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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 ; 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
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
2014-05-26 15:54:26
date last changed
2016-09-30 05:37:42
@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},
  keyword      = {Nurse-Led,Nursing Care,Randomized Controlled Trial,Somatic Care,Systematic Review},
  language     = {eng},
  number       = {3},
  pages        = {181--197},
  publisher    = {Scientific Research},
  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          = {http://dx.doi.org/10.4236/ojn.2014.43023},
  volume       = {4},
  year         = {2014},
}