1. Copyright © 2008 Delmar. All rights reserved. Chapter 19 Public Health Nursing Research

2. Copyright © 2008 Delmar. All rights reserved. 2 Research in Public Health Nursing Pioneer Lillian Wald –Engaged in three critical experiments: 1.Invention of public health nursing generalist role 2.Establishment of a nationwide insurance payment system for home care 3.Creation of a national public health nursing service

3. Copyright © 2008 Delmar. All rights reserved. 3 Role of the Public Health Nurse Varies based on educational background, expertise, and job expectations –Quad council identified two levels Staff nurse/generalist Manager/specialist/consultant –Analytic assessment

4. Copyright © 2008 Delmar. All rights reserved. 4 Research, Nursing Process, Epidemiology, and Quality Assurance Involve critical thinking and problem solving Nursing process –Assess, plan, intervene, evaluate, revise

5. Copyright © 2008 Delmar. All rights reserved. 5 Research, Nursing Process, Epidemiology, and Quality Assurance Researcher uses the following: –Defines problem –Chooses a research design –Implements a study –Evaluated findings Descriptive epidemiology

6. Copyright © 2008 Delmar. All rights reserved. 6 Research, Nursing Process, Epidemiology, and Quality Assurance Quality assurance programs –Benchmark Randomized control trial Institutional Review Board (IRB)

7. Copyright © 2008 Delmar. All rights reserved. 7 Research Priorities in Public Health Nursing Two major areas stem from Healthy People 2010 1.How do we increase the quality and years of healthy life? 2.How do we eliminate health disparities?

8. Copyright © 2008 Delmar. All rights reserved. 8 Research Priorities in Public Health Nursing National Institute of Nursing Research provides guidance for priorities in research

9. Copyright © 2008 Delmar. All rights reserved. 9 Research Designs Qualitative studies –Individual interviews from a target group –Use of focus groups

10. Copyright © 2008 Delmar. All rights reserved. 10 Research Designs Quantitative studies –Descriptive –Correlational –Quasi-experimental –Experimental

11. Copyright © 2008 Delmar. All rights reserved. 11 Outcomes Research Related to Public Health Nursing Practice Nursing Outcomes Classification (NOC) –Provides a comprehensive classification system of outcomes –Three level coding system: 330 nursing outcomes, 29 classes, 7 domains –Community well-being –Community health protection

12. Copyright © 2008 Delmar. All rights reserved. 12 Outcomes Research Related to Public Health Nursing Practice Omaha system developed by visiting nurse association in Omaha, Nebraska

13. Copyright © 2008 Delmar. All rights reserved. 13 Outcomes Research Related to Public Health Nursing Practice Consists of: –Problem classification scheme –Problem rating scale

14. Copyright © 2008 Delmar. All rights reserved. 14 Outcomes Research Related to Public Health Nursing Practice Consists of: –Intervention scheme with four broad domains 1.Environmental 2.Psychosocial 3.Physiological 4.Health-related behaviors

15. Copyright © 2008 Delmar. All rights reserved. 15 Evaluating Research for Evidence-Based Practice Completing a critique –Research critique guidelines for qualitative studies (See box 19-3) –Research critique guidelines for quantitative studies (See box 19-4)