Design, Evaluation, and Translation of Nursing Interventions
Published on 2. September 2011
Book
Paperback/Softback
304 pages
978-0-8138-2032-3 (ISBN)
Description
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 practical, how-to instruction on this important area of research. Design, Evaluation, and Translation of Nursing Interventions aids in this endeavor by presenting both general approaches and specific methods for developing nursing interventions.
Logically organized to facilitate ease of use, the book is partitioned into four sections. The introduction provides a firm grounding in intervention science by situating it within the broader topics of evidence-based practice, client-centered 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 centers 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.
Key Features:
* Provides a thorough foundation in nursing intervention research and its impact on improving standards of care
* Segments the multifaceted process of intervention development into easy-to-follow, step-by-step chapters
* Presents methods for the evaluation of interventions developed
* Written by experts in the field
Logically organized to facilitate ease of use, the book is partitioned into four sections. The introduction provides a firm grounding in intervention science by situating it within the broader topics of evidence-based practice, client-centered 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 centers 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.
Key Features:
* Provides a thorough foundation in nursing intervention research and its impact on improving standards of care
* Segments the multifaceted process of intervention development into easy-to-follow, step-by-step chapters
* Presents methods for the evaluation of interventions developed
* Written by experts in the field
Reviews / Votes
"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)More details
Other editions
New editions
Souraya Sidani
NURSING & HEALTH INTERVENTIONS 2ND EDITI
Book
03/2021
Wiley
€70.00
Shipment within 15-20 days
Additional editions
Souraya Sidani | Carrie Jo Braden
Design, Evaluation, and Translation of Nursing Interventions
E-Book
07/2011
Wiley-Blackwell
€55.99
Available for download
Souraya Sidani | Carrie Jo Braden
Design, Evaluation, and Translation of Nursing Interventions
E-Book
07/2011
Wiley-Blackwell
€55.99
Available for download
Persons
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.
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.
Content
Preface xi
Acknowledgment xiii
SECTION 1 INTRODUCTION
1 Introduction to Intervention Research 3
1.1 Overview of paradigm shift 4
1.1.1 Evidence-based practice: a review 5
1.1.2 Client-centered care 7
1.1.3 High-quality care redefined 9
1.2 Process for designing, evaluating, and translating interventions 11
1.2.1 Design of interventions 11
1.2.2 Evaluation of interventions 12
1.2.3 Translation of interventions 13
1.3 Overview of the book 14
SECTION 2 DESIGNING INTERVENTIONS
2 Overview of Designing Interventions 17
2.1 Nursing interventions defined 17
2.1.1 Definition of interventions 17
2.1.2 Characteristics of interventions 19
2.2 Presenting problems 21
2.2.1 Definition of problem 21
2.2.2 Characteristics of problems 21
2.3 Design of interventions 23
3 Understanding the Problem 27
3.1 Theoretical approach for understanding the problem 27
3.2 Empirical approach for understanding the problem 31
3.3 Experiential approach for understanding the problem 35
3.4 Combined approach for understanding the problem 40
3.5 Theory of the problem 42
4 Clarifying Elements of the Intervention 43
4.1 Theory-based approach for designing interventions 43
4.2 Empirical approach for designing interventions 49
4.3 Experiential approach for designing interventions 53
4.3.1 Focus group 53
4.3.2 Concept mapping 54
4.3.3 Assessment of treatment preferences 54
4.4 Specification of interventions 56
4.4.1 Intervention goals 56
4.4.2 Intervention components and activities 56
4.4.3 Intervention mode of delivery 57
4.4.4 Intervention dose 59
5 Intervention Theory 61
5.1 Delineation of intervention outcomes 61
5.2 Intervention theory 64
5.2.1 Structure 64
5.2.2 Process 68
5.2.3 Outcome 68
5.3 Utility of intervention theory 71
6 Tailored Intervention 73
6.1 Design of tailored interventions 74
6.1.1 Intervention theory 74
6.1.2 Identification of client characteristics for tailoring 75
6.1.3 Assessment of client characteristics 76
6.1.4 Construction of a list of intervention strategies 76
6.1.5 Development of algorithm 78
6.2 Effectiveness of tailored interventions 81
6.3 Mechanisms underlying effects of tailored interventions 82
SECTION 3 IMPLEMENTATION OF INTERVENTIONS
7 Overview of Implementation of Interventions 85
7.1 Variations in intervention implementation 85
7.2 Consequences of variations in intervention implementation 90
7.3 Strategies to enhance intervention implementation 91
8 Development of Intervention Manual 93
8.1 Procedure for developing the intervention manual 93
8.1.1 Contextual characteristics 94
8.1.2 Process 94
