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When people think about medical research, they often think about cutting-edge surgical procedures and revolutionary new medications. As important as those advancements are, another type of research is just as vital: nursing research.
This type of research informs and improves nursing practice. In many cases, it’s focused on improving patient care. Experienced nurses who have advanced nursing degrees and training in research design typically conduct this research.
Nurse research can explore any number of topics, from symptomology to patient diet. However, no matter the focus of a research project, nurse research can improve health care in an impressive number of ways. As experts in their field, nurse researchers can pursue a wide range of unique career advancement opportunities .
Research drives innovation in every industry. Given that nurses are on the front line of the health care industry, the research they do can be particularly impactful for patient outcomes.
Patients diagnosed with life-threatening chronic diseases often undergo intense treatments with sometimes debilitating side effects. Nursing research is vital to helping such patients maintain a high quality of life.
For example, a 2018 study led by a nurse scientist explored why cancer patients undergoing chemotherapy frequently experience severe nausea. While the physical toll of chemotherapy contributes to nausea, the study found that patients who have factors such as children to take care of, high psychological stress, and trouble performing day-to-day tasks are often much more likely to experience nausea.
By identifying the root causes of nausea and which patients are more likely to experience it, this research allows health care professionals to develop evidence-based care practices . This can include prescribing anti-nausea medications and connecting patients to mental health professionals.
A Gallup survey reports that about 38% of Americans put off seeking medical treatment due to costs. Unfortunately, cost is only one factor that prevents people from seeking treatment. Many Americans don’t live close to medical providers that can meet their needs, aren’t educated about health, or encounter discrimination.
As complex as this issue is, the National Institute of Nursing Research (NINR) asserts that the country’s nurse researchers can lead the charge in tackling it. In its strategic plan for 2022 to 2026, the institute highlights the following:
These traits put nurses in the position to not only research health inequity but also put their research to work in their organizations. To help make that happen, NINR often funds nurse-led research projects focused on equity and social determinants of health. With that kind of backing, the field may become more transformative than ever.
While nursing research can be used to improve patient care, it can also be leveraged to solve issues health care professionals face daily. Research about the state of the health care workforce during the COVID-19 pandemic is a perfect illustration.
In 2022, a team of nurse researchers published a report called Nursing Crisis: Challenges and Opportunities for Our Profession After COVID-19 in the International Journal of Nursing Practice . In it, the authors provided concrete statistics about the following:
As nurses themselves, the authors also offer actionable, evidence-based solutions to these issues, such as streamlining patient documentation systems and implementing employee wellness programs.
However, this type of research isn’t just important to solving workforce issues stemming from specific emergencies, such as the COVID-19 pandemic. By publishing quantifiable data about the challenges they face, nurse researchers empower other nurses and professional nursing organizations to advocate for themselves. This can help employers enact effective policies, support their nursing staff, and draw more talented people into the profession.
Nurse researchers can work in any number of administrative, direct care, and academic roles. However, because nurse research often requires clinical care and data analysis skills, jobs in this field typically require an advanced degree, such as a Master of Science in Nursing (MSN).
While many more nurse research career opportunities exist, here are four career paths nurses with research experience and advanced degrees can explore.
Nurse researchers identify issues related to nursing practice, collect data about them, and conduct research projects designed to inform practice and policy. While they often work in academic medical centers and universities, they can work for any type of health care provider as well as health care advocacy agencies.
In addition to conducting research, these professionals typically provide direct patient care. Many also write papers for peer-reviewed journals and make presentations about their work at conferences.
Despite having a similar title to nurse researchers, clinical research nurses have slightly different responsibilities. These professionals are usually in charge of providing care to patients participating in medical research projects, including clinical trials and nursing research initiatives. They also typically collect data about patient progress, coordinate care between different team members, and contribute to academic papers.
Also referred to as environmental health nurses, occupational health nurses serve specific communities, such as professionals in a particular industry or people who live in a particular area. They often educate their communities about relevant health risks, advocate for stronger health and safety regulations, and run wellness programs.
To carry out their duties, occupational and environmental health nurses must typically research health trends about the people they serve, including living and working conditions that put them at risk for illness or injury. They can work for private companies and government agencies.
Nurse educators prepare new nurses to enter the workforce or train experienced nurses in more advanced techniques. This can include teaching classes and providing on-the-job training. They often work for colleges, universities, and large health care providers.
While their duties don’t always include research, nurse educators must keep up with the health care industry’s needs and new patient care practices. This is so they can provide relevant education themselves and help their organizations design up-to-date curricula.
