NANDA INTERNATIONAL NETWORKSHOP OYO STATE THEME DEVELOPING NURSING

NANDA INTERNATIONAL NETWORKSHOP, OYO STATE THEME: DEVELOPING NURSING CARE PLAN USING THE NANDA-I NURSING DIAGNOSIS, NURSING OUTCOME CLASSIFICATIONS AND NURSING INTERVENTION CLASSIFICATION. DATE: WEDNESDAY NOVEMBER 30, 2016. AT: COLLEGE OF NURSING AND MIDWIFERY AUDITORIUM, ELEYELE, IBADAN.

SUBTHEMES • INTEGRATING NURSING DIAGNOSIS INTO CLINICAL PRACTICE • CLINICAL RESEARCH : A TOOL FOR EVIDENCE- BASED PRACTICE

Research Implications of Integrating NANDAI NURSING DIAGNOSIS, NURSING OUTCOME CLASSIFICATION AND NURSING INTERVENTION CLASSIFICATION INTO NURSING PRACTICE, By Abimbola Oluwatosin RN, RM, Ph. D(Nursing)

OUTLINE Introduction What is research? Types of research Purposes of research Research process Who can conduct research? The link between research and SNL Importance of research to SNL (NNN) Conclusion

INTRODUCTION • The evolution of standardized nursing languages (SNLs) has been occurring for more than four decades. • The importance of this work continues to be acknowledged as an effective strategy to describe professional nursing practice. • The demand for cost-effective, safe, quality patient care is now an essential mandate embedded in both global or national health reform policies. • Communicating the contributions of professional nursing practice to other nurses, health providers, and other members of the health care team requires the articulation of nursing's focus of concern and responses to these concerns to improve patient outcomes.

INTRODUCTION • When SNLs is utilized and documented in the patients case note or health record , it provides opportunities for others to see and track what nurses do. • This also affords nurses an opportunity to describe the focus of their practice through the identification of nursing diagnosis, interventions and outcomes (IOM, 2010). • The practice of nursing always generate data that could be used to provide new knowledge, improve practice and justify staffing, remuneration and many other issues. • Many times other professionals work in to use such data to meet their own needs.

WHAT IS RESEARCH • Research is a process to discover new knowledge. • “A systematic investigation (i. e. , the gathering and analysis of information) designed to develop or contribute to generalizable knowledge. ” • The main objective of research is to “extend human knowledge beyond what is already known. ” • However Research is very different from other forms of discovering knowledge (like reading a book) because it uses a systematic process called the Scientific Method.

OTHER SOURCES OF KNOWLEDGE FOR NURSES • • • Intuition Books Ward rounds Grand rounds Ward teaching Continuous education programmes

TYPES OF RESEARCH • Applied research: study that seeks to solve practical problems. It is used to provide solutions to everyday problem. Most nursing studies are applied research. • Basic or pure research: main motivation is to expand knowledge driver by the researchers curiosity

TYPES OF RESEARCH • Correlational research: is systematic study of relationship between two variables without establishing cause and effect. • Descriptive research : provides accurate picture of characteristics of individual situation or group. • Descriptive studies are a means of discovering new meanings, describing what exists, determining frequency of occurrence and categorizing events

TYPES OF RESEARCH • Experimental research: an objective systematic controlled investigation for the purpose of predicting and controlling phenomena and examining the probability and causality among variables. • Historical research involves examining events that occurred in the past remote or recent

PHASES OF THE RESEARCH PROCESS • Problem definition • Literature review • Selection of research design, subjects, and data collection techniques • Data gathering • Data processing and analysis • Research Report • Dissemination of findings

POSSIBLE AREAS OF RESEARCH • Nursing diagnosis : Diagnostic labels are constantly been reviewed to create new diagnostic labels (see pp 42, 43 of the book) • an announcement is usually made and interested researchers clinicians that have made observations will apply. • Usually after a thorough search of the literature to provide evidence and support for their observations.