8.2 Content of the intervention manual 95
8.2.1 Section 1: overview of the intervention 95
8.2.2 Section 2: human and material resources 97
8.2.3 Section 3: procedure 100
8.3 Use of the intervention manual 108
9 Selecting, Training, and Addressing the Influence of Interventionists 111
9.1 Traditional perspective on interventionist influence 112
9.2 Interventionist influence: the evidence 113
9.3 Selection of interventionists 116
9.4 Training of interventionists 119
9.5 Methodological features of studies aimed at investigating interventionist effects 123
10 Intervention Fidelity 125
10.1 Definition of fidelity 125
10.2 Methods for monitoring fidelity 129
10.2.1 Theoretical fidelity 130
10.2.2 Operational fidelity 133
10.3 Importance of monitoring fidelity of intervention implementation 143
SECTION 4 EVALUATION OF INTERVENTIONS
11 Overview of Evaluation of Interventions 149
11.1 Criteria for inferring causality 149
11.2 Phases for intervention evaluation 154
11.2.1 Phase 1 154
11.2.2 Phase 2 155
11.2.3 Phase 3 158
11.2.4 Phase 4 160
11.3 Role of intervention theory 161
12 Testing the Acceptability and Feasibility of Interventions 163
12.1 Acceptability of interventions 164
12.1.1 Conceptualization of intervention acceptability 165
12.1.2 Operationalization of intervention acceptability 167
12.2 Feasibility of interventions 180
12.2.1 Definition of feasibility 180
12.2.2 Indicators of feasibility 181
12.3 Feasibility of research methods 185
12.3.1 Recruitment procedures 186
12.3.2 Screening 188
12.3.3 Randomization 189
12.3.4 Retention 191
12.3.5 Data collection 192
12.4 Design of pilot study 193
13 Examining the Efficacy of Interventions 197
13.1 Factors affecting the causal relationship between intervention and outcomes 198
13.1.1 Conceptual factors 198
13.1.2 Methodological factors 200
13.1.3 Addressing conceptual and methodological factors 201
13.2 Design features of an efficacy study 201
13.2.1 Careful selection of participants 219
13.2.2 Control of experimental condition 222
13.2.3 Selection of comparison group 223
13.2.4 Allocation of participants to groups 228
13.2.5 Standardized treatment implementation 230
13.2.6 Outcome measurement 231
13.2.7 Outcome data analysis 231
14 Determining the Effectiveness of Interventions 233
14.1 Efficacy versus effectiveness: A brief review 234
14.2 Limitations of the RCT design in effectiveness research 235
14.2.1 Unrepresentativeness of the sample 235
14.2.2 Highly select setting 236
14.2.3 Limited applicability of interventions 237
14.2.4 Irrelevance of comparison treatment 238
14.2.5 Limited utility of randomization 239
14.2.6 Limited relevance of findings 240
14.3 Alternative designs for evaluating effectiveness 241
14.3.1 Overall function or goal 241
14.3.2 Broad representative sample 241
14.3.3 Selection of different settings 242
14.3.4 Comparison of clinically relevant alternative treatments 242
14.3.5 Assessment of relevant health outcomes at follow-up 243
14.3.6 Allocation to treatment 243
14.3.7 Additional features 245
15 Preferences for Treatment 251
15.1 Conceptualization of treatment preferences 251
15.1.1 Factors influencing treatment preferences 252
15.1.2 Consequences of treatment preferences 253
15.2 Mechanisms underlying influence of treatment preferences in intervention research 254
15.2.1 Influence of treatment preferences on external validity 254
15.2.2 Influence of treatment preferences on internal validity 256
15.2.3 Research designs accounting for treatment preferences 258
SECTION 5 TRANSLATION OF INTERVENTIONS
16 Translation of Interventions 263
16.1 Systematic review of evidence 264
16.2 Translation of evidence 265
16.3 Transfer of guideline to practice 268
16.3.1 Adaptation of guideline 268
16.3.2 Dissemination and implementation of guideline 270
References 271
Index 295
Acknowledgment xiii
SECTION 1 INTRODUCTION
1 Introduction to Intervention Research 3
1.1 Overview of paradigm shift 4
1.1.1 Evidence-based practice: a review 5
1.1.2 Client-centered care 7
1.1.3 High-quality care redefined 9
1.2 Process for designing, evaluating, and translating interventions 11
1.2.1 Design of interventions 11
1.2.2 Evaluation of interventions 12
1.2.3 Translation of interventions 13
1.3 Overview of the book 14
SECTION 2 DESIGNING INTERVENTIONS
2 Overview of Designing Interventions 17
2.1 Nursing interventions defined 17
2.1.1 Definition of interventions 17
2.1.2 Characteristics of interventions 19
2.2 Presenting problems 21
2.2.1 Definition of problem 21
2.2.2 Characteristics of problems 21
2.3 Design of interventions 23
3 Understanding the Problem 27
3.1 Theoretical approach for understanding the problem 27
3.2 Empirical approach for understanding the problem 31
3.3 Experiential approach for understanding the problem 35
3.4 Combined approach for understanding the problem 40
3.5 Theory of the problem 42
4 Clarifying Elements of the Intervention 43
4.1 Theory-based approach for designing interventions 43
4.2 Empirical approach for designing interventions 49
4.3 Experiential approach for designing interventions 53
4.3.1 Focus group 53