Conducting and implementing nurse research is a collaborative effort. It takes a team of informed leaders, skilled analysts, and creative educators to create effective, evidence-based policies. Those interested in pursuing nurse research should consider The University of Tulsa’s online MSN program , which can prepare you to fill any one of those roles and more.
All of TU’s MSN students take classes on research and evidence-based practices. However, the program’s specialty tracks allow students to take their studies in multiple research-oriented directions. For instance, if you’re interested in collecting and interpreting clinical data, you can choose the Informatics and Analysis track. If you have a passion for public health policy, the Public Health and Global Vision track includes classes on population health and epidemiology.
Delivered in a flexible online format, this program can be a great option for working nurses and nontraditional students alike. To find out more, read about TU’s admission policies and request more information today.
Recommended Readings
A Nurse Educator’s Role in the Future of Nursing
How Global Health Nursing Supports Population Health
What Can You Do With an MSN?
Gallup, “Record High in U.S. Put Off Medical Care Due to Cost in 2022”
International Journal of Nursing Practice, “Nursing Crisis: Challenges and Opportunities for Our Profession After COVID‐19”
Journal of Pain Symptom Management , “Risk Factors Associated With Chemotherapy-Induced Nausea in the Week Prior to the Next Cycle and Impact of Nausea on Quality of Life Outcomes”
Mayo Clinic, Nursing
National Institute of Nursing Research, Scientific Strategy: NINR’s Research Framework
National Institute of Nursing Research, The National Institute of Nursing Research 2022-2026 Strategic Plan
University of Tulsa
Aug 23, 2024
Aug 21, 2024
Published 01 Jun 2022 - Updated 17 Mar 2023
Every treatment, intervention, medication, way of care, and aftercare in the medical field or health care system came from discoveries. This high quality of care we can experience today was not discovered overnight, but rather through years of effort by medical professionals who investigated the risk factors, causes, preventions, and treatments of diseases. This type of investigation is known as medical/health research.
The general definition of research is, 'an investigation that is intentionally designed to help develop or contribute to knowledge'. When you add a medical purpose to 'research', the general definition stays the same, but the goal becomes more specific. Ultimately, the goal shifts to a focus on increasing medical knowledge, improving patient care, developing new medicines or procedures, and enhancing the already existing medicines and procedures.
There are several forms of medical research being conducted today. Here are 3 common forms:
Why is research important in medicine? The simple answer is that medical research has led to many medical breakthroughs and developments. It would also strongly contribute to shaping the future of medicine.
Here's how:
Medical research has led to the development of diagnostic tools and technologies that allow for earlier and more accurate diagnoses of diseases.
For instance, breast cancer is one of the most common cancers worldwide. Medical research led to the development of an effective screening method known as mammography which has resulted in earlier detection and a 20% fall in mortality rates.
Another example is the development of pap smears for the early diagnosis of cervical cancer. This as well as caused a significant decrease in late presentation and mortality rates due to cervical cancer.
A host of other effective screening methods have been developed as a result of medical research such as genetic testing, imaging techniques, and so on.
Medical research has led to the development of new treatments for a wide range of diseases, such as cancer, allergies, HIV/AIDS, heart disease, and so on.
Research is essential to find out what treatments work best, and more specifically what treatments work best for what patient. It can provide important information about how effective a medical intervention is and its possible adverse effects. These interventions include drugs, vaccines, medical devices, and others.
By being specific with participant requirements, medical professionals can study how certain groups of people react to certain treatments . An example of this can be seen here at Infiuss Health. As a CRO in Africa, we at Infiuss Health focus on the demographics of the continent to ensure people of African ancestry receive effective care.
Medical research would lead to newer developments in medicine such as personalized medicine and targeted therapies, that would ensure that each individual would have treatment options unique to them. Increasing research in this area is the only way to make this a reality in the future of medicine.
Medical research has contributed to the prevention of diseases such as polio, smallpox, and measles which caused the deaths of millions of people in the past.
Recently, following the Covid-19 pandemic, medical research led to the development of vaccines that gradually slowed down the progress of the disease.
Medical research has contributed to our understanding of public health issues and how to address them.
A typical example was in 1854 when there was an outbreak of cholera in the Golden Square Area in London. An Anaesthesiologist known as John Snow conducted an epidemiological study and found that the source of contamination was a public pump. When the contaminated pump was closed from public access, the outbreak of cholera ended.
Research provides important information about disease trends and risk factors, outcomes of treatment or public health interventions, functional abilities, patterns of care, and health care costs and use.
Economists have found that medical research can have an enormous impact on the quality of healthcare which in turn affects human health and longevity.
Healthy individuals tend to be more productive and that contributes greatly to the national economy. If the research enterprise is impeded, or if it is less robust, important societal interests are affected.
