evaluation and policy in transforming nursing martha ann carey, phd, rn kells consulting, media, pa,...
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![Page 1: Evaluation and Policy in Transforming Nursing Martha Ann Carey, PhD, RN Kells Consulting, Media, PA, USA 1 st International Nursing Conference Kuching,](https://reader031.vdocument.in/reader031/viewer/2022013108/56649dc85503460f94abd394/html5/thumbnails/1.jpg)
Evaluation and Policy in
Transforming Nursing
Martha Ann Carey, PhD, RNKells Consulting, Media, PA, USA
1st International Nursing ConferenceKuching, Sarawak, Malaysia
2014
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Pressures From
• Advances in health sciences and technology
• Increased complexities in morbidities
• Complicated health care systems
• Changing women’s roles
© Carey 2014
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To Respond and Manage Change
• A broad perspective– Global, national, regional – Societal norms and expectations, beyond nursing– Professional standards
• Local situation– Organizational policies– Resources
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Transforming or Evolving?
• Transforming – Implies substantial, basic change– History of caring – Addition of science base, theoretical frameworks,
evidence-based practice
• Evolving – Adding to the basic structure– Include science/research and caring tradition
© Carey 2014
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Policy• High level rules – Embedded in legislation or local regulations– Focus on national or broad issues
• Research results knowledge policy
• Allocation of resources
• Enables & constrains practice– Intended to be of service for the public good
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Programs
• Based on research, generally
• System level focus
• Environment & sustainability
• Cost benefit
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Practice
• Implementation at local level
• Possibly evaluation
• Monitor performance indicators
• Focus generally at the patient level
© Carey 2014
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Two Components of Research
• Doing research to develop knowledge– Quantitative– Qualitative– Mixed methods
• Using research results– “Translating”– Efficacy and effectiveness– Adopting vs adapting• Fidelity vs salience, rigor AND relevance
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Credibility
• Bestowed by audience – Different audiences hear differently, based on
expectations & history
• Necessary for utilization and sustained support
• Facilitated by apparent use of agreed upon norms
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Evaluation
• Formative and summative– Develop & refine useful practices (i.e., EBP)
• Evaluation and research - overlap– Program evaluation & evaluation research
• Theories and models, in addition to traditional science methods
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Developmental Evaluation
• Patton, 2011 – As contrasted with formative & summative
• Complex, uncertainty, innovation– Explore dynamics of complex system– Stable vs oscillating or continuing– Feedback to support development, not focus on
the end outcome
© Carey 2014
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Policy - Recent Emphasis
• Translation
– Links science, policies, and programs• “Science to service”, “bench to bedside”
– Community, patient, and family involvement
– Models are being developed
© Carey 2014
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National Center for Advancing Translational Science (NCATS), NIH
• Accelerate the use of scientific discovery – Basic science patient studies clinical practice– Using an integrated approach – Common goals
• Sharing information at each stage ensures – Researchers are meeting community health needs – Problems in the clinic informs work in the
laboratory
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“Convergence Model” US National Academy of Science
• Expanded form of interdisciplinary research
• Paradigm capable of generating new ideas, discoveries, methodologies
• Conceptual approaches and tools that stimulate advances in basic research and application
• Leads to new inventions, innovations, treatment protocols, and strategies for education & training
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National Academy of Science, 2014
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Resistance to Change
• From nurses -“Old School/Old Guard”
– Seen as risky, not appropriate
–Questionable rewards
• Other professions - “turf” wars
© Carey 2014
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What are Nursing’s Role and Responsibility?
• Recognize the opportunity to continue to develop– Who to collaborate with, and how to do this– Identify resources and plan– Include evaluation & dissemination
• Input to policy
© Carey 2014
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Implications for Nursing
• Blend of clinical, organizational, economic, and leadership skills – Advanced degree professionals at the clinical level
and academic level
• Critique nursing and other clinical scientific findings, and design care delivery • Acceptable and economically feasible• Significantly impacts health care outcomes
© Carey 2014
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Balance Caring and Transforming
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Terima Kasih
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• Patton, M.Q. (2011). Developmental evaluation: Applying complexity concepts to enhance innovation and use. New York, NY: Guilford
• The National Academies Press at http://www.nap.edu/catalog.php?record_id=18722
© Carey 2014