Design, Evaluation, and Translation of Nursing Interventions (eBook)

Souraya Sidani, Carrie Jo Braden (Autoren)

eBook Download: PDF

2011
John Wiley & Sons (Verlag)
9780470961506 (ISBN)

Infos

Nurse-led intervention research is a core component of the global initiative to improve quality of care.  Though research in this area has already contributed much to the advancement of patient care, future strides depend on the dissemination of practical, how-to instruction on this important area of research.  Design, Evaluation, and Translation of Nursing Interventions aids in this endeavour by presenting both general approaches and specific methods for developing nursing interventions.

Logically organized to facilitate ease of use, the book is divided into four sections.  The introduction provides a firm grounding in intervention science by situating it within the broader topics of evidence-based practice, client-centred care, and quality of care.  Section Two describes each step of intervention design, including correct identification of the health issue or problem, clarification of the elements comprising an intervention, and application of theory. Section Three is centred on implementation, highlighting such topics as development of the intervention manual, training interventionists, and intervention fidelity.  The book concludes with methods to evaluate interventions enacted and suggestions for their translation into practice.

Design, Evaluation, and Translation of Nursing Interventions distills the authors' years of expertise in intervention research into comprehensive, easy-to-follow chapters.  It is a must-have resource for students, researchers and healthcare professionals wishing to impact the future of patient care.

Souraya Sidani, Ph.D. is Professor and Canada Research Chair at the School of Nursing, Ryerson University. She has served as an investigator on over 20 funded grants and has numerous publications in peer-reviewed journals and books. Dr. Sidani's research focuses on evaluating interventions and advanced practice roles, examining patient preferences for treatments, and refining research methods and measures for determining the clinical effectiveness of interventions.

Carrie Jo Braden, Ph.D. is Associate Dean for Research and Hugh Roy Cullen Professor of Nursing at the University of Texas Health Sciences Center at San Antonio. Dr. Braden is a Fellow of both the American Academy of Nursing and the Western Academy of Nursing. Her research focuses on learned response to chronic illness, mechanisms enhancing scholarly achievement (interprofessional research mentoring), and support resources for health disparities research. She has served as an investigator on 23 funded grants. She is a recipient of the Nurse of the Year Award for Excellence in Nursing Research and has authored or co-authored three books and numerous articles for refereed journals.

