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☐ ☆ ✇ Evidence-Based Nursing

What is a process evaluation when used alongside a randomised controlled trial?

Por: Bugge · C. — Marzo 28th 2024 at 14:43
Introduction

Nursing research often tests complex interventions. For example, the intervention may be delivered by different nurses, with varying levels of seniority and expertise and in diverse geographical locations. The efficacy (can it work) or effectiveness (does it work in the real world) of complex interventions is often evaluated within randomised controlled trials (RCTs). The most recent UK Medical Research Council (MRC) guidance1 on developing and evaluating complex interventions has shifted the emphasis from a focus of solely understanding whether or not an intervention achieves its intended outcomes to additional considerations such as why and how an intervention may, or may not, have an effect. The complex nature of the intervention, and the context within which it is delivered, means that there are multiple other processes that may influence whether or not the intervention is effective in real-world clinical practice.2 Process evaluations are recommended...
☐ ☆ ✇ Evidence-Based Nursing

Induction, deduction and abduction

Por: Barrett · D. · Younas · A. — Diciembre 15th 2023 at 10:25

Researchers often refer to the type of ‘reasoning’ that they have used to support their analysis and reach conclusions within their study. For example, Krick and colleagues completed a study that supported the development of an outcome framework for measuring the effectiveness of digital nursing technologies.1 They reported completing the analysis through combining ‘an inductive and deductive approach’ (p1), but what do these terms mean? How can these methods of reasoning support nursing practice, and guide the development and appraisal of research evidence?

This article will explore inductive and deductive reasoning and their place in nursing research. We will also explore a third approach to reasoning—abductive reasoning—which is arguably less well-known than induction and deduction, but just as prevalent and important in nursing practice and nursing research.

Inductive reasoning

Induction, or inductive reasoning, involves the identification of cues and the collection of data to develop general...
☐ ☆ ✇ Evidence-Based Nursing

Phenomenography: an alternative to the usual qualitative method

Por: Rolls · K. — Septiembre 26th 2023 at 16:14
Introduction

Phenomenography is a method of exploring the phenomenon of interest by examining how a group of individuals experience said phenomenon, uncovering the similarities and differences of this shared experience. The purpose of this paper is to outline the case for phenomenography as a research method ideally suited to explore the complex problems encountered by nurses and midwives within their everyday practice.

 Research paradigm

Phenomenography emerged in the mid-1970s from the landmark study by Marton and Saljo1 2 where they endeavoured to explain why students at the same university and course arrived at different solutions for the same problems. Phenomenography is a second-order perspective because it focuses on participants and is concerned with understanding the collective view rather than understanding an experience through multiple individual experiences. A key assumption is that individual experiences are ‘logically related’ when phenomena they experience are the...
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