Covid-19 vaccine development, for example, contributed to the lifting of the lockdown in many countries and allowed individuals to resume work.
Compared to treatment, current research on disease prevention shows that preventive services are able to significantly reduce deaths and illnesses at reasonable costs. All of these findings have informed and influenced national budget planning and policy decisions.
The simple fact is that clinical research improves our lives. It leads to significant discoveries, improves health care, and ensures that patients receive the best care possible. It is what makes the development of new medicines and treatments possible, without it we would not be able to move forward in the development of medicine.
Infiuss Health, as a CRO in Africa, aims to make it easier to do more clinical trials/ medical research in Africa by use of technology and other means.
When you support, participate in, or conduct medical research, you are helping to continue to build the future of medicine.
Infiuss Health insights contains inspiring thought leadership on health issues and the future of health data management and new research.
Medical research is essential for the advancement of healthcare and the development of new treatments for diseases. It plays a crucial role in improving the lives of people around the world and saving countless lives.
One of the main benefits of medical research is the discovery of new treatments for diseases. Through research, scientists and medical professionals are able to identify new drugs, therapies, and procedures that can effectively treat or even cure diseases. For example, research has led to the development of new cancer treatments, such as targeted therapy and immunotherapy, which have greatly improved the survival rate of cancer patients.
Medical research also helps to improve the quality of life for people living with chronic conditions, such as diabetes and heart disease. Through research, scientists have been able to develop new techniques and technologies that help to manage these conditions, such as insulin pumps and pacemakers.
Medical research also plays a crucial role in the prevention of diseases. By understanding the causes of diseases, researchers can develop ways to prevent them from occurring in the first place. For example, research on the link between smoking and lung cancer has helped to reduce the number of people who smoke and has greatly reduced the number of deaths from lung cancer.
Another important aspect of medical research is the development of new diagnostic tools and techniques. With the help of research, scientists have been able to create new diagnostic tests and imaging techniques that help to detect diseases earlier and more accurately. This, in turn, allows for earlier treatment and better outcomes for patients.
Medical research also helps to reduce healthcare costs. By developing new treatments and therapies, research can help to reduce the need for expensive hospital stays and surgeries. It can also help to reduce the need for long-term care, which can be costly for both patients and their families.
In conclusion, medical research is essential for the advancement of healthcare and the development of new treatments for diseases. It plays a crucial role in improving the lives of people around the world and saving countless lives. The importance of medical research cannot be overstated and it should be continued to be supported and funded, so that we can continue to make progress in the fight against diseases.
Voyage Medical takes pride in advancing research. We are conducting a wide range of clinical studies. Make a difference and join us on our quest for better research. Clinical Research Tempe, Clinical Research Ahwatukee, Clinical Research Cave Creek, Clinical Research Chandler, Clinical Research Fountain Hills, Clinical Research Gilbert, Clinical Research Glendale, Clinical Research Maricopa, Clinical Research Mesa, Clinical Research Paradise Valley, Clinical Research Peoria, Clinical Research Phoenix, Clinical Research Queen Creek, Clinical Research San Tan Valley, Clinical Research Scottsdale, Clinical Research Sun City, Clinical Research Surprise, Clinical Research Tucson, Clinical Research Yuma, Clinical Research Near Me, Medical Research Tempe, Medical Research Ahwatukee, Medical Research Cave Creek, Medical Research Chandler, Medical Research Fountain Hills, Medical Research Gilbert, Medical Research Glendale, Medical Research Maricopa, Medical Research Mesa, Medical Research Paradise Valley, Medical Research Peoria, Medical Research Phoenix, Medical Research Queen Creek, Medical Research San Tan Valley, Medical Research Scottsdale, Medical Research Sun City, Medical Research Surprise, Medical Research Tucson, Medical Research Yuma, Medical Research Near Me. Call us at 480-306-5000 and join our research trials.
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Nih research matters.
December 22, 2021
Results with potential for enhancing human health.
With NIH support, scientists across the United States and around the world conduct wide-ranging research to discover ways to enhance health, lengthen life, and reduce illness and disability. Groundbreaking NIH-funded research often receives top scientific honors. In 2021, these honors included Nobel Prizes to five NIH-supported scientists . Here’s just a small sample of the NIH-supported research accomplishments in 2021.
