PROFILES: The Evidence TRIP: A researcher helps nurses ‘practice by evidence, not tradition.’
David Belcher associate editor
Joy Jacobson managing editor
Karen Roberts MSN, NP, RN

$3.95 		AJN, American Journal of Nursing
July 2004 
Volume 104  Number 7
Pages 102 - 103
 
  PDF Version Available!

ABSTRACT
Outline

  • Camp Fallujah Nurses at Work



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  • FIGURE. Marita Title...

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    Nurse researchers are dedicated to creating a foundation of evidence for nurses but have often doubted that nurses really make use of that evidence in their jobs. Marita Titler, PhD, RN, FAAN, a researcher at the University of Iowa, endeavors to make sure they do.

    Titler is part of an Agency for Health Care Research and Quality (AHRQ) initiative known as TRIP—Translating Research Into Practice—established in 1999 to fund research geared toward, according to its Web site, “translating research findings into clinical practice.” The AHRQ is now in the second phase of the initiative, TRIP-II, focused more specifically on the techniques that allow clinicians to implement research findings in everyday practice. “My primary responsibility is to improve practice through research,” Titler says.

    Titler received a $1.5 million AHRQ grant to fund her latest research, “Evidence-Based Practice: From Book to Bedside,” the initial phase of which she has completed. She tested an intervention designed to promote the use of pain management guidelines in treating elderly patients with hip fractures. The study focused on the practices of nurses and physicians, as well as on facility protocols and policies. The success of the interventions was measured by improvements in pain assessment and reassessment, avoidance of the use of meperidine (Demerol), and an increase in the number of physician orders for around-the-clock analgesia—the cornerstone of most pain management regimens. The findings were published in Applied Nursing Research in 2003 (16[4]:211–27). (See “Pain Management in Older Adults,” News, February.)

    Titler has always been interested in pain management, but her ...

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