Design, Evaluation, and Translation of Nursing Interventions

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 of
practical, how-to instruction on this important area of
research. Design, Evaluation, and Translation of Nursing
Interventions aids in this endeavour by presenting both general
approaches and specific methods for developing nursing
interventions.

Logically organized to facilitate ease of use, the book is divided
into four sections. The introduction provides a firm
grounding in intervention science by situating it within the
broader topics of evidence-based practice, client-centred 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 is centred
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.

Auteur

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.

Résumé

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 of practical, how-to instruction on this important area of research. Design, Evaluation, and Translation of Nursing Interventions aids in this endeavour by presenting both general approaches and specific methods for developing nursing interventions.

Logically organized to facilitate ease of use, the book is divided into four sections. The introduction provides a firm grounding in intervention science by situating it within the broader topics of evidence-based practice, client-centred 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 is centred 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.

Contenu

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 ...