Printer-friendly version of full 2021 NIH Research Highlights
Amid the sustained pandemic, researchers continued to develop new drugs and vaccines for COVID-19. They found oral drugs that could inhibit virus replication in hamsters and shut down a key enzyme that the virus needs to replicate. Both drugs are currently in clinical trials. Another drug effectively treated both SARS-CoV-2 and RSV, another serious respiratory virus, in animals. Other researchers used an airway-on-a-chip to screen approved drugs for use against COVID-19. These studies identified oral drugs that could be administered outside of clinical settings. Such drugs could become powerful tools for fighting the ongoing pandemic. Also in development are an intranasal vaccine , which could help prevent virus transmission, and vaccines that can protect against a range of coronaviruses .
One of the hallmarks of Alzheimer’s is an abnormal buildup of amyloid-beta protein. A study in mice suggests that antibody therapies targeting amyloid-beta protein could be more effective after enhancing the brain’s waste drainage system . In another study, irisin, an exercise-induced hormone, was found to improve cognitive performance in mice . New approaches also found two approved drugs (described below) with promise for treating AD. These findings point to potential strategies for treating Alzheimer’s. Meanwhile, researchers found that people who slept six hours or less per night in their 50s and 60s were more likely to develop dementia later in life, suggesting that inadequate sleep duration could increase dementia risk.
Developing new drugs can be costly, and the odds of success can be slim. So, some researchers have turned to repurposing drugs that are already approved for other conditions. Scientists found that two FDA-approved drugs were associated with lower rates of Alzheimer’s disease. One is used for high blood pressure and swelling. The other is FDA-approved to treat erectile dysfunction and pulmonary hypertension. Meanwhile, the antidepressant fluoxetine was associated with reduced risk of age-related macular degeneration. Clinical trials will be needed to confirm these drugs’ effects.
Pacemakers are a vital part of medical care for many people with heart rhythm disorders. Temporary pacemakers currently use wires connected to a power source outside the body. Researchers developed a temporary pacemaker that is powered wirelessly. It also breaks down harmlessly in the body after use. Studies showed that the device can generate enough power to pace a human heart without causing damage or inflammation.
Inflammatory bowel disease develops when immune cells in the gut overreact to a perceived threat to the body. It’s thought that the microbiome plays a role in this process. Researchers found that a fungus called Debaryomyces hansenii impaired gut wound healing in mice and was also found in damaged gut tissue in people with Crohn’s disease, a type of inflammatory bowel disease. Blocking this microbe might encourage tissue repair in Crohn’s disease.
Influenza, or flu, kills an estimated 290,000-650,000 people each year worldwide. The flu virus changes, or mutates, quickly. A single vaccine that conferred protection against a wide variety of strains would provide a major boost to global health. Researchers developed a nanoparticle-based vaccine that protected against a broad range of flu virus strains in animals. The vaccine may prevent flu more effectively than current seasonal vaccines. Researchers are planning a Phase 1 clinical trial to test the vaccine in people.
Lyme disease cases are becoming more frequent and widespread. Current treatment entails the use of broad-spectrum antibiotics. But these drugs can damage the patient’s gut microbiome and select for resistance in non-target bacteria. Researchers found that a neglected antibiotic called hygromycin A selectively kills the bacteria that cause Lyme disease. The antibiotic was able to treat Lyme disease in mice without disrupting the microbiome and could make an attractive therapeutic candidate.
More than 25 million people in the U.S. live with chronic pain. After a treatment called pain reprocessing therapy, two-thirds of people with mild or moderate chronic back pain for which no physical cause could be found were mostly or completely pain-free. The findings suggest that people can learn to reduce the brain activity causing some types of chronic pain that occur in the absence of injury or persist after healing.
2021 Research Highlights — Basic Research Insights >>
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During the past several decades, medical education research has advanced in many ways. However, the field has struggled somewhat with translating knowledge into practice. The field has tremendous potential to generate insights that may improve educational outcomes, enhance teaching experiences, reduce costs, promote equity, and inform policy. However, the gap between research and practice requires attention and reflection. In this commentary, the authors reflect on ways that medical education researchers can balance relevance and rigor, while discussing a potential path forward. First, medical education research can learn from implementation science, which focuses on adopting and sustaining best practices in real-world settings. Second, gaining a deeper understanding of the complex and dynamic ways that medical education contexts may influence the uptake of research findings into practice would facilitate the translation and mobilization of knowledge into practical settings. Third, moving from unilateral knowledge translation to participatory knowledge mobilization and engaging diverse stakeholders as active participants in the research process can also enhance impact and influence research findings. Overall, for medical education research to effect meaningful change, it must transition from producing generalizable findings to generating context-specific insights and embracing participatory knowledge mobilization. This shift will involve rethinking traditional research approaches and fostering collaboration with knowledge users to cocreate and implement innovative solutions tailored to their unique settings.
