An alternative paradigm for clinical nursing research: An exemplar

Souraya Sidani, Dana Epstein, Patricia Moritz

Research output: Contribution to journalReview article

26 Citations (Scopus)

Abstract

Effectiveness research is undertaken to evaluate the effects of interventions in achieving desired outcomes when tested in the real-world conditions of everyday practice. Although the randomized clinical trial (RCT) is considered the gold standard for effectiveness research, its feasibility, generalizability, and the clinical utility of its results are being questioned. This state of the science prompted the call for a paradigm shift, characterized by alternative methods for clinical research. The alternative methods attempt to account for clinical realities when conducting research, with the goal of minimizing discrepancies in the perspective and assumptions underlying practice and research. In this article a theory-driven approach to intervention evaluation is presented as a viable alternative paradigm for clinical research. The application of this approach demands changes in four aspects of research: participant selection criteria, assignment to treatment options