How might integrating Boyer's Scholarship of Discovery alongside the Scholarship of Practice further advance innovation and research participation among perioperative nurses?

Integrating Boyer's Scholarship of Discovery with Scholarship of Practice to Advance Perioperative Nursing Innovation and Research

Integrating Boyer's Scholarship of Discovery alongside the Scholarship of Practice is essential for advancing innovation and research participation among perioperative nurses by creating a framework that bridges theoretical knowledge with clinical expertise, ultimately improving patient outcomes and quality of care.

Understanding Boyer's Framework in Perioperative Nursing

• Boyer's expanded view of scholarship recognizes various approaches to knowledge production beyond pure research (discovery) to include the scholarship of integration, application (practice), and teaching 1.
• The scholarship of application is particularly important to nursing as it bridges research, practice, and education, documenting and disseminating nursing knowledge for peer critique 2.
• Perioperative nursing can benefit from this multidimensional approach to scholarship by developing policies and practices that promote and reward all forms of scholarship 3.

Benefits of Integrating Scholarship of Discovery with Scholarship of Practice

Enhanced Research Participation

• Building perioperative nursing research teams using experiential learning models facilitates a team approach to research, allowing nurses to acquire skills to formulate independent judgments and make critical decisions 4.
• When perioperative nurses engage in both discovery and practice scholarship, they can identify clinical issues that warrant investigation, leading to more relevant research questions 1.
• The integration creates opportunities for perioperative nurses to participate in multiple fields of involvement, including generation of new ideas (62% of research involvement), coproduction and co-design (43%), and establishing research priorities (32%) 5.

Improved Innovation Pathways

• Digital methods can enable greater participation in research and innovation, with dedicated websites enhancing patient and public involvement (PPI) and organizing patient-led research hubs 5.
• Web-based platforms can serve as services where perioperative nurses and innovators meet to co-work on solutions to clinical problems 5.
• The integration of discovery and practice scholarship creates a framework for perioperative nurses to question the status quo and pursue fresh approaches to issues 6.

Implementation Strategies for Perioperative Settings

Creating a Culture of Clinical Scholarship

• Differentiate between scholarly practice (applying evidence to improve care) and clinical scholarship (generating new knowledge from practice that is documented, peer-reviewed, and disseminated) 2.
• Support clinical leaders to identify issues confronting perioperative nursing practice to enable transformation of scholarly practice into clinical scholarship 1.
• Implement professional development plans and employee portfolios that encourage scholarly activities using Boyer's model as an evaluation framework 6.

Developing Research Infrastructures

• Establish research registries specific to perioperative care to advance knowledge in surveillance (identifying gaps in care), discovery (developing new strategies), translation (applying strategies to practice), and dissemination (spreading effective practices) 5.
• Create opportunities for perioperative nurses to participate in data analysis (26% of research involvement) and coauthorship of scientific articles (18%) 5.
• Form steering committees or advisory groups (16% of research involvement) that include perioperative nurses to guide research priorities and implementation 5.

Practical Applications in Perioperative Care

Addressing Perioperative Brain Health

• Perioperative nurses can apply both discovery and practice scholarship to implement evidence-based strategies that reduce perioperative neurocognitive disorders by up to 40% 5.
• The integration of scholarship models enables perioperative nurses to participate in closing the gap between research knowledge and clinical action through multidisciplinary collaboration 5.
• This approach supports the implementation of age-friendly health system initiatives that focus on the "4Ms": medications, mobility, mentation, and "what matters to you" 5.

Improving Patient Outcomes through Enhanced Recovery Protocols

• The integration of discovery and practice scholarship can support the implementation of Enhanced Recovery After Surgery (ERAS) protocols, which reduce complications and postoperative stay 5.
• Perioperative nurses engaged in both forms of scholarship can contribute to quality improvement initiatives that measure and improve patient outcomes 5.
• This integrated approach enables perioperative nurses to participate in developing individualized fluid management protocols that consider surgery type and patient factors 5.

Overcoming Barriers and Pitfalls

• Avoid focusing solely on the scholarship of discovery without connecting it to practice applications, as this can widen the theory-practice gap 1.
• Recognize that publication formats for clinical scholarship may need to be expanded beyond traditional research journals to better reflect the goals of clinical scholarship 1.
• Address the challenge of time constraints by incorporating scholarship activities into daily practice rather than viewing them as separate endeavors 4, 6.

Future Directions

• Encourage perioperative nurses to engage in at least three different stages of research involvement throughout the life of research projects (40% of successful research involvement) 5.
• Develop digital platforms specifically for perioperative nurses to collaborate on research and innovation projects 5.
• Support perioperative nurses in becoming coinvestigators or leaders of patient-centered research projects 5.