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Rick_s3 · Dec 12, 2004

well first off if its research...its already something in practice....now if you are talking theory....the reason is it has to go through trial and error testing for very long periods of time before proven till then its only expeiremental medicine.

hope this helps,... if im misunderstanding what your lookin for post back

Trauma Columnist · Dec 12, 2004

Research findings aren't used more in practice because:

Research is confusing

Research is boring

Research is expensive

Research is time-consuming

Research usually doesn't pay well for the nurse researchers

Research is scary because what we don't understand, we don't want to deal with

Is this what you were looking for??

SusanJean · Dec 12, 2004

"There are lies, damn lies, and statistics."

OK, who said this??

Larry · Dec 12, 2004

"There are lies, damn lies, and statistics."
OK, who said this??

Bamji, Andrew consultant rheumatologist Hospital league tables : There are lies, damn lies, and hospital statistics. BMJ. 322(7292):992, April 21, 2001.

British Medical Journal

1. Sullivan, Timothy M. MD Regarding "carotid endarterectomy in SAPPHIRE-eligible high-risk patients: Implications for selecting patients for carotid angioplasty and stenting". Journal of Vascular Surgery. 40(3):596, September 2004.

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2. Maidment, Andrew; Krupinski, Elizabeth; Hendee, William R. Moderator Pre-menopausal women should be actively encouraged to seek screening mammograms. Medical Physics. 31(2):171-174, February 2004.

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3. Kraemer, Helena C. Current concepts of risk in psychiatric disorders. Current Opinion in Psychiatry. 16(4):421-430, July 2003.

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4. DeLong, Elizabeth PhD Hierarchical modeling: Its time has come. American Heart Journal. 145(1):16-18, January 2003.

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5. Wechsler, Andrew S. MD Statistics for the rest of us. Journal of Thoracic & Cardiovascular Surgery. 122(2):207-208, August 2001.

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6. Bamji, Andrew consultant rheumatologist Hospital league tables : There are lies, damn lies, and hospital statistics. BMJ. 322(7292):992, April 21, 2001.

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7. Sharma, Om P professor of medicine, Los Angeles My old school . BMJ. 320(7227):97, January 8, 2000.

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8. Droegemueller, William MD Time to discard the cookie cutter. American Journal of Obstetrics & Gynecology. 180(4):889-895, April 1999.

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9. Rutledge, Robert MD, FACS An Analysis of 25 Milliman & Robertson Guidelines for Surgery: Data-Driven Versus Consensus-Derived Clinical Practice Guidelines. Annals of Surgery. 228(4):579-587, October 1998.

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10. Schrott, Helmut G.; Bittner, Vera; Vittinghoff, Eric; Herrington, David M.; Hulley, Stephen Adherence to National Cholesterol Education Program Treatment Goals in Postmenopausal Women with Heart Disease: The Heart and Estrogen/Progestin Replacement Study (HERS). Obstetrical & Gynecological Survey. 52(11):698-700, November 1997.

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wn, Elliot Lies, damn lies, and statistical issues? Lancet. 350(9085):1184-1185, October 18, 1997.

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12. Shann, Frank "Lies, damn lies ... and statistics". Lancet. 348(9038):1392, November 16, 1996.

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13. Healy, Pat Lies, damn lies, and NHS funding figures. Nursing Standard. 10(41):15, July 3, 1996.

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14. Hinkley, Bruce S. MD Letters. Spine. 21(11):1394, June 1, 1996.

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15. Baines, Cornelia J. Breast Cancer: Can Good News be News? CMAJ Canadian Medical Association Journal. 150(2):139-140, January 15, 1994.

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SusanJean · Dec 12, 2004

"There are lies, damn lies, and statistics."
OK, who said this??

OK, found the exact quote w/ credits:

Benjamin Disraeli , the prime minister of the British Empire from 1874-1880, was reported by Mark Twain to have uttered this brilliant quote on statistical analysis: "There are three kinds of lies: lies, damn lies, and statistics."

chris_at_lucas_RN, RN · Dec 12, 2004

well first off if its research...its already something in practice....

I don't think so.

I think the idea that research is about stuff that they already know about suggests that it is only for confirmation, not for finding out.

Research is about finding out. That's why it starts with a question.

JasonL · Dec 29, 2004

That is a great question.

While there is certainly a big push towards evidence-based practice, nursing practice is very often dictated by tradition, which is too bad.

Nurses need to question their practice and ask themselves if there are better ways to meet patient outcome objectives.

Yes, to many research is boring and difficult to understand. This is certainly one barrier to the incorporation of research findings into practice. But as professionals I feel that we all bear the responsibility to make an effort to incorporate research findings into our practice to better care for our patients.

llg, PhD, RN · Dec 29, 2004

Few nurses are sufficiently educated about research, statistics, theory, philosophy, etc. (all of which need to go together) to make this happen. Most are not interested in these topics and "turn off" whenever they come up for discussion. The culture of nursing emphasizes the practical, hands-on, procedural aspects and not the intellectual underpinnings of those practices.

Also ... taking an entirely different track. Much of nursing research is not "practice ready." Much of it occurs in the form of small studies that need to be replicated before being put into widespread practice. There has been little funding available for the larger-scale studies needed to generate the firmer footing necessary for practice-ready results. Also, there have been few nurses sufficiently educated and in a political position to conduct such studies.

Until the culture of nursing changes and there is both the support at the "nursing grass roots level" and resources available at the higher levels, it's going to be a slow process.

llg (PhD, RN ... who works in a hospital setting and is currently trying to prepare a staff development course designed to get our managers more interested in evidence-based management practice.)