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MBR Program Guide
The MS in Biomedical Research (MBR) is a two-year, research-intensive program leading to completion of a Master's thesis. The program provides students with significant research experience and fundamental biomedical science knowledge that will prepare them for a career in academia or the biotechnology and pharmaceutical industry or for further study at the PhD level. Students can choose to pursue their MS degree in one of four disciplines: Genetics, Molecular & Cellular Biology; Immunology; Molecular Microbiology; or Neuroscience.
Students in the MS in Biomedical Research program will train alongside PhD students enrolled one of the four GSBS PhD programs. In this way, our MS students have access to the wide array of research laboratories available across GSBS. Students can explore molecular and cellular immunology, host defense to microbial disease, fundamental and applied genetics, cell and molecular biology and neuroscience as well as mechanisms of microbial disease.
Over 100 highly experienced faculty with dynamic research programs are available to our students. Laboratories are located on the Boston Health Science campus that is home to GSBS, Tufts School of Medicine, the USDA Human Nutrition Research Institute on Aging, The Friedman School of Nutrition Science & Policy, Tufts Medical Center, and Tufts School of Dental Medicine. Some laboratories are located on the Tufts Medford campus, which is home to the College of Arts & Sciences and the School of Engineering.
The MBR program provides students with a strong grounding in biomedical science through coursework and a journal club specifically designed for MBR students.
Students take classes with PhD students and have the opportunity to select advanced discipline-focused classes that deepen their understanding of key questions in their chosen discipline within the MBR.
Classes, journal club and seminars are supplemented with research laboratory rotations during the first two semesters of the program. Students then select a laboratory and work on their MS thesis project.
Our program is designed to be completed in May of the second year.
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Our program welcomes applications from US citizens, permanent residents, and international students.
Learn more about the admissions process .
Learn more about financing your education in the MS in Biomedical Research.
Visit the Basic Science MS Programs Finances Page .
GSBS welcomed the inaugural class of MBR students this fall.
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While the importance of physician research has been underscored, a shortage of qualified physicians engaged in research persists. Early exposure to research could potentially ignite medical students’ interest in research, thereby motivating them to pursue research-related careers.
The study aims to examine early research engagement and medical graduates’ interest in incorporating research into their future career paths.
This was a national cross-sectional survey administered in 2020, with 152,624 medical students from 119 medical schools in China completing it. We selected and resampled the graduates’ data, and the final sample included 17,451 respondents graduating from 101 medical schools.
For graduates engaged in research, 63.4% (3054) had the interest in integrating research into their future careers. Such interest in research did differ between medical graduates with and without research engagement by linear probability regression ( β , 0.50; 95%CI, 0.48 to 0.52), but did not differ in instrumental variable regression analysis ( β , 0.31; 95%CI, − 0.18 to 0.80). Furthermore, engaging in research significantly increased the top 50% of academically ranked graduates’ research interest in instrumental variable regression analysis ( β , 0.44; 95%CI, 0.01 to 0.86).
Contrary to expectations, research engagement does not necessarily enhance medical graduates’ interest in integrating research into their future careers. However, graduates with strong academic performance are more inclined to develop this research interest. In light of these findings, we propose recommendations for nurturing research interest within medical education.
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The research project was funded by the National Natural Science Foundation of China (Grant No. 72174013) and the China Scholarship Council (File No. 202208310033). The funders had no role in the design and development of the study protocol or the decision to publish.
Authors and affiliations.
School of Health Professions Education, Maastricht University, Maastricht, the Netherlands
Guoyang Zhang
Department of Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, People’s Republic of China
School of Public Health, Peking University, Beijing, People’s Republic of China
Xuanxuan Ma
Institute of Medical Education, Peking University, Beijing, People’s Republic of China
National Centre for Health Professions Education Development, Peking University, Beijing, People’s Republic of China
Xuanxuan Ma & Hongbin Wu
School of Medicine, The Fourth Affiliated Hospital of Zhejiang University, Yiwu, Zhejiang, People’s Republic of China
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HBW made substantial contributions to the study conception and design. HBW and GYZ conducted the data analyses and drafted the manuscript. HBW interpreted the results with the support from GYZ, LL, and XXM. XXM made editing contributions. All authors reviewed the final manuscript and have approved the final version.
Correspondence to Hongbin Wu .
