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Open Access Unit Culture and Research-Based Nursing Practice in Acute Care La culture d'unité et la pratique infirmière fondée sur des données probantes en soins de courte durée

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The purpose of this multiple-case study of research utilization (RU) was to examine whether and how nursing practices in acute-care units are built on research and to identify potential explanations for the observed patterns. Open-ended data were collected from staff nurses and nursing leaders on 8 acute-care units through interviews and observation. RU varied within and across units, but unit culture emerged as the principal factor linked to patterns of RU. Unit-culture themes that formed the links were harmony of research perspective, motivation to learn, goal orientation, creativity, critical inquiry, mutual respect, and maximization of resources. The findings provide a rich description that could serve as a basis for self-assessment of unit culture in inpatient and outpatient acute-care units.

Cette étude de cas multiples sur l'utilisation de la recherche avait pour objectif d'examiner si, et de quelle manière, la pratique infirmière dans les unités de soins de courte durée se fonde sur la recherche, ainsi que de trouver des explications potentielles aux pratiques observées. Des données ouvertes ont été recueillies parmi le personnel infirmier ainsi que les infirmières et infirmiers responsables dans huit unités de soins de courte durée au moyen d'entrevues et d'observations. L'utilisation de la recherche variait à l'intérieur des unités et d'une unité à l'autre, mais la culture d'unité est apparue comme le principal facteur influençant les habitudes d'utilisation de la recherche. Les thèmes de la culture d'unité déterminant cette influence étaient l'harmonie de la perspective de recherche, la motivation à apprendre, l'orientation des objectifs, la créativité, le questionnement critique, le respect mutuel et la maximisation des ressources. Les résultats fournissent une riche description qui pourrait servir de base à l'auto-évaluation de la culture d'unité dans les unités de soins de courte durée en milieu hospitalier et dans les services de consultations externes.

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Document Type: Research Article

Publication date: 2005-09-01

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