Nursing Research Capacity in France - A National Strategy

Transcription

1 The 7 th European Conference of Nurse Educators Plovdiv, octobre 10th 2008 Doctoral preparation of nurses: added value and strategy in the French context C Debout President of l ANFIIDE RN, MSN, MPhil, PhD (c) France 1

2 Aims and objectives Identifying facilitating factors regarding the development of nursing research capacity in the French healthcare context, Adopting a systemic approach to nursing research, Presenting our national strategy aimed to promote the development of nursing science. 2

3 Nursing education in France (vocational) Diploma level (36th months) Access to continuing education Post diploma clinical specialties Child care nurse (1 year) Post diploma nursing education in management & education (10 months) RNA (2 years) Nurse manager Nurse educator ORN (18 months) EHESP (National school of Public Health) Director of nursing Healthcare setting Director of nursing Education setting

4 Background and context Introduction of the Bologna process is expected soon in nursing education, A nursing departement was created in our national school of public health (Ecole des Hautes Etudes en Santé Publique ), EBP concept was introduced by our health authority (Haute Autorité de Santé), Nursing research is identified as a nursing activity and is included in diploma and post diploma curriculums, One nursing research publication available in french, Nursing research, research utilisation and EBN are underdevelopped, Many nurses hold bachelor and masters degrees in various disciplines. 4

5 Developing nursing research capacity: a demand of nursing organisations Our society values health and well being Our society also wants value for money Developing nursing research capacity means costs and investments Social utility of nursing researc needs to be obvious 5

6 Identifying the social utility of nursing science: sociological and epistemological perspectives 6

7 What sociology of science tells us Added value Basic knowledge Applied knowledge Social recognition: Money Social status Needs priorities 7

8 More specifically regarding nursing science 8

9 Social utility of nursing science: a systemic approach Quality Performance Efficiency Translational research 9

10 Epistemological considerations 10

11 Nursing: a profession, a discipline and a science Our assignment as a practice discipline is to develop appropriate nursing interventions to change a non desirable situation into a more desirable one, Various cognitive resources are needed by 11 clinicians.

12 What are the characteristics of nursing science? Epistemological diversity: Multiple paradigms, Multiple theoretical frameworks, Multiple approaches to research methodologies, including mixed methods. Need to develop more systematic reviews and meta analysis, Some controversies remain regarding how to define an evidence in nursing. 12

13 Structures, process and outcomes in a practice discipline 13

14 Competenci es Grants Publications Dissemination Nursing societies Systematic reviews Meta analysis Researchers Health Authority/ Nursing council EBN Research utilisation Clinicians Problems Questions Partnerships Clinical / academic Practice Development Evaluation Clinicians Educators Hea Auth Nurs coun Quality,performance, efficiency of nursing care 14

15 Preparing researchers is necessary but not sufficient to develop research capacity of the discipline Nursing practice ignoring scientific knowledge is potentially ineffective, Nursing knowledge not used in practice is useless. 15

16 Nurse researcher: developing a profile, building competencies. 16

17 Profile: 2 models Academic profile PhD Professional profile DNS 17

18 Academic profile: roles and added value 18

19 Professional profile: roles and added value Concept imported in Europe from the USA, Linked with advance pratice in nursing and new nursing roles, Controversies, potential consequences: PhD= golden standard in academic settings, Academic potential could be weakened, Potential decrease of PhD, Delay in the academic career, Diversity of programmes. 19

20 Doctoral programmes Various models: PhD by monography (thesis/dissertation), PhD by publication, Taught Doctorate: modules and dissertation or publication. 20

21 Back to the French context 21

22 Competenci es Grants Publications Dissemination Nursing societies Systematic reviews Meta analysis Researchers Health Authority/ Nursing council EBN Research utilisation Clinicians Problems Questions Partnerships Clinical / academic Practice Development Evaluation Clinicians Educators Quality,performance, efficiency of nursing care 22

23 From swot analysis to vision development Developing research capacity is a moral imperative, Positive outcomes are expected: For the population, For the healthcare system, For the nursing profession, For the nursing science. Those outcomes could not be achieved without supporting structures and process. The academic profile seems more appropriate, The taught doctorate seems a good option. 23

24 From vision to strategy Adopting a systemic approach, Being inclusive, Using international resources, position statments and competencies frameworks, Lobying, Communicating, Motivating. 24

25 From strategy to actions An academy of nursing science was created in 2007, We promote the development of specialised nursing societies, France is now an active member of WENR, Our national health autority (HAS) was approached regarding EBN implementation, We launched a project aimed to identify the nursing research priorities. 25

26 Preliminary results New nursing research societies are emerging, A position statment regarding Bologna process implementation in nursing education was endorsed by nursing organisations and unions, We prepare a Delphi study to indentify our research priorities, We prepare learning materials regarding to nursing research, nursing science and 26 EBN t

27 Aeras of uncertainty Recognition of nursing science as an academic discipline, Deadline for the implementation of the first doctoral programme in EHESP, Functional links between bachelor, masters and doctoral programmes. 27

28 To conclude... Having the impression of being late is sometimes difficult, International networks and sharing of knowledge represent valuable ressources and are really helpful at national level. 28

29 Thank you благодаря 29