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Using Research in Practice

Using Research in Practice

Jaqui Hewitt-Taylor


Additional Information

Book Details


Latest research findings can provide an evidence base for health care practice which ultimately improves outcomes for patients. With so much published research out there, how do you find, evaluate and use the most relevant studies to shape your own health care practice?
This friendly book walks you through the key stages of locating, selecting and evaluating research findings in health care. Offering an engaging, practice-based approach to an often daunting task, the book:

  • Explores how to appraise and apply data drawn from a range of quantitative, qualitative and mixed methods studies;
  • Demonstrates how research findings can influence decision-making and can improve your own practice, as well as that of your team;
  • Uses stimulating practice scenarios and worked examples to provide a transferrable blueprint for evidence based practice;

Drawing on the author's extensive research and teaching experience within the field of practice development, Using Research in Practice is an essential text for any health care student or practitioner seeking to evaluate and develop their own evidence base.

…a robust illustration of the importance of evidence based practice for students. This book explains and exemplifies the principles of research, research critique and research application in an engaging and novel way, and addresses many of the practicalities of reading about and using research as part of professional practice…' - Dr Geraldine Lyte, BNurs Programme Director, University of Manchester, UK

'This is an accessible text that will help students develop their understanding of evidence-based practice.' - Karen Hayward, School of Health, University Campus Suffolk, UK

'...refreshing book ...inspires us to believe we can and should get involved in evidence-based practice.' - Nursing Standard

DR. JAQUI HEWITT-TAYLOR is Practice Development Fellow, School of Health and Social Care,Bournemouth University, UK.

Table of Contents

Section Title Page Action Price
Cover Cover
Contents vii
List of Tables and Figures xi
Part I: What is research, and why should it be used? 1
1 Why should we use research? 3
The benefits of using research 3
The challenges involved in using research 5
Summary 8
2 What is research? 9
Defining research 9
Research language 11
Research, audit and clinical evaluation 11
Research paradigms 13
Methodologies and methods 15
Summary 16
Part II: Is the research any good? 17
3 Finding information 19
Where to look for information 19
Deciding what information you need 21
Identifying key words 22
Boolean and, or and not 24
Truncation and Wildcards 25
Searching in the right field 26
Recording the results of searches 26
Summary 27
4 Appraising research 29
Why research needs to be appraised 29
What the research is about 31
Literature review 31
Methodology 32
Methods 32
Sampling 33
Ethical considerations 36
Analysis 38
Reliability and validity 38
Results and findings 39
Conclusions and recommendations 39
Is the study is applicable? 40
Using existing frameworks to evaluate research 40
Summary 41
5 Appraising quantitative research 46
The principles of quantitative enquiry 46
Practice situations in which quantitative enquiry is likely to be useful 46
Research question/hypothesis 47
Research design/methodology 48
Sampling 51
Methods of data collection 51
Reliability and validity 52
Data analysis 53
Results 59
Conclusions and recommendations 60
Application to practice 60
Summary 61
6 Appraising qualitative research 65
Principles of qualitative enquiry 65
Situations in which qualitative enquiry may be useful 65
Research question 66
Literature review 66
Methodology 67
Methods 68
Sampling 71
Data analysis 72
Truth of data 73
Findings 76
Conclusions 76
Applying qualitative research to practice 76
Summary 77
7 Appraising mixed methods research 81
The principles of mixed methods research 81
When mixed methods research may be useful? 83
What is the research about? 83
Literature review 83
Methodology 84
Methods of data collection 85
Sample 86
Ethical issues 86
Data analysis 87
Findings 88
Conclusions and recommendations 89
Quality in mixed methods research 89
Applying mixed methods research to practice 90
Summary 90
8 Using summaries of evidence 94
Using summaries of evidence 94
Systematic reviews 95
Meta analysis 99
Meta synthesis 104
Mixed methods synthesis 107
Clinical guidelines 107
Hierarchies of evidence 109
Summary 110
Part III: Putting research into practice 113
9 Making decisions 115
What you need to make a decision 115
Patient experiences and preferences 118
Making the 'right' decision 121
Explaining and defending your decisions 122
Summary 122
10 Changing your practice 123
Deciding what you want to change 123
Aims or objectives 125
Planning what you will do 126
Resources 127
Barriers to change 128
Timetable 129
Evaluating your new practice 129
Planning for sustained change 129
Defending your practice 130
Action planning 130
Summary 131
11 Changing team practice 132
Deciding on what needs to be changed 133
Ways to approach change management 133
Force field analysis 134
Barriers to change 135
Key players 138
Readiness for change 140
Changing practice 141
Motivating managers to allow changed practice 142
Changing multidisciplinary practice 143
Summary 145
12 Evaluating new practice 146
What should be evaluated? 146
When to evaluate? 147
Approaches to evaluation 148
Evaluation methods 149
Who or what to collect information from? 151
Who should gather data? 151
Biases 152
When to collect data? 153
Interpreting data 153
Ethics and evaluation 154
Sharing the findings 155
Planning ongoing change 155
Summary 156
Conclusion 157
Appendix 1: Deciding whether to use a study's findings 159
Appendix 2: Was an appropriate statistical test used? 162
Appendix 3: Action plan template examples 163
Appendix 4: Additional resources 164
References 166
Index 179