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Zhang, G., Li, L., Ma, X. et al. Examining the Effect of Research Engagement on the Interest in Integrating Research into Future Career Paths Among Medical Graduates in China: An Instrumental Variable Analysis. Med.Sci.Educ. (2024). https://doi.org/10.1007/s40670-024-02152-3
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Accepted : 21 August 2024
Published : 29 August 2024
DOI : https://doi.org/10.1007/s40670-024-02152-3
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Nursing research has a tremendous influence on current and future professional nursing practice, thus rendering it an essential component of the educational process. This article chronicles the learning experiences of two undergraduate nursing students who were provided with the opportunity to become team members in a study funded by the National Institute of Nursing Research. The application process, the various learning opportunities and responsibilities performed by the students, and the benefits and outcomes of the experience are described. The authors hope that by sharing their learning experiences, more students will be given similar opportunities using the strategies presented in this article. Nursing research is critical to the nursing profession and is necessary for continuing advancements that promote optimal nursing care.
Throughout the 21st century, the role of nurse has evolved significantly. Nurses work in a variety of settings, including the hospital, the classroom, the community health department, the business sector, home health care, and the laboratory. Although each role carries different responsibilities, the primary goal of a professional nurse remains the same: to be the client's advocate and provide optimal care on the basis of evidence obtained through research.
Baccalaureate programs in the United States prepare students for entry-level nursing positions. The focus is to care for individuals throughout the human life span. Knowledge is acquired from textbooks, classroom and Web-based instruction, simulation, and clinical experiences. The goal of all programs is for students to graduate as safe, entry-level professionals, having received a well-rounded exposure to the nursing field. Students are exposed to evidence-based nursing practice throughout their curriculum; however, the allocated time for nursing research is often limited. Many programs require only one 3-credit hour course for nursing research. This amount of time is limited, despite the broad spectrum of nursing research and its influence on current and future nursing care.
Research is typically not among the traditional responsibilities of an entry-level nurse. Many nurses are involved in either direct patient care or administrative aspects of health care. Nursing research is a growing field in which individuals within the profession can contribute a variety of skills and experiences to the science of nursing care. There are frequent misconceptions as to what nursing research is. Some individuals do not even know how to begin to define nursing research. According to Polit and Beck (2006) , nursing research is:
systematic inquiry designed to develop knowledge about issues of importance to nurses, including nursing practice, nursing education, and nursing administration. (p. 4)
Nursing research is vital to the practice of professional nursing, and the importance of its inclusion during undergraduate instruction cannot be overemphasized. Only with exposure and experience can students begin to understand the concept and importance of nursing research.
The purpose of this article is to describe undergraduate students’ experiences of becoming aware of and participating in a federally funded research study from the National Institute of Nursing Research. As a part of funding for the study, which was an AREA award ( A cademic R esearch E nhancement A ward, R15 mechanism), there were designated opportunities for student involvement. The primary aim of the research study was to investigate the effects of gene-environment interactions on risk factors of preclinical cardiovascular disease in a cohort of 585 young adults who all had a positive family history of cardiovascular disease (i.e., essential hypertension or premature myocardial infarction at age 55 or younger in one or both biological parents or in one or more grandparents), verified in the medical record. Specific genes examined included cytochrome P-450, family 1, subfamily A, polypeptide 1; cytochrome P-450 2A; glutathione S-transferase mu 1; and glutathione S-transferase theta 1. Cardiovascular-dependent measures were diastolic blood pressure, endothelium-dependent arterial vasodilation, left ventricular mass indexed for body size, systolic blood pressure, and total peripheral resistance. The effects of ethnicity and gender were also explored.
The learning process began with the principal investigator (M.S.T.) of the study visiting the junior class (class of 2007) of baccalaureate students at the Medical College of Georgia. This particular student group was chosen due to their academic standing because they would have the chance to take full advantage of learning directly from a nurse researcher for one full year before graduation. The principal investigator briefly presented and discussed the growing field of nursing research, the advancements made by nursing research, and the critical role of nursing research to nursing practice. The principal investigator also presented an overview of the funded research study and extended an invitation to students to apply for two part-time positions on the grant that were designed specifically for nursing student involvement. Students recognized the excellent opportunity and were intrigued with the future possibilities. They understood this option was unique and appeared to be a great pathway for becoming an active participant in learning the nursing research process through involvement in an official nursing research study.
The principal investigator established objective criteria for the application process. The criteria included writing a maximum 1-page essay sharing the reasons why the students wanted to join the research project as a team member and also sharing their personal and professional goals for involvement in the study. Many students were interested; thus, it was a very competitive process. The principal investigator reviewed the essays and selected approximately 10 prospective individuals for an interview. The interview was an extension of the essay. At the interview, the principal investigator further described the positions, provided a detailed overview of the grant, and had the opportunity to gain a better understanding of the student candidates. The students were encouraged to ask questions to further understand the expectations of the prospective opportunity. The interview also provided the students with increased exposure to the study's goal and more familiarization with the expectations of the funded positions.
