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Nurse-led interventions in the concept of randomized controlled trials – critical perspectives on how to handle social contexts

Glasdam, Stinne LU ; Sivberg, Bengt LU and Wihlborg, Monne LU (2015) In International Journal of Multiple Research Approaches
Abstract
This article focuses on the randomized clinical trial (RCT) as research method in nursing interventions and problematizes its methodological ability and delimitations considering the use of this method in the healthcare. It aims to examine if and how RCT in nurse-led interventions are handling questions concerned with contextual in fluences. A systematic literature review was conducted, consisting of 55 RCT from 2006 to 2010. The results show: all interventions were placed in a social arena and address interactions but did reflect the meaning and importance of the social context in the design. RCT operates as if no contextual impact exists, and at the same time, make claims to guide and change actions in the clinical practice. This has... (More)
This article focuses on the randomized clinical trial (RCT) as research method in nursing interventions and problematizes its methodological ability and delimitations considering the use of this method in the healthcare. It aims to examine if and how RCT in nurse-led interventions are handling questions concerned with contextual in fluences. A systematic literature review was conducted, consisting of 55 RCT from 2006 to 2010. The results show: all interventions were placed in a social arena and address interactions but did reflect the meaning and importance of the social context in the design. RCT operates as if no contextual impact exists, and at the same time, make claims to guide and change actions in the clinical practice. This has implications for the understanding of evidence-based nursing according to the Evidence Hierarchy. Further discussion concerning RCT design and impact in clinical practices are called for. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
RCT, nursing interventions, social context, evidence-based nursing, interactions, critical reflections
in
International Journal of Multiple Research Approaches
publisher
Taylor & Francis
ISSN
1834-0806
DOI
10.1080/18340806.2015.1076756
language
English
LU publication?
yes
id
08e3967a-b88f-418f-84db-6b3559fcffa4 (old id 8052778)
date added to LUP
2015-10-14 09:29:08
date last changed
2016-08-22 14:14:58
@article{08e3967a-b88f-418f-84db-6b3559fcffa4,
  abstract     = {This article focuses on the randomized clinical trial (RCT) as research method in nursing interventions and problematizes its methodological ability and delimitations considering the use of this method in the healthcare. It aims to examine if and how RCT in nurse-led interventions are handling questions concerned with contextual in fluences. A systematic literature review was conducted, consisting of 55 RCT from 2006 to 2010. The results show: all interventions were placed in a social arena and address interactions but did reflect the meaning and importance of the social context in the design. RCT operates as if no contextual impact exists, and at the same time, make claims to guide and change actions in the clinical practice. This has implications for the understanding of evidence-based nursing according to the Evidence Hierarchy. Further discussion concerning RCT design and impact in clinical practices are called for.},
  author       = {Glasdam, Stinne and Sivberg, Bengt and Wihlborg, Monne},
  issn         = {1834-0806},
  keyword      = {RCT,nursing interventions,social context,evidence-based nursing,interactions,critical reflections},
  language     = {eng},
  month        = {10},
  publisher    = {Taylor & Francis},
  series       = {International Journal of Multiple Research Approaches},
  title        = {Nurse-led interventions in the concept of randomized controlled trials – critical perspectives on how to handle social contexts},
  url          = {http://dx.doi.org/10.1080/18340806.2015.1076756},
  year         = {2015},
}