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Nursing research in the hospital and beyond
Summary
This study redefines nursing practice beyond hospital walls, emphasizing nurses as originators and leaders in diverse healthcare settings. It proposes a framework for nursing research that integrates and maximizes resources across the continuum of care.
Area of Science:
- Nursing Science
- Healthcare Systems Research
Background:
- Nursing practice is often confined to hospital settings, limiting its scope.
- The healthcare experience extends beyond episodic hospitalizations, involving various external sites.
- Traditional nursing roles are often viewed as implementers and team members, not originators or leaders.
Purpose of the Study:
- To conceptualize 'outside' as integral to the nursing system of care.
- To explore how nursing transcends traditional roles and relationships.
- To present a framework for nursing research that supports this expanded view.
Main Methods:
- Conceptual analysis of nursing practice settings and roles.
- Development of a framework for nursing research.
- Illustrative scenarios demonstrating research strategies.
Main Results:
- Nursing encompasses settings beyond the hospital within a larger care continuum.
- Nurses can and should be conceptualized as originators and leaders, not just implementers.
- A framework for nursing research is proposed, focusing on resource integration and maximization.
Conclusions:
- Nursing's influence extends beyond the hospital, encompassing a broader continuum of care.
- Nursing research should adopt a framework that acknowledges nurses' roles as originators and leaders.
- Strategies for nursing research can leverage existing resources for greater impact.