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6 Nursing Research
Pages 123-146

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From page 123...
... The lack of nurses with doctorates to serve as faculty exercises a qualitative, as well as quantitative constraint on the continued growth of doctoral programs in nursing. There does not appear to be any substantial amount of support available for training in nursing research other than that provided by the Division of Nursing, BRSA, under the NRSA program.
From page 124...
... Dependent variables usually involve client outcomes, and studies often employ experimental methods; 4. Nursing profession research, which addresses the nurse as a professional, with studies of cognitive, attitudinal, and behavioral characteristics of nurses which may influence nursing practice; Nursing services administration research, which investigates the structure in which nursing care is provided as well as the physical and social environment in which nurses and clients interact; Nursing education research, which is concerned with the educational process, including studies of the curriculum and student-faculty interaction; and 6.
From page 125...
... 4~. In one clinical study, premature infants were given finger sucking opportunities twice a day, which appeared to promote neuromuscular coordination, alert activity, alert inactivity, and deep sleep (Anderson and Vidyasagar, 1979, cited in Barnard, 1984~.
From page 126...
... The stated purpose of the Nursing Research Grants Program is "to enlarge the body of scientific knowledge that underlies nursing practice, nursing education, and nursing services administration; and to strengthen these areas through the utilization of such knowledge." Principal investigators need not be nurses. The NRS/DPN projects, however, are specifically designed for schools of nursing that offer doctoral programs.
From page 127...
... Fundamental research provides basic knowledge about the person before intervention; nursing practice research looks at the interaction between the nurse and the patient. Examples of some recent projects include "Models of Newborn Nursing Services," "Stress Response: Assessment and Change," and "Acute Confusional States in Elderly Patients." Table 6.2 shows the earned doctorates of principal investigators (PIs)
From page 128...
... Two million dollars have been appropriated for PY 1985 and about 170 trainees and fellows are expected to be supported. To be eligible under the predoctoral and postdoctoral Nurse Fellowship Program, applicants must be registered professional nurses with an active license and a degree in nursing at the appropriate level.
From page 129...
... i Includes $1,000,000 appropriated for the Nursing Research Grants Program in urgent supplemental appropriation. i Minus $4,355 retained for BHPr evaluation activities.
From page 130...
... 130 3.6 3.2 2.8 2.4 An 2 . 0 I_ Appropriated of Awa rded : 1.6 0.8 i' 60 62 64 66 68 70 72 PI SCAL YEAR 74 76 78 80 82 84 FIGURE 6~1 Funding for nursing research "rants and contracts, 1960-83 (1972 $, millions)
From page 131...
... Of approved applicants in 1984, 66 percent were in the nursing discipline. Among the stated research interests of 1984 awardees were "Coping with Spinal Cord Injuries and Rehabilitation," "Psychometric Methods for Nursing Research," "Nursing Care Delivery Systems in Rural Areas, n and "Nursing Strategies in Infection Prevention of Cancer Patients." It is estimated that approximately 1,000 individuals have received training grants in the area of nursing since the inception of the NRSA awards.
From page 132...
... 2. Nursing care research: research directed to understanding the nursing care of individuals and groups and the biological, physiological, social, behavioral, and environmental mechanisms influencing health and disease which are relevant to nursing care.
From page 133...
... Number of Awards 21 20 19 15 8 5 2 l l 108 TABLE 6.8 NIH-Funded Extramural Projects in Nursing Research or with Nursing Research Components, by Supporting Unit, FY 1983 Institute/Division Nat'l. Cancer Institute Nat'l.
From page 134...
... TABLE 6.9 NIH-Funded Extramural Projects in Nursing Research or with Nursing Research Components, by Focus of Award and Type of Investigator, FY 1983 All Nurse Principal Investigators Principal Investigators Non-Nurse Principal Investigators $ % of $ % of $ % of Focus of Award N Funded Total $ N Funded Total $ N Funded Total $ Research 6 63,930 1 6 63,930 4 Nursing Care 54 4,130,813 62 13 694,658 50 41 3,436,155 66 Clinical Training 21 448,224 7 3 237,659 17 18 210,585 4 Development of Researchers 1 386,000 6 1 386,000 27 Other 26 1,617,695 24 5 29,078 2 21 1,S88,617 30 TOTAL 108 6,646,682 100 28 1,411,32S 100 80 S,23S,3S7 100 (100%)
From page 135...
... Researchers compete for awards with others in the VA. VA nurses seek and receive outside support as well; sources include HHS's Division of Nursing, the American Nurses' Foundation, Sigma Theta Tau, and various pharmaceutical companies.
From page 136...
... Research subjects have included "Increasing Communication Ability in Stroke Patients," ''Program to Improve Health Outcomes for Teenage Mothers and Their Infants, n "Survey of the Role of Nurse Midwives in United States Health Care, and "Sources of Nurse Satisfaction and Nursing Shortages in Hospitals." The Clinical Nurse Scholars Program supports individual researchers during two-year postdoctoral fellowships for advanced, in-hospital clinical practice and research. Scholars are based at the academic health centers of one of three institutions: the University of California, San Francisco; the University of Pennsylvania; or the University of Rochester.
From page 137...
... Local chapters of Sigma Theta Tau commonly make a small number of research awards each year, usually not exceeding $1,000, to their members. NURSES WITH DOCTORAL DEGREES Doctorate Degrees Awarded The number of nurses receiving doctorates each year has been accelerating since 1978 (Figure 6.2~.
From page 138...
... 37~. Doctoral Programs in Nursing The number of doctoral programs in nursing also has been increasing steadily over the past 20 years (Figure 6.3~.
From page 139...
... TABLE 6.11 Doctoral Programs in Nursing, 1983-84 Degree Granted Ph.D.
From page 140...
... Nurse Faculty with Doctorates In nursing education programs, the number of faculty members who hold doctorates has been increasing but still is a small proportion of the total faculty (Figure 6.5~. In 1982, only 8.4 percent of all full-time nurse-faculty members held doctorates; 16.1 percent of those employed in programs offering the baccalaureate and higher degrees held the doctorate.
From page 141...
... accounted for the other specified employment settings of nurses with doctorates. In institutions having both baccalaureate and higher degree programs in 1982, about 20 percent of full-time nurse faculty were assigned exclusively to the graduate programs, and another 18 percent were assigned part-time to graduate programs and part-time to baccalaureate programs.
From page 142...
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From page 143...
... 143 ·~ AD ._ I a o a CQ ~5 a Cal o IS .
From page 144...
... We agree with these findings. nurses with doctorates, · ~ ~ ~ _ ~ e ~ ~ ~ The low rate of unemployment of the low percentage of nurse faculty members wean aoccorates, ana one rapid growth in the number of doctoral programs in nursing lead the committee to conclude, even in the absence of numerical projections, that there is and will continue to be unfilled demand for researchers in this area.
From page 145...
... The importance of the problems addressed in nursing research, the continued demand for nurse faculty with research training, and the growing pool of fellowship applicants all indicate that nursing research is a rapidly developing area. Research training levels should be raised from the current number (168 in FY 1985)


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