Research and practice in an academic community nursing center.
OBJECTIVE
To identify issues and describe strategies used in developing a successful program of clinical research focused on the vulnerable populations served by one urban academic nursing center. Academic community nursing centers provide ideal settings to implement programs of research. Understanding the challenges when integrating research into these practices and the strategies used is important.
The University of Wisconsin-Milwaukee Silver Spring Community Nursing Center has provided primary health care services to a low-income urban population since 1987. A team of advanced practice nurse clinicians, community health nurses, and other health care professionals and community residents implemented a broad range of innovative, community-focused, clinical interventions that are routinely studied through an integrated program of nursing research. Their strategies for research implementation are analyzed.


CONCLUSIONS
Factors affecting the integration of research into the center include (a) community mistrust, (b) the need for participatory recruitment strategies, and (c) the need for multiple data collection methods. Meeting these challenges requires that research agendas and methods are consonant with community goals. The inclusion of clinicians, other providers, and community residents as active members of research teams is critical to success. Reframing research and practice role in terms of team effort that incorporates the community can strengthen research and practice-and benefit professionals and the populations they serve.
Zachariah
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College of Nursing, Northeastern University, Boston, MA 02115-5096, USA.
Lundeen
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SP
D000046:Academic Medical Centers; D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D015400:Clinical Nursing Research / Q000458:organization & administration*; D003151:Community Health Centers; D003159:Community-Institutional Relations; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D011203:Poverty; D016730:Program Development / Q000379:methods; D014922:Wisconsin