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Essentials of Nursing Care in Randomized Controlled Trials of Nurse-Led Interventions in Somatic Care: A Systematic Review

Fridlund, Bengt LU ; Jönsson, Ann-Cathrin LU ; Andersson, Ewa LU ; Bala, Sidona-Valentina LU ; Dahlman, Gull-Britt LU ; Forsberg, Anna LU ; Glasdam, Stinne LU orcid ; Hommel, Ami LU ; Kristensson Ekwall, Anna LU and Lindberg, Catharina LU , et al. (2014) In Open Journal of Nursing 4(3). p.181-197
Abstract
Background: Nursing practice has to contribute to evidence pointing out why there is a need for more nurse-designed randomized control trials (RCTs) focusing on evidence-based practice (EBP).How far this EBP has progressed in different health aspects is usually established by systematic reviews of RCTs. Nurse-led RCTs exist but no study has addressed the essentials of nursing care. Aim: The aim was therefore to determine the essentials of nurses’ interventions by means of nurse-led RCTs in somatic care focusing on the stated context, goals, content, strategies as well as the nurse’s role related to effectiveness. Methods: A systematic review was realized according to Cochrane review assumptions to identify, appraise and synthesize all... (More)
Background: Nursing practice has to contribute to evidence pointing out why there is a need for more nurse-designed randomized control trials (RCTs) focusing on evidence-based practice (EBP).How far this EBP has progressed in different health aspects is usually established by systematic reviews of RCTs. Nurse-led RCTs exist but no study has addressed the essentials of nursing care. Aim: The aim was therefore to determine the essentials of nurses’ interventions by means of nurse-led RCTs in somatic care focusing on the stated context, goals, content, strategies as well as the nurse’s role related to effectiveness. Methods: A systematic review was realized according to Cochrane review assumptions to identify, appraise and synthesize all empirical evidence meeting pre-specified eligibility criteria. The PRISMA statement guided the data extraction process (n = 55)

from PubMed and CINAHL. Results: Of the RCTs in somatic care, 71% showed a positive effectiveness of nurse-led interventions, of which the nurse had a significant role with regard to being the main responsible in 67% of the studies. Also, 47% of the RCTs presented a theoretical standpoint related to the nurse-led interventions and most prominent were international evidence-based guidelines. Goals were found to have either a patient-centered or a professional-centered ambition. Strategies were based on patient-directed initiatives, nurse-patient-directed initiatives or nurse-directed initiatives, while contents were built upon either a patient-nurse interaction or a nursing management plan. Conclusions: This review underlines the necessity of a holistic view of a person, as nurse-led RCTs comprising a patient-centered ambition, patient-directed initiative and patient-nurse interaction plan showed beneficial nursing care effectiveness, particularly if theory-based. In a nurse-led RCT, a basic theoretical perspective is advantageous as well as to elucidate the role of the nurse in relation to the estimated effects. (Less)
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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Nurse-Led, Nursing Care, Randomized Controlled Trial, Somatic Care, Systematic Review
in
Open Journal of Nursing
volume
4
issue
3
pages
181 - 197
publisher
Scientific Research Publishing (SCIRP)
ISSN
2162-5336
DOI
10.4236/ojn.2014.43023
language
English
LU publication?
yes
id
272c47be-eb2a-4527-bc4d-f2894e066551 (old id 4351864)
date added to LUP
2016-04-01 10:56:25
date last changed
2025-04-04 14:29:58
@article{272c47be-eb2a-4527-bc4d-f2894e066551,
  abstract     = {{Background: Nursing practice has to contribute to evidence pointing out why there is a need for more nurse-designed randomized control trials (RCTs) focusing on evidence-based practice (EBP).How far this EBP has progressed in different health aspects is usually established by systematic reviews of RCTs. Nurse-led RCTs exist but no study has addressed the essentials of nursing care. Aim: The aim was therefore to determine the essentials of nurses’ interventions by means of nurse-led RCTs in somatic care focusing on the stated context, goals, content, strategies as well as the nurse’s role related to effectiveness. Methods: A systematic review was realized according to Cochrane review assumptions to identify, appraise and synthesize all empirical evidence meeting pre-specified eligibility criteria. The PRISMA statement guided the data extraction process (n = 55)<br/><br>
from PubMed and CINAHL. Results: Of the RCTs in somatic care, 71% showed a positive effectiveness of nurse-led interventions, of which the nurse had a significant role with regard to being the main responsible in 67% of the studies. Also, 47% of the RCTs presented a theoretical standpoint related to the nurse-led interventions and most prominent were international evidence-based guidelines. Goals were found to have either a patient-centered or a professional-centered ambition. Strategies were based on patient-directed initiatives, nurse-patient-directed initiatives or nurse-directed initiatives, while contents were built upon either a patient-nurse interaction or a nursing management plan. Conclusions: This review underlines the necessity of a holistic view of a person, as nurse-led RCTs comprising a patient-centered ambition, patient-directed initiative and patient-nurse interaction plan showed beneficial nursing care effectiveness, particularly if theory-based. In a nurse-led RCT, a basic theoretical perspective is advantageous as well as to elucidate the role of the nurse in relation to the estimated effects.}},
  author       = {{Fridlund, Bengt and Jönsson, Ann-Cathrin and Andersson, Ewa and Bala, Sidona-Valentina and Dahlman, Gull-Britt and Forsberg, Anna and Glasdam, Stinne and Hommel, Ami and Kristensson Ekwall, Anna and Lindberg, Catharina and Sivberg, Bengt and Sjöström-Strand, Annica and Wihlborg, Jonas and Samuelson, Karin}},
  issn         = {{2162-5336}},
  keywords     = {{Nurse-Led; Nursing Care; Randomized Controlled Trial; Somatic Care; Systematic Review}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{181--197}},
  publisher    = {{Scientific Research Publishing (SCIRP)}},
  series       = {{Open Journal of Nursing}},
  title        = {{Essentials of Nursing Care in Randomized Controlled Trials of Nurse-Led Interventions in Somatic Care: A Systematic Review}},
  url          = {{https://lup.lub.lu.se/search/files/2254836/4351866.pdf}},
  doi          = {{10.4236/ojn.2014.43023}},
  volume       = {{4}},
  year         = {{2014}},
}