A Context of Uncertainty: How Context Shapes Nurses' Research Utilization Behaviors

Scott, Shannon D.; Estabrooks, Carole A.; Allen, Marion; Pollock, Carolee

doi:10.1177/1049732307313354

Cited by 98Health Sciences Research and EducationHealth Policy Implementation ScienceNursing education and management

A Context of Uncertainty: How Context Shapes Nurses' Research Utilization Behaviors

Scott, Shannon D., Estabrooks, Carole A., Allen, Marion, Pollock, Carolee·2008·Qualitative Health Research

DOI 10.1177/1049732307313354

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Abstract

Context has often been cited as a significant factor in shaping research utilization behavior, yet scholars have been unable to provide specific detail as to how and why it is important. From an ethnographic study of research utilization in a pediatric intensive care unit, we determined that the primary characteristic of this nursing unit was uncertainty. We identified four major sources of uncertainty: (1) the precarious status of seriously ill patients, (2) the inherent unpredictability of nurses' work, (3) the complexity of teamwork in a highly sophisticated hospital environment, and (4) a changing management. We found that uncertainty shaped nurses' behaviors such that research use was irrelevant. Reducing uncertainty is a necessary precursor to any increase in research utilization by nurses. Future knowledge translation strategies need to begin by decreasing and managing uncertainty.

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Authors: Scott, S. D., Estabrooks, C. A., Allen, M., & Pollock, C.
Affiliations: University of Alberta (CA)
MacEwan University (CA)
Corresponding author: Scott, Shannon D.
ORCID: Scott, Shannon D.
Estabrooks, Carole A.
Venue: Qualitative Health Research
Publisher: SAGE Publications
Published: 2008-03
Volume: 18
Issue: 3
Pages: 347-357
ISSN: 1049-7323 (ISSN-L)
1552-7557
DOI: 10.1177/1049732307313354
OpenAlex: W2165799193
Cited by: 98
References: 35
Citations by year: 2026: 1 · 2024: 1 · 2022: 2 · 2021: 4 · 2020: 3 · 2019: 1 · 2018: 5 · 2017: 3 · 2016: 5 · 2015: 9 · 2014: 6 · 2013: 16 · 2012: 7
FWCI: 22.53
Type: journal article
Language: en
Open access: closed
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: Qualitative Health Research (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Health Sciences › Nursing › Research and Theory › Nursing education and management
Keywords: research utilization, nursing practice, uncertainty, context, pediatric intensive care unit, knowledge translation, teamwork, management change, seriously ill patients, evidence-based practice
MeSH terms: Anthropology, Cultural, Diffusion of Innovation, Humans, Interviews as Topic, Health Knowledge, Attitudes, Practice, Practice Patterns, Physicians', Clinical Nursing Research, Technology Transfer, Uncertainty

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A Context of Uncertainty: How Context Shapes Nurses' Research Utilization Behaviors

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