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Promotion of research in care in health organizations: Nursing Research Challenge project
Fomento de la investigación en cuidados en las organizaciones sanitarias: proyecto Nursing Research Challenge
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"etiqueta" => "d" "identificador" => "aff0020" ] 4 => array:3 [ "entidad" => "Organización Central de Osakidetza, Spain" "etiqueta" => "e" "identificador" => "aff0025" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Fomento de la investigación en cuidados en las organizaciones sanitarias: proyecto Nursing Research Challenge" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Nursing research has evolved exponentially in recent decades.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> A major inflection point was Royal Decree 56/2005, of 21 January, with the creation of the European Higher Education and Research Areas, regulating official university postgraduate studies, facilitating access to bachelor's, master’s, and doctoral studies.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Nevertheless, development of the profession's scientific activity continues to vary between autonomous communities,<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> as shown in the study by Santana et al.,<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> from which it is evident that there is still a wide margin for improvement.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Data published in 2021 by the INE (Spanish Nation Institute of Statistics),<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> estimates that there were 330,000 active nurses in Spain, of whom approximately 219,819 worked in the National Health System.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> Therefore, most nurses conduct their activity in the area of care, which offers the opportunity for research projects arising from care needs detected at the bedside and thus facilitates clinical and translational research. However, the expansion of leadership in research and innovation within healthcare organisations has traditionally faced barriers, including the need for resources to stimulate it.<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> The awareness and involvement of healthcare management is key to its consolidation.</p><p id="par0020" class="elsevierStylePara elsevierViewall">As a result of a thorough and in-depth analysis exercise and with the aim of promoting nursing research from within healthcare organisations in the Basque Country (initially), the Nursing Research Challenge management innovation project was born. This project is the result of three phases: analysis of the situation, design of strategies, and transfer to healthcare institutions through specific actions.</p><p id="par0025" class="elsevierStylePara elsevierViewall">In the first phase (February 2021), a SWOT analysis (Strengths, Weaknesses, Opportunities, and Threats) was conducted to explore the elements of the internal and external context influencing the development and progress of nursing research according to the opinions of Basque nurse researchers.<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a> An ad hoc questionnaire was designed for this, with open-ended questions to identify the strengths, weaknesses, opportunities, and threats related to nursing research. Four categories emerged from the thematic analysis for each of the items of the SWOT analysis: ''Development in the academic field'', ''Development at the institutional level'' (Health Organisations of the Basque Public Health System, Osakidetza), ''Development at the level of Health Research Institutes'', and ''Intrinsic aspects of the nursing profession''. In light of the data produced by this study, it was considered necessary to design and establish a nursing research strategy in the Basque Country which, in coordination with all the agents involved (University, Research Institutes, and Health Organisations), would promote scientific development in a homogeneous and stable manner over time.</p><p id="par0030" class="elsevierStylePara elsevierViewall">Following analysis of the initial situation and once the areas for improvement had been detected, a second phase focused on designing a proposal for a nursing research strategy in the Basque Country contained in <span class="elsevierStyleItalic">''El libro blanco de la investigación en Enfermería en Euskadi</span>'' (White Paper on Nursing Research in the Basque Country).<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a> The aim of this project was to propose, from knowledge of the different areas (care, management, academic, and health research institutes) and individual experience, areas for improvement and feasible proposals/actions that could contribute to the advancement of nursing research in this autonomous region.</p><p id="par0035" class="elsevierStylePara elsevierViewall">Finally, and to be able to transfer the strategy proposal described in the White Paper on Nursing Research in the Basque Country to clinical practice, the third phase was developed with the creation of the management innovation project ''Nursing Research Challenge'',<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">10</span></a> focussing exclusively on the healthcare organisations themselves, identifying areas for improvement and actions to promote nursing research included in the White Paper, grouped into six strategic axes: Detection of talent; Training; Dissemination of knowledge; Promotion of nursing research within multidisciplinary and multicentre teams; Resources for the promotion of nursing research, and Incorporation of the patient's perspective and translation of results. Each of these six strategic areas encompasses between 6 and 7 actions, with their respective process and result indicators that facilitate monitoring their implementation.</p><p id="par0040" class="elsevierStylePara elsevierViewall">Thus, know-how was gained that can be extrapolated to other contexts and autonomous communities in our country, and to all healthcare organisations that are committed to promoting nursing research. It should be noted that the advancement of research requires a joint effort by managers, researchers, and the different organisations, and/or institutions involved.</p><p id="par0045" class="elsevierStylePara elsevierViewall">This is, therefore, a top-down project aimed at managers, providing them with a useful resource to develop guidelines, procedures, and strategies to promote nursing research in the clinical field, as well as a battery of indicators for its objective evaluation, but which, above all, seeks the involvement of care management in a common commitment to improve the quality of care provided to the public through research.</p><p id="par0050" class="elsevierStylePara elsevierViewall">This project is endorsed by the Nursing Sub-directorate of the Osakidetza Central Organisation, in which 10 health organisations of the Basque Health Service currently participate. Work is currently underway to implement the project at national level, through the ANDE (National Association of Nursing Managers).</p><p id="par0055" class="elsevierStylePara elsevierViewall">There is no doubt that to achieve the proposed objectives, they must be driven from different settings with different strategies that add up and strengthen nursing research and innovation, creating synergies between all the organisations and areas involved. Although this project focuses on the need to promote nursing research in a specific way, it is necessary and essential to work within multidisciplinary research groups, in which the global, transversal, and holistic vision of the nursing discipline undoubtedly contributes to improving the health outcomes of the citizens we serve.</p><p id="par0060" class="elsevierStylePara elsevierViewall">Finally, we hope that this project will help put nursing research and innovation on the roadmap of managers, as a commitment to the future with potential impact not only on healthcare and the health of citizens, but also on the Health System itself, at a crucial time when the model needs changing, to ensure the solvency and sustainability of the Public Health System. This will only happen through organisational innovation and research, in which nurses will play a fundamental role.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Moving nursing research forward towards a stronger impact on health care practice?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "I.R. 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