Utilization of Research in Clinical Nursing and Midwifery Practice in Ghana: Protocol for a Mixed Methods Study

BackgroundThe International Council of Nurses’ 2021 code of ethics mandates nurses to provide evidence-informed care to patients. Globally, using research evidence has led to improvement in nursing and midwifery practice, according to the World Health Organization. A study in...

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Main Authors: Lydia Boampong Owusu, Nicholin Scheepers, Immaculate Sabelile Tenza
Format: Article
Language:English
Published: JMIR Publications 2023-04-01
Series:JMIR Research Protocols
Online Access:https://www.researchprotocols.org/2023/1/e45067
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author Lydia Boampong Owusu
Nicholin Scheepers
Immaculate Sabelile Tenza
author_facet Lydia Boampong Owusu
Nicholin Scheepers
Immaculate Sabelile Tenza
author_sort Lydia Boampong Owusu
collection DOAJ
description BackgroundThe International Council of Nurses’ 2021 code of ethics mandates nurses to provide evidence-informed care to patients. Globally, using research evidence has led to improvement in nursing and midwifery practice, according to the World Health Organization. A study in Ghana found that 25.3% (n=40) of nurses and midwives use research in clinical care. Research utilization (RU) increases therapeutic effectiveness, improves health outcomes, and enhances the personal and professional development of clinicians. However, it is uncertain the extent to which nurses and midwives are prepared, skilled, and supported to utilize research in clinical care in Ghana. ObjectiveThis study aims to develop a conceptual framework that can facilitate RU among clinical nurses and midwives in Ghanaian health facilities. MethodsThis will be a cross-sectional study with a concurrent mixed methods approach. It will be conducted in 6 hospitals and 4 nursing educational institutions in Kumasi, Ghana. The study has 4 objectives which will be executed in 3 phases. Phase 1 follows a quantitative approach to describe the knowledge, attitudes, and practices of clinical nurses and midwives on the use of research in their practice. Using a web-based survey, 400 nurses and midwives working in 6 health facilities will be recruited. Data analysis will be conducted using SPSS, with statistical significance set at .05. Qualitative methodology, using focus group discussions with clinical nurses and midwives, will be conducted to identify the factors influencing their RU. In phase 2, focus group discussions will be used to examine and describe how nurse educators in 4 nursing and midwifery educational institutions prepare nurses and midwives for RU during their education. Views of nurse managers on the RU in Ghanaian health care facilities will be explored in the second section of this phase through one-on-one interviews. Inductive thematic analysis will be used to analyze the qualitative data, and Lincoln and Guba’s principles of trustworthiness will be applied. In phase 3, the stages of model development proposed by Chinn and Kramer; and Walker and Avant will be used to triangulate findings from all objectives and formulate a conceptual framework. ResultsData collection started in December 2022. Publication of the results will begin in April 2023. ConclusionsRU in clinical practice has become an acceptable practice in nursing and midwifery. It is critical that nursing and midwifery professionals in sub-Saharan Africa shift their practice to embrace the global movement. This proposed conceptual framework will empower nurses and midwives to improve their practice of RU. International Registered Report Identifier (IRRID)DERR1-10.2196/45067
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spelling doaj.art-a07b81599eba4995a0ee6709ce5e05bb2023-08-28T23:51:33ZengJMIR PublicationsJMIR Research Protocols1929-07482023-04-0112e4506710.2196/45067Utilization of Research in Clinical Nursing and Midwifery Practice in Ghana: Protocol for a Mixed Methods StudyLydia Boampong Owusuhttps://orcid.org/0000-0003-3194-2749Nicholin Scheepershttps://orcid.org/0000-0001-6952-7060Immaculate Sabelile Tenzahttps://orcid.org/0000-0003-0286-9183 BackgroundThe International Council of Nurses’ 2021 code of ethics mandates nurses to provide evidence-informed care to patients. Globally, using research evidence has led to improvement in nursing and midwifery practice, according to the World Health Organization. A study in Ghana found that 25.3% (n=40) of nurses and midwives use research in clinical care. Research utilization (RU) increases therapeutic effectiveness, improves health outcomes, and enhances the personal and professional development of clinicians. However, it is uncertain the extent to which nurses and midwives are prepared, skilled, and supported to utilize research in clinical care in Ghana. ObjectiveThis study aims to develop a conceptual framework that can facilitate RU among clinical nurses and midwives in Ghanaian health facilities. MethodsThis will be a cross-sectional study with a concurrent mixed methods approach. It will be conducted in 6 hospitals and 4 nursing educational institutions in Kumasi, Ghana. The study has 4 objectives which will be executed in 3 phases. Phase 1 follows a quantitative approach to describe the knowledge, attitudes, and practices of clinical nurses and midwives on the use of research in their practice. Using a web-based survey, 400 nurses and midwives working in 6 health facilities will be recruited. Data analysis will be conducted using SPSS, with statistical significance set at .05. Qualitative methodology, using focus group discussions with clinical nurses and midwives, will be conducted to identify the factors influencing their RU. In phase 2, focus group discussions will be used to examine and describe how nurse educators in 4 nursing and midwifery educational institutions prepare nurses and midwives for RU during their education. Views of nurse managers on the RU in Ghanaian health care facilities will be explored in the second section of this phase through one-on-one interviews. Inductive thematic analysis will be used to analyze the qualitative data, and Lincoln and Guba’s principles of trustworthiness will be applied. In phase 3, the stages of model development proposed by Chinn and Kramer; and Walker and Avant will be used to triangulate findings from all objectives and formulate a conceptual framework. ResultsData collection started in December 2022. Publication of the results will begin in April 2023. ConclusionsRU in clinical practice has become an acceptable practice in nursing and midwifery. It is critical that nursing and midwifery professionals in sub-Saharan Africa shift their practice to embrace the global movement. This proposed conceptual framework will empower nurses and midwives to improve their practice of RU. International Registered Report Identifier (IRRID)DERR1-10.2196/45067https://www.researchprotocols.org/2023/1/e45067
spellingShingle Lydia Boampong Owusu
Nicholin Scheepers
Immaculate Sabelile Tenza
Utilization of Research in Clinical Nursing and Midwifery Practice in Ghana: Protocol for a Mixed Methods Study
JMIR Research Protocols
title Utilization of Research in Clinical Nursing and Midwifery Practice in Ghana: Protocol for a Mixed Methods Study
title_full Utilization of Research in Clinical Nursing and Midwifery Practice in Ghana: Protocol for a Mixed Methods Study
title_fullStr Utilization of Research in Clinical Nursing and Midwifery Practice in Ghana: Protocol for a Mixed Methods Study
title_full_unstemmed Utilization of Research in Clinical Nursing and Midwifery Practice in Ghana: Protocol for a Mixed Methods Study
title_short Utilization of Research in Clinical Nursing and Midwifery Practice in Ghana: Protocol for a Mixed Methods Study
title_sort utilization of research in clinical nursing and midwifery practice in ghana protocol for a mixed methods study
url https://www.researchprotocols.org/2023/1/e45067
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AT immaculatesabeliletenza utilizationofresearchinclinicalnursingandmidwiferypracticeinghanaprotocolforamixedmethodsstudy