The Development of Evidence-Based Nursing Interventions: Methodological Considerations

2.50
Hdl Handle:
http://hdl.handle.net/10755/150308
Type:
Presentation
Title:
The Development of Evidence-Based Nursing Interventions: Methodological Considerations
Abstract:
The Development of Evidence-Based Nursing Interventions: Methodological Considerations
Conference Sponsor:Sigma Theta Tau International
Conference Year:2003
Author:Gamel, Claudia, PhD
P.I. Institution Name:Utrecht University
Title:Lecturer and Researcher
Co-Authors:Mieke Grypdonck, PhD; Berno Van Meijel, MS; Betsy Van Swieten-Duijfjes, MS
Background: Practicing nurses and nurse researchers often are confronted with a patient problem for which there is no clearly described, theoretically based and tested intervention to be used in order to achieve specific clinical outcomes. Then, it is necessary to develop and validate a new intervention. Few models are available to guide this process. Furthermore, existing models are not appropriate for complex interventions in which the experience of the client plays an important role in effectiveness. Objective: The model used within the Division of Nursing Science in Utrecht to develop evidence-based interventions is described. First, the four stage model is explained. The stages are: Problem Definition, Accumulation of Building Blocks (for Intervention Design), Intervention Design and Intervention Validation. The decision to include one or more steps and the selected strategies depends on the nature of the problem that the intervention aims to alter, the nature of the intervention and the state of knowledge concerning the intervention and related subject areas. As the model is described, illustrations from our own studies are presented, for example: sexual teaching with cancer patients, patient and family coaching to prevent psychotic relapse in patients with schizophrenia and patient support and team coordination during weaning the ICU patient from a ventilator. The presentation concludes with a discussion of how this model facilitates accumulation of empirical evidence and theory building. Conclusions: Evidence-based nursing practice is the use of empirical research findings to achieve a higher reliability in successfully achieving desired results. Such practice depends on more than the results of randomized controlled trials. Also indispensable is insight into the processes that are responsible for the results as well as understanding the limitations of an effective intervention. Use of qualitative research during development of interventions plays a vital role in complementing randomized controlled trials.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Development of Evidence-Based Nursing Interventions: Methodological Considerationsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/150308-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Development of Evidence-Based Nursing Interventions: Methodological Considerations</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Gamel, Claudia, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Utrecht University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Lecturer and Researcher</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">C.J.Gamel@med.uu.nl</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Mieke Grypdonck, PhD; Berno Van Meijel, MS; Betsy Van Swieten-Duijfjes, MS</td></tr><tr><td colspan="2" class="item-abstract">Background: Practicing nurses and nurse researchers often are confronted with a patient problem for which there is no clearly described, theoretically based and tested intervention to be used in order to achieve specific clinical outcomes. Then, it is necessary to develop and validate a new intervention. Few models are available to guide this process. Furthermore, existing models are not appropriate for complex interventions in which the experience of the client plays an important role in effectiveness. Objective: The model used within the Division of Nursing Science in Utrecht to develop evidence-based interventions is described. First, the four stage model is explained. The stages are: Problem Definition, Accumulation of Building Blocks (for Intervention Design), Intervention Design and Intervention Validation. The decision to include one or more steps and the selected strategies depends on the nature of the problem that the intervention aims to alter, the nature of the intervention and the state of knowledge concerning the intervention and related subject areas. As the model is described, illustrations from our own studies are presented, for example: sexual teaching with cancer patients, patient and family coaching to prevent psychotic relapse in patients with schizophrenia and patient support and team coordination during weaning the ICU patient from a ventilator. The presentation concludes with a discussion of how this model facilitates accumulation of empirical evidence and theory building. Conclusions: Evidence-based nursing practice is the use of empirical research findings to achieve a higher reliability in successfully achieving desired results. Such practice depends on more than the results of randomized controlled trials. Also indispensable is insight into the processes that are responsible for the results as well as understanding the limitations of an effective intervention. Use of qualitative research during development of interventions plays a vital role in complementing randomized controlled trials.</td></tr></table>en_GB
dc.date.available2011-10-26T10:21:20Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:21:20Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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