Nurse Scientist, a Role Not Just for University Affiliated Hospitals: Leading Change in the Community Setting

Saturday, 29 October 2011

Cynthia A. Oster, PhD, MBA, RN
Performance Practice and Innovation, Porter Adventist Hospital, Denver, CO
Kathleen Bradley, MSN, RN, NEA-BC
Department of Performance Practice and Innovation, Porter Adventist Hospital, Denver, CO

Learning Objective 1: The learner will be able to identify opportunities and partnerships to recruit and retain doctoral prepared nurse scientist candidates.

Learning Objective 2: The learner will be able to discuss how the nurse scientist role leads change and advances nursing science in the community hospital setting.

University affiliated hospitals have long employed nurse scientists (NS). This resource has been seldom utilized in the community hospital setting. Organizational excellence is a springboard to invest in a NS to facilitate the creation of a culture of discovery and innovation.  The NS provides pivotal leadership for change while enculturating evidenced based practices (EBP) and advancing nursing science through research (Titler, 2004).

Partnerships with nursing colleges supply qualified candidates and resources to nurture community NSs. Clarity of role design provides infrastructure and resources to bring about advancement of EBP and research. Relationship building with academic partners and within the organization is essential to successful implementation.  Role modeling and mentorship provide “the push” to move a culture apprehensive of EBP and research; to one where staff actively seeks advice to develop EBPs and research ideas, “the pull” (Milton, et. al., 2008).

Innovations include establishment of EBP projects on 75% of clinical units with improved outcomes; a research council supporting three community hospitals; a healthcare system wide annual EBP and research conference; implementation of evidentiary review and IRB preparation strategies; and conduction of original facility/system level research.  Implementation of peer review has provided clinicians with constructive critique of more than 100 abstracts, posters and podiums targeted for regional, national and international conference dissemination over the past 3 years.  The NS makes valuable global contributions to organizations through development of new knowledge and facilitation of research utilization and EBP.  The NS is a feasible, flexible, value added position in any community hospital.

References

Milton, D., et. al. (2008). Clarifying the role of director of nursing research in clinical settings:  expectations and challenges.  Nurse Leader, August, 29 – 33.

Titler, M. G.  (2004). Understanding synergy: the model from the perspective of a nurse scientist. Excellence in Nursing Knowledge, August-September, 1 – 4.