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NURSING SCIENCE
System Nursing Science: Elevating Nursing Inquiry

By Alexis Hayes, PhD, MSN-Ed, APRN, FNP-BC, NEA-BC – Nurse Scientist – Houston Methodist Hospital

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The Houston Methodist system has had a steady increase in quality improvement and evidence-based practice projects. Over the past four years, the Nursing Science team has developed and incorporated several resources to support nurses in their nursing inquiry journey, such as education on strategies for literature searches, understanding measurable outcomes, abstract and poster development and developing research questions. Studies show there are several benefits to nurses who participate in nursing inquiry initiatives, including reduced nurse stress, improved nursing staff retention and satisfaction and improved patient care which in turn improves patient outcomes and quality metrics (Mulkey, 2021). However, barriers persist. Common barriers include clear expectations around participation in nursing inquiry initiatives (i.e. clinical ladder projects, professional development), identifying and providing mentor support and creating protected time for nurses to complete evidence-based practice and research. Education and training are not enough. Nursing science must continue to engage nurses through collaboration and involvement, such as through more “hands-on” working sessions and other innovative methods, that will collectively support and empower nurses across the Houston Methodist system. In addition to more united training and increased staff and leadership support, implementing models and frameworks can assist in empowering nursing while continuing to guide research, education and practice. One such model is Jean Watson’s “Caring Science,” which evolved from the Theory of Human Caring, and is grounded in nursing scholarship and is imperative to nurse-patient relationships (Watson, 2008).

According to Watson, simply caring, understanding the essence of “what we choose to do (integrity), how we do it (ethics)” has the potential to improve nursing practice and patient outcomes. Watson’s theory shows that when nurses care and understand the essence of doing nursing inquiry ethically and with integrity, we can elevate nursing projects and ultimately nursing practice.

Nursing science and nursing inquiry is not just something to do, but it is an essential part of evidence-based care, guiding how nurses improve processes and quality of care for patients and families. Nurses must see nursing inquiry as more than simply a project. Nursing science and inquiry is a mindset, a way of nursing practice and an avenue for nurses to always work towards improving patient care. When nurses elevate nursing inquiry, we elevate the profession.
References:
Mulkey M. A. (2021). Engaging Bedside Nurse in Research and Quality Improvement. Journal for nurses in professional development, 37(3), 138–142. https://doi.org/10.1097/NND.0000000000000732
Watson J. Nursing: the philosophy and science of caring (revised edition). In: Smith MC, Turkel MC, Wolf ZR, eds. Caring in Nursing Classics: An Essential Resource. New York: Springer Publishing Company; 2008. p. 243-64. 10.1891/9780826171122.0016 [DOI]