4.3.2 Concept mapping 54
4.3.3 Assessment of treatment preferences 54
4.4 Specification of interventions 56
4.4.1 Intervention goals 56
4.4.2 Intervention components and activities 56
4.4.3 Intervention mode of delivery 57
4.4.4 Intervention dose 59
5 Intervention Theory 61
5.1 Delineation of intervention outcomes 61
5.2 Intervention theory 64
5.2.1 Structure 64
5.2.2 Process 68
5.2.3 Outcome 68
5.3 Utility of intervention theory 71
6 Tailored Intervention 73
6.1 Design of tailored interventions 74
6.1.1 Intervention theory 74
6.1.2 Identification of client characteristics for tailoring 75
6.1.3 Assessment of client characteristics 76
6.1.4 Construction of a list of intervention strategies 76
6.1.5 Development of algorithm 78
6.2 Effectiveness of tailored interventions 81
6.3 Mechanisms underlying effects of tailored interventions 82
SECTION 3 IMPLEMENTATION OF INTERVENTIONS
7 Overview of Implementation of Interventions 85
7.1 Variations in intervention implementation 85
7.2 Consequences of variations in intervention implementation 90
7.3 Strategies to enhance intervention implementation 91
8 Development of Intervention Manual 93
8.1 Procedure for developing the intervention manual 93
8.1.1 Contextual characteristics 94
8.1.2 Process 94
8.2 Content of the intervention manual 95
8.2.1 Section 1: overview of the intervention 95
8.2.2 Section 2: human and material resources 97
8.2.3 Section 3: procedure 100
8.3 Use of the intervention manual 108
9 Selecting, Training, and Addressing the Influence of Interventionists 111
9.1 Traditional perspective on interventionist influence 112
9.2 Interventionist influence: the evidence 113
9.3 Selection of interventionists 116
9.4 Training of interventionists 119
9.5 Methodological features of studies aimed at investigating interventionist effects 123
10 Intervention Fidelity 125
10.1 Definition of fidelity 125
10.2 Methods for monitoring fidelity 129
10.2.1 Theoretical fidelity 130
10.2.2 Operational fidelity 133
10.3 Importance of monitoring fidelity of intervention implementation 143
SECTION 4 EVALUATION OF INTERVENTIONS
11 Overview of Evaluation of Interventions 149
11.1 Criteria for inferring causality 149
11.2 Phases for intervention evaluation 154
11.2.1 Phase 1 154
11.2.2 Phase 2 155
11.2.3 Phase 3 158
11.2.4 Phase 4 160
11.3 Role of intervention theory 161
12 Testing the Acceptability and Feasibility of Interventions 163
12.1 Acceptability of interventions 164
12.1.1 Conceptualization of intervention acceptability 165
12.1.2 Operationalization of intervention acceptability 167
12.2 Feasibility of interventions 180
12.2.1 Definition of feasibility 180
12.2.2 Indicators of feasibility 181
12.3 Feasibility of research methods 185
12.3.1 Recruitment procedures 186
12.3.2 Screening 188
12.3.3 Randomization 189
12.3.4 Retention 191
12.3.5 Data collection 192
12.4 Design of pilot study 193
13 Examining the Efficacy of Interventions 197
13.1 Factors affecting the causal relationship between intervention and outcomes 198
13.1.1 Conceptual factors 198
13.1.2 Methodological factors 200
13.1.3 Addressing conceptual and methodological factors 201
13.2 Design features of an efficacy study 201
13.2.1 Careful selection of participants 219
13.2.2 Control of experimental condition 222
13.2.3 Selection of comparison group 223
13.2.4 Allocation of participants to groups 228
13.2.5 Standardized treatment implementation 230
13.2.6 Outcome measurement 231
13.2.7 Outcome data analysis 231
14 Determining the Effectiveness of Interventions 233
14.1 Efficacy versus effectiveness: A brief review 234
14.2 Limitations of the RCT design in effectiveness research 235
14.2.1 Unrepresentativeness of the sample 235
14.2.2 Highly select setting 236
14.2.3 Limited applicability of interventions 237
14.2.4 Irrelevance of comparison treatment 238
14.2.5 Limited utility of randomization 239
14.2.6 Limited relevance of findings 240
14.3 Alternative designs for evaluating effectiveness 241
14.3.1 Overall function or goal 241
14.3.2 Broad representative sample 241
14.3.3 Selection of different settings 242
14.3.4 Comparison of clinically relevant alternative treatments 242
14.3.5 Assessment of relevant health outcomes at follow-up 243
14.3.6 Allocation to treatment 243
14.3.7 Additional features 245
15 Preferences for Treatment 251
15.1 Conceptualization of treatment preferences 251
15.1.1 Factors influencing treatment preferences 252
15.1.2 Consequences of treatment preferences 253
15.2 Mechanisms underlying influence of treatment preferences in intervention research 254
15.2.1 Influence of treatment preferences on external validity 254
15.2.2 Influence of treatment preferences on internal validity 256
15.2.3 Research designs accounting for treatment preferences 258
SECTION 5 TRANSLATION OF INTERVENTIONS
16 Translation of Interventions 263
16.1 Systematic review of evidence 264
16.2 Translation of evidence 265
16.3 Transfer of guideline to practice 268
16.3.1 Adaptation of guideline 268
16.3.2 Dissemination and implementation of guideline 270
References 271
Index 295