After the interview process was completed, two individuals were selected, per the grant specifications. The selected individuals described the interview process as a positive experience that helped solidify their desire to become involved in the research study. The principal investigator emphasized that this job opportunity was designed to be a learning experience in which the students would be guided through the entire research study process and become members of a multidisciplinary team. Time responsibilities for each student included approximately 6 hours per week. The principal investigator communicated clearly that the nursing baccalaureate program was the first priority for the students, and thus provided a flexible work schedule.
The students began working in early april 2006. The first step in the work experience included 6 weeks of funded orientation. This was their first exposure to the research process; thus, it was important for the students to be provided with a strong foundation. Orientation included attending a team meeting and being introduced to the members of the multidisciplinary team (i.e., biostatistician, cardiologist, geneticists, nurse researcher, and psychologist, all of whom served as co-investigators, and the genetic laboratory personnel); reviewing the grant application; completing the Collaborative Institutional Training Initiative (CITI) (2000) ; completing the Roche educational program on genetics; and touring the worksite facilities. Reviewing the grant gave the students a better understanding of the specific aims and objectives of the study and the intended procedures of the genetic laboratory work in which the students would be involved. The complexity of the grant required the principal investigator to further explain and clarify specific details. The CITI training, which is required by the institution's Office of Human Research Protection, was completed online and took approximately 5.5 hours. The CITI program was presented in a tutorial format, and satisfactory completion of numerous quizzes was required. The task was tedious and time consuming, but valuable and essential, as it increased the awareness of the established codes of conduct for research. At the conclusion of the CITI training, the students understood the necessary policies and procedures for maintaining security and confidentiality of human subjects, the legal and ethical issues regarding the research process, and the essential procedures for research conduct.
Although the students had a basic understanding of genetics, they completed the Roche Genetics Education Program (2004) to gain a deeper understanding. The program was direct and easy to navigate and was excellent for all learning styles, as it contained both visual and auditory explanations. The explanations covered both basic and complex genetic concepts. Through the use of the genetics program, the students were able to comprehend abstract genetic details and to further understand the importance and influence of genetics on personal health. To conclude the orientation process, students were taught basic laboratory procedures, such as polymerase chain reaction and restrictive enzyme digestion, which were used to perform genotyping for the study. After these procedures had been observed several times, the students were given the opportunity to acquire hands-on experience with these laboratory techniques. Each of these components of the orientation process provided the students with the needed foundation for becoming involved in the research study.
After approximately 2 months of orientation, the students were ready to begin working in the genetics laboratory. One of the primary responsibilities of the students would be to further learn and become confident with genotyping techniques. The laboratory was shared among research personnel of several funded studies, with various research experiments being conducted concurrently. The students, under the supervision of the principal investigator and geneticist (H.Z.), also worked with experienced research assistants to perform the genotyping. The students maintained a daily log describing the laboratory genotyping procedures and experiments, and these logs were reviewed at team meetings. Although the actual procedure for polymerase chain reaction seemed straightforward, the students quickly learned that quality control must be used. Sometimes during genotyping, the DNA samples did not produce results. The students discovered that there are numerous contributing factors to successful polymerase chain reaction, such as quality of DNA templates, primer specifications, temperature settings, gel conditions, pipette measuring accuracy, and general laboratory techniques. Even the slightest error could result in permanent DNA sample loss, major experiment failure, or DNA sample contamination.
The students met with the research team members frequently to discuss and troubleshoot potential solutions and problem solve techniques that would foster improving the success rate and productivity of the genotyping. From the laboratory experience, the students learned that every detail must be considered and addressed precisely and meticulously when conducting experiments. Sometimes the process became frustrating, but the students soon discovered that patience and persistence were the most important attributes for a laboratory researcher to possess. The laboratory experience was an excellent hands-on learning opportunity. The students no longer viewed research as strictly information gathered from a journal or textbook, but rather as a physical act that required extreme concentration, dedication, and determination.
After spending numerous months in the laboratory performing the required genotyping, the students had the opportunity to be exposed to another role of a nurse researcher. They performed literature reviews regarding the study. Although the students had written papers in their nursing school program that required literature citations, they were not familiar with all of the library resources available to them. In no time, the students learned which library and online resources had the most validity and what would be the most relevant to their study. The literature search results provided the students and principal investigator with information on new studies that had been conducted on gene-environment interactions regarding tobacco smoke exposure and cardiovascular disease. From the literature review experience, the students learned the importance of being selective and time efficient. Often when a search was first begun, thousands of articles were listed, but the students learned the importance of narrowing the searches to the specific areas of focus. After the students completed their searches, they met with the principal investigator, who provided direction on the articles identified as the most relevant to the study.
