The theory-practice gap: ECMO research example.

De Montfort University Open Research Archive

Show simple item record Anthony, Denis Martin Lawson, Graham Crawford, Doreen 2011-11-07T10:43:35Z 2011-11-07T10:43:35Z 2008-02
dc.identifier.citation Anthony, D., Lawson, G., Crawford, D. (2008) The Theory Practice Gap ECMO research example. Paediatric Nursing, 20 (1) pp. 41- 45 en
dc.description.abstract AIM: The time taken for research findings to enter clinical practice can be very lengthy. A contributing factor is the time lag between the research literature identifying the issue, and medical and nursing texts discussing it. The example of ECMO (Extracorporeal Membrane Oxygenation) is used to examine this issue, specifically the extent to which relevant nursing journals and textbooks discuss the effects of ECMO on medication. METHOD: A systematic review of papers identifying the problem (pharmacokinetics in ECMO patients) and the dissemination of this to clinicians was undertaken. Publications used by those exploring the problem were most likely to be found in Medline, and those disseminating to nurses in CINAHL. Textbooks on neonatal nursing and paediatric intensive care with sections on ECMO were also explored. RESULTS: There are several studies that show drug delivery is altered in patients receiving ECMO, dating back to 1989. Only three papers likely to be accessed by clinicians were found to address the effect of ECMO on drug delivery. Two of the textbooks addressed these issues but it took eight years from the issue being first raised to any medical or nursing text discussing it. CONCLUSION: Nurses will most likely not be aware of the latest research in their area if they rely on textbooks. Advanced education that gives critical appraisal and literature-searching skills, such as found in master's courses, should help the clinical nurse employ evidence based practice. en
dc.language.iso en en
dc.title The theory-practice gap: ECMO research example. en
dc.type Article en
dc.researchgroup Pharmacy Practice
dc.researchgroup Health Policy
dc.researchgroup Reproduction Research Group
dc.researchgroup Nursing and Midwifery Research Centre
dc.researchgroup Health Policy Research Unit
dc.ref2014.selected 1365591152_1110680244430_3_1

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