POSSIBLE AREAS OF RESEARCH • Nursing Intervention: as nurses observe interaction between intervention and outcome • Problems should be identified is the identified intervention giving projected outcomes • If yes what are associated factors ? • if not what are the associated factors are client’s factors influencing issues

POSSIBLE AREAS OF RESEARCH • Nursing outcomes should also be observed for reliability and deviations • We should always observe differences and apply critical thinking to establish problems for research • We may also identify the influence of cultural differences as SNLs are being refined

POSSIBLE AREAS OF RESEARCH • Other possible areas for research is documentation of use, convenience, understanding of the process by nurses. • Participants to identify possible areas for research. …. .

IMPORTANCE OF RESEARCH TO SNL UTILIZATION • Continued development, testing, and refinement (RESEARCH) of SNLs offer nursing an accurate and reliable way to use data elements across populations and settings to communicate nursing practice, • enable nursing administrators and leaders in health care to explain with evidence needed resources, • cost out nursing care with greater precision, • and design new models of care that reflect nursepatient ratios and patient acuity that are data driven (Pesut & Herman, 1998).

IMPORTANCE OF RESEARCH TO SNL UTILIZATION • Data generation for research and findings will provide the needed evidence that would help link nursing knowledge to evidence-driven, cost-effective, quality outcomes • Research findings will more accurately reflect nursing's impact on patient care as well as the health care system. • The evaluation of research to support the development, use, and continued refinement of nursing language is critical to research and the transformation of patient care by nurses on a global level.

PUBLISHED WORKS • Assessing the use of the NANDA-International nursing diagnoses at the Obafemi Awolowo University Teaching Hospitals Complex, Ile Ife, Nigeria. • Student nurses' perceived use of NANDA-I nursing diagnoses in the community setting in Ife, Osun state, Nigeria. • Nursing documentation: Experience of the use of the nursing process model in selected hospitals in Ibadan, Oyo State, Nigeria • Evaluation of the utilization of nursing process and patient outcome in psychiatric nursing: Case study of psychiatric Hospital. Rumuigbo, Port Harcourt

PUBLISHED WORKS • Professional Nurses’ perception of the nursing process at the University of Calabar Teaching Hospital (UCTH), Calabar, Nigeria. • Factors that hinder the implementation of Nursing Process: A case study in Ebonyi state. • Evaluation of the Implementation of Nursing Process among Nurse Clinicians in Kaduna • Evaluation of the challenges of nursing process at the university of Abuja • Factors affecting the Use of Nursing Process In Health Institutions In Ogbomoso Town, Oyo State • Factors Influencing The Utilization Of The Nursing Process In Ogun State, Nigeria.

PUBLISHED WORKS • Impact of an educational program on the use of Standardized Nursing Languages for Nursing documentation among Public Health nurses in Nigeria. • Student nurses’ perceived use of nanda-i nursing diagnoses in the community setting. International Journal of Nursing Knowledge,

DISADVANTAGES OF NOT CONDUCTING RESEARCH AND NOT PUBLISHING RESEARCH FINDINGS Participants to provide answers!!!

DISADVANTAGES OF NOT CONDUCTING RESEARCH AND NOT PUBLISHING RESEARCH FINDINGS • Generated data will be wasted • Generated data may be used by others to their own advantage • No improvement of the language • It may become irrelevant • The objective of giving Nursing a focus will not be achieved • Non visibility of nursing in health care literature

WHO CAN CONDUCT RESEARCH • REFERENCE TO SLIDE 8 FOR DISCUSSION

WHO CAN CONDUCT RESEARCH • Nurses in clinical nursing are eligible because they produce the data most of the times. • Nurse administrators • Nurse educators • Community / Public health nurses • Maternal and child health nurses • Nurse researchers

Way forward!!! • As we commence the use of NANDA NNN IN Oyo state the pace setter……. There is need to expose • All categories of nurses should be exposed to research workshop so that they are equipped for the task of conducting research.

CONCLUSION In conclusions we have explored the concept and use of Standard Nursing Languages, the link with research, importance and disadvantages of not conducting research. We are poised to set the pace so we expect to see published works from Oyo state

Thank you for listening Abimbola Oluwatosin