Inhalt

Design, Evaluation,and Translation ofNursing Interventions 3
Contents 7
Preface 13
Acknowledgment 15
SECTION 1 INTRODUCTION 17
1 Introduction to Intervention Research 19
1.1 Overview of paradigm shift 20
1.1.1 Evidence-based practice: a review 21
1.1.2 Client-centered care 23
1.1.3 High-quality care redefined 25
1.2 Process for designing, evaluating, and translating interventions 27
1.2.1 Design of interventions 27
1.2.2 Evaluation of interventions 28
1.2.3 Translation of interventions 29
1.3 Overview of the book 30
SECTION 2 DESIGNING INTERVENTIONS 31
2 Overview of Designing Interventions 33
2.1 Nursing interventions defined 33
2.1.1 Definition of interventions 33
2.1.2 Characteristics of interventions 35
2.2 Presenting problems 37
2.2.1 Definition of problem 37
2.2.2 Characteristics of problems 37
2.3 Design of interventions 39
3 Understanding the Problem 43
3.1 Theoretical approach for understanding the problem 43
3.2 Empirical approach for understanding the problem 47
3.3 Experiential approach for understanding the problem 51
3.4 Combined approach for understanding the problem 56
3.5 Theory of the problem 58
4 Clarifying Elements of the Intervention 59
4.1 Theory-based approach for designing interventions 59
4.2 Empirical approach for designing interventions 65
4.3 Experiential approach for designing interventions 69
4.3.1 Focus group 69
4.3.2 Concept mapping 70
4.3.3 Assessment of treatment preferences 70
4.4 Specification of interventions 72
4.4.1 Intervention goals 72
4.4.2 Intervention components and activities 72
4.4.3 Intervention mode of delivery 73
4.4.4 Intervention dose 75
5 Intervention Theory 77
5.1 Delineation of intervention outcomes 77
5.2 Intervention theory 80
5.2.1 Structure 80
5.2.2 Process 84
5.2.3 Outcome 84
5.3 Utility of intervention theory 87
6 Tailored Intervention 89
6.1 Design of tailored interventions 90
6.1.1 Intervention theory 90
6.1.2 Identification of client characteristics for tailoring 91
6.1.3 Assessment of client characteristics 92
6.1.4 Construction of a list of intervention strategies 92
6.1.5 Development of algorithm 94
6.2 Effectiveness of tailored interventions 97
6.3 Mechanisms underlying effects of tailored interventions 98
SECTION 3 IMPLEMENTATION OF INTERVENTIONS 99
7 Overview of Implementation of Interventions 101
7.1 Variations in intervention implementation 101
7.2 Consequences of variations in intervention implementation 106
7.3 Strategies to enhance intervention implementation 107
8 Development of Intervention Manual 109
8.1 Procedure for developing the intervention manual 109
8.1.1 Contextual characteristics 110
8.1.2 Process 110
8.2 Content of the intervention manual 111
8.2.1 Section 1: overview of the intervention 111
8.2.2 Section 2: human and material resources 113
8.2.3 Section 3: procedure 116
8.3 Use of the intervention manual 124
9 Selecting, Training, and Addressing the Influence of Interventionists 127
9.1 Traditional perspective on interventionist influence 128
9.2 Interventionist influence: the evidence 129
9.3 Selection of interventionists 132
9.4 Training of interventionists 135
9.5 Methodological features of studies aimed at investigating interventionist effects 139
10 Intervention Fidelity 141
10.1 Definition of fidelity 141
10.2 Methods for monitoring fidelity 145
10.2.1 Theoretical fidelity 146
10.2.2 Operational fidelity 149
10.3 Importance of monitoring fidelity of intervention implementation 159
SECTION 4 EVALUATION OF INTERVENTIONS 163
11 Overview of Evaluation of Interventions 165
11.1 Criteria for inferring causality 165
11.2 Phases for intervention evaluation 170
11.2.1 Phase 1 170
11.2.2 Phase 2 171
11.2.3 Phase 3 174
11.2.4 Phase 4 176
11.3 Role of intervention theory 177
12 Testing the Acceptability and Feasibility of Interventions 179
12.1 Acceptability of interventions 180
12.1.1 Conceptualization of intervention acceptability 181
12.1.2 Operationalization of intervention acceptability 183
12.2 Feasibility of interventions 196
12.2.1 Definition of feasibility 196
12.2.2 Indicators of feasibility 197
12.3 Feasibility of research methods 201
12.3.1 Recruitment procedures 202
12.3.2 Screening 204
12.3.3 Randomization 205
12.3.4 Retention 207
12.3.5 Data collection 208
12.4 Design of pilot study 209
13 Examining the Efficacy of Interventions 213
13.1 Factors affecting the causal relationship between intervention and outcomes 214
13.1.1 Conceptual factors 214
13.1.2 Methodological factors 216
13.1.3 Addressing conceptual and methodological factors 217
13.2 Design features of an efficacy study 217
13.2.1 Careful selection of participants 235
13.2.2 Control of experimental condition 238
13.2.3 Selection of comparison group 239
13.2.4 Allocation of participants to groups 244
13.2.5 Standardized treatment implementation 246
13.2.6 Outcome measurement 247
13.2.7 Outcome data analysis 247
14 Determining the Effectiveness of Interventions 249
14.1 Efficacy versus effectiveness: A brief review 250
14.2 Limitations of the RCT design in effectiveness research 251
14.2.1 Unrepresentativeness of the sample 251
14.2.2 Highly select setting 252
14.2.3 Limited applicability of interventions 253
14.2.4 Irrelevance of comparison treatment 254
14.2.5 Limited utility of randomization 255
14.2.6 Limited relevance of findings 256
14.3 Alternative designs for evaluating effectiveness 257
14.3.1 Overall function or goal 257
14.3.2 Broad representative sample 257
14.3.3 Selection of different settings 258
14.3.4 Comparison of clinically relevant alternative treatments 258
14.3.5 Assessment of relevant health outcomes at follow-up 259
14.3.6 Allocation to treatment 259
14.3.7 Additional features 261
15 Preferences for Treatment 267
15.1 Conceptualization of treatment preferences 267
15.1.1 Factors influencing treatment preferences 268
15.1.2 Consequences of treatment preferences 269
15.2 Mechanisms underlying influence of treatment preferences in intervention research 270
15.2.1 Influence of treatment preferences on external validity 270
15.2.2 Influence of treatment preferences on internal validity 272
15.2.3 Research designs accounting for treatment preferences 274
SECTION 5 TRANSLATION OF INTERVENTIONS 277
16 Translation of Interventions 279
16.1 Systematic review of evidence 280
16.2 Translation of evidence 281
16.3 Transfer of guideline to practice 284
16.3.1 Adaptation of guideline 284
16.3.2 Dissemination and implementation of guideline 286
References 287
Index 311

Rezensionen

"This book is a must for healthcare professionals interested in
this type of research. The authors do an excellent job of bringing
this type of research to life." (Doody's, 3 February 2012)

Produkt-Details

• Erscheint lt. Verlag: 13.7.2011
• Sprache: englisch
• Themenwelt: Medizin / Pharmazie ► Pflege
• Schlagworte: Advancement • already • area • Ausbildung u. Perspektiven i. d. Krankenpflege • Care • Component • contributed • Core • dissemination practical • evidence-based practice • Evidenzbasierte Praxis • Future • global initiative • important area • IMPROVE • instruction • Intervention • Krankenpflege • Krankenpflegeforschung • Methods • nursing • Nursing Education & Professional Development • Nursing Research • Patient • quality • Research • strides • Translation
• ISBN-13: 9780470961506 / 9780470961506