science and practice and developing the next generation of nurse scientists are crucial as nurses should research.
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I agree with the priorities, and I would not recommend the elimination of any of the priorities. I recommend adding to include how to create the best working environment for nurses. Nurses face many challenges in the nursing environment, including staffing issues, long working hours, and workplace hazards. Even the most qualified nurses cannot offer quality services to their patients when working in a challenging environment.
The nursing research priorities guide nursing researchers on the research areas and topics they should focus on. Nursing researchers seek evidence to support nursing practices on some of the most challenging areas/ priorities (Garcia et al., 2015). Without research, it is impossible to address some of the challenges. It will be impossible to promote patient health and quality of life. Nursing researchers are responsible for continuous improvement in nursing.
Evidence-based Criteria
Evidence-based practice is a problem-solving approach to nursing that incorporates evidence from well-designed research studies. However, practice is considered evidence-based when it combines research with clinical expertise and patient preferences. Expert nurses are the ones who champion the implementation of EBPs through research; however, they must take into consideration patient values and preferences.
An example of EBP is reducing hospital-acquired infections. Patients are suffering from an increasing rate of hospital-acquired infections. Nurses play a crucial role in patients’ health during their hospital stay. Nurses can apply evidence-based practices for controlling hospital-acquired infections such as keeping the hospital environment clean, correct handwashing, wearing gloves, and preventing patients from walking barefoot. While nurses have many responsibilities, implementing simple EBPs will lead to a reduction in hospital-acquired infections.
Quality is an integral component of evidence-based practice. Quality in healthcare is frequently mentioned, and it generally refers to the ability to achieve desired healthcare objectives. The Institute of Medicine (IOM) developed the six components of quality healthcare as safe, effective, patient-centered, timely, efficient, and equitable. Aforementioned, evidence-based practice is a problem-solving approach, and therefore it must be geared towards improving quality. EBP must be safe, effective, and patient-centered. It must possess all the components of quality.
Proposal- The role of technology in health promotion
Nurses play a crucial role in public health promotion. Health promotion focuses on disease prevention and educating the community to change its behavior and beliefs regarding health. The nursing role in health promotion is quite complicated. Health promotion is anchored on community-based practices. Research shows that nurses have adopted an individualistic approach to health promotion because of the challenges of reaching out to the entire community. Studies also show that the concept of health promotion is yet to be fully developed as many nurses are not engaging in any form of health promotion (Batras et al., 2016). This proposal aims to show how nurses can take advantage of modern technology in health promotion. Digital technology presents new channels of health education that can reach out to many people simultaneously. With technology, nurses can share different health promotional content to achieve better results and encourage disease prevention.
The hypothesis is that technology has a positive impact on the attainment of nursing health promotion goals. Pender’s health promotion model will guide the research study. The theory states that each person has unique characteristics and experiences that affect their actions. With technology, nurses can create personalized health information to address individual needs and characteristics. The theory encourages nurses to take time to understand patient behaviors as the foundation for health promotion.
The researchers will use a mixed-method approach, both quantitative and qualitative. The anticipated result is that technology will improve the outcome of nursing health promotion. The study results will be disseminated in the hospital and nursing journals to encourage nurses to take advantage of technology in health promotion.
How History defined and Shaped modern ethics
History defined and shaped the current ethics in nursing research. Ethics in nursing research is mostly concerned with how researchers deal with human subjects, including human rights issues and direct client care issues. History continues to define and shape modern ethics. Some historical cases such as the Tuskegee Syphilis study (1923) and Jewish Chronic Disease Hospital study (the 1960s) have shaped modern ethics. Some of the modern ethical considerations include informed consent, beneficence, respect for anonymity, and privacy. Nursing research is now guided by respect and equity principles as nurse researchers cannot afford to make some of the catastrophic historical mistakes.
References
Batras, D., Duff, C., & Smith, B. J. (2016). Organizational change theory: implications for health promotion practice. Health promotion international , 31 (1), 231-241.
Garcia, A. B., Cassiani, S. H. D. B., & Reveiz, L. (2015). A systematic review of nursing research priorities on health system and services in the Americas. Revista Panamericana de Salud Pública , 37 , 162-171.