The students continued working with the principal investigator during data review, analysis, and preparation of dissemination of the results (i.e., the publishing process). They helped to prepare an abstract submission of the study presented at an international meeting ( Tingen et al., 2007 ). They also helped with the preparation of manuscripts of the study results. By the conclusion of their work experience, the students will have been exposed to and participated in the entire research process.
From the students’ perspectives, this opportunity was extremely beneficial. Prior to this experience, the students were not familiar with nursing research. Their original perception of research was that it was conducted by people with chemistry, biology, biochemistry, and genetic degrees in laboratories at major universities. They now realize that nursing and research can be combined and that optimal nursing care is dependent on the latest research findings. In addition, the students believe this opportunity has been beneficial in learning that nurse researchers are valuable to nurses in other settings. For example, one of the long-term goals of this research study is to develop appropriate interventions for children who are more susceptible to and at risk for the harmful effects of tobacco smoke due to their genetic heritage. The information obtained by a nurse researcher can be disseminated to nurses who work directly with the individuals to whom the research applies. Practice that has shown to be effective through research allows nurses to better advocate for patients and provide the best possible care. Although the majority of nurses who provide patient care will be consumers of nursing research, implementing evidence-based nursing practice is crucial to provide optimal nursing care. Information from nursing research has the potential to directly impact the care provided to patients in all health care settings.
Now that the students have had the opportunity to become more familiar with nursing research through involvement as team members, they recognize that their future professional possibilities are endless. Nursing research is an emerging and growing field in which individuals can apply their nursing education to discover new advancements that promote evidence-based care. They learned the research process and the important roles that each team member plays during the study phases of conception, design, implementation, analysis, and dissemination. Each aspect of the research process is important and contributes to the overall success of the study.
The students also discovered the benefit of trying new things. Prior to this experience, they had little exposure to the research process and nursing research. Consequently, they had to be receptive to learning and recognize that acquiring new knowledge was a gradual process. At times, the students felt anxious because all aspects were new, but they realized that without trying, they would never advance and feel comfortable with the research process. As the students reflected, they thought this was an excellent growing experience professionally, scholastically, and personally. In addition, this opportunity benefited the students’ peers through discussions and their sharing of work responsibilities, the research process, and the importance of evidence-based practice. As future nurses, the students are strong proponents of nursing research, and this experience has also broadened their horizons regarding future professional growth and opportunities. In addition, they have a better understanding of the importance of scientific evidence to support their clinical practice. As a result, the students thought that a stronger emphasis should be placed on nursing research in undergraduate baccalaureate education and that more students should have the opportunity to participate as team members in nursing research studies.
The students were almost one full year into nursing school and thought they had learned about all of the possibilities for their futures when they were first presented with this learning opportunity. They knew their future options were numerous and included working in acute care and community settings. They also realized they could further their education and pursue graduate degrees to include a master's degree and become an administrator, educator, clinical nurse specialist, nurse anesthetist, or nurse practitioner, or potentially pursue a doctorate. They did not know there was an emerging and growing field in which their nursing education could be applied and furthered—the area of research and the role of becoming a nurse researcher. Prior to this experience, students perceived their possibilities for a professional career in nursing were tremendous. Now by being involved in the entire process of conducting a federally funded research study, they realized their future professional possibilities are limitless.
The authors of this paper hope that by sharing their experience, they will encourage both nursing faculty and nursing students to not only introduce the research process into the nursing curriculum, but also to consider making nursing research a tangible and more integrated process. They think that a more beneficial approach to the introduction of research may be achieved through incorporating research-related content into each nursing course throughout the educational process. This could be conducted in addition to the current curriculum plan of many schools of nursing that require a single and concentrated 3-hour research course with a goal of research becoming a positive experience for students that is enthusiastically received as a new learning opportunity. In addition, students who are involved as team members in a funded research study may be provided with scheduled classroom opportunities for making progress reports to their peers. Also, the students could field questions regarding the research project and their experiences. These activities may foster increased learning and interest about research among the students’ classmates.
As nursing students are the future members of the nursing profession, and for the profession to continue to advance, nursing research must be the foundation of comprehensive, evidence-based clinical practice. This may only occur with increased exposure to nursing research. Therefore, it is critical that the future members of the nursing profession be exposed to, develop an appreciation for, and become more involved in nursing research, and thus incorporate its outcomes into the delivery of optimal professional nursing practice.
The lead author was awarded a grant (NR008871) from the National Institutes of Health, National Institute of Nursing Research.
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