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The relationship between characteristics of context and research utilization in a pediatric setting.

Cummings GG, Hutchinson AM, Scott SD, Norton PG, Estabrooks CA - BMC Health Serv Res (2010)

Bottom Line: Statistically significant differences in nurses' perceptions of culture, leadership and evaluation, and self-reported conceptual research use were found across the three units.Higher self-reported instrumental and conceptual research use by all nurses in the sample was associated with more positive perceptions of their context.Overall, the results of this study lend support to the view that more positive contexts are associated with higher reports of research use in practice.

View Article: PubMed Central - HTML - PubMed

Affiliation: Faculty of Nursing, 3rd Floor, Clinical Sciences Building, University of Alberta, Alberta, AB T6G 2G3, Canada. gretac@ualberta.ca

ABSTRACT

Background: Research utilization investigators have called for more focused examination of the influence of context on research utilization behaviors. Yet, up until recently, lack of instrumentation to identify and quantify aspects of organizational context that are integral to research use has significantly hampered these efforts. The Alberta Context Tool (ACT) was developed to assess the relationships between organizational factors and research utilization by a variety of healthcare professional groups. The purpose of this paper is to present findings from a pilot study using the ACT to elicit pediatric and neonatal healthcare professionals' perceptions of the organizational context in which they work and their use of research to inform practice. Specifically, we report on the relationship between dimensions of context, founded on the Promoting Action on Research Implementation in Health Services (PARIHS) framework, and self-reported research use behavior.

Methods: A cross-sectional survey approach was employed using a version of the ACT, modified specifically for pediatric settings. The survey was administered to nurses working in three pediatric units in Alberta, Canada. Scores for three dimensions of context (culture, leadership and evaluation) were used to categorize respondent data into one of four context groups (high, moderately high, moderately low and low). We then examined the relationships between nurses' self-reported research use and their perceived context.

Results: A 69% response rate was achieved. Statistically significant differences in nurses' perceptions of culture, leadership and evaluation, and self-reported conceptual research use were found across the three units. Differences in instrumental research use across the three groups of nurses by unit were not significant. Higher self-reported instrumental and conceptual research use by all nurses in the sample was associated with more positive perceptions of their context.

Conclusions: Overall, the results of this study lend support to the view that more positive contexts are associated with higher reports of research use in practice. These findings have implications for organizational endeavors to promote evidence-informed practice and maximize the quality of care. Importantly, these findings can be used to guide the development of interventions to target modifiable characteristics of organizational context that are influential in shaping research use behavior.

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Nurses' instrumental and conceptual research use according to context category, by unit.
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Related In: Results  -  Collection

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Figure 1: Nurses' instrumental and conceptual research use according to context category, by unit.

Mentions: Figure 1 illustrates for each unit, the patterns described above for nurses' self-reported instrumental and conceptual research use along with the 95% confidence interval according to the four context categories. For both instrumental and conceptual research use, a general pattern of increasing degrees of research use was associated with more positive perceptions of context across all three units. The highest levels were associated with high perceptions of context across all units with the exception instrumental research use in Unit A as previously described.


The relationship between characteristics of context and research utilization in a pediatric setting.

Cummings GG, Hutchinson AM, Scott SD, Norton PG, Estabrooks CA - BMC Health Serv Res (2010)

Nurses' instrumental and conceptual research use according to context category, by unit.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2908612&req=5

Figure 1: Nurses' instrumental and conceptual research use according to context category, by unit.
Mentions: Figure 1 illustrates for each unit, the patterns described above for nurses' self-reported instrumental and conceptual research use along with the 95% confidence interval according to the four context categories. For both instrumental and conceptual research use, a general pattern of increasing degrees of research use was associated with more positive perceptions of context across all three units. The highest levels were associated with high perceptions of context across all units with the exception instrumental research use in Unit A as previously described.

Bottom Line: Statistically significant differences in nurses' perceptions of culture, leadership and evaluation, and self-reported conceptual research use were found across the three units.Higher self-reported instrumental and conceptual research use by all nurses in the sample was associated with more positive perceptions of their context.Overall, the results of this study lend support to the view that more positive contexts are associated with higher reports of research use in practice.

View Article: PubMed Central - HTML - PubMed

Affiliation: Faculty of Nursing, 3rd Floor, Clinical Sciences Building, University of Alberta, Alberta, AB T6G 2G3, Canada. gretac@ualberta.ca

ABSTRACT

Background: Research utilization investigators have called for more focused examination of the influence of context on research utilization behaviors. Yet, up until recently, lack of instrumentation to identify and quantify aspects of organizational context that are integral to research use has significantly hampered these efforts. The Alberta Context Tool (ACT) was developed to assess the relationships between organizational factors and research utilization by a variety of healthcare professional groups. The purpose of this paper is to present findings from a pilot study using the ACT to elicit pediatric and neonatal healthcare professionals' perceptions of the organizational context in which they work and their use of research to inform practice. Specifically, we report on the relationship between dimensions of context, founded on the Promoting Action on Research Implementation in Health Services (PARIHS) framework, and self-reported research use behavior.

Methods: A cross-sectional survey approach was employed using a version of the ACT, modified specifically for pediatric settings. The survey was administered to nurses working in three pediatric units in Alberta, Canada. Scores for three dimensions of context (culture, leadership and evaluation) were used to categorize respondent data into one of four context groups (high, moderately high, moderately low and low). We then examined the relationships between nurses' self-reported research use and their perceived context.

Results: A 69% response rate was achieved. Statistically significant differences in nurses' perceptions of culture, leadership and evaluation, and self-reported conceptual research use were found across the three units. Differences in instrumental research use across the three groups of nurses by unit were not significant. Higher self-reported instrumental and conceptual research use by all nurses in the sample was associated with more positive perceptions of their context.

Conclusions: Overall, the results of this study lend support to the view that more positive contexts are associated with higher reports of research use in practice. These findings have implications for organizational endeavors to promote evidence-informed practice and maximize the quality of care. Importantly, these findings can be used to guide the development of interventions to target modifiable characteristics of organizational context that are influential in shaping research use behavior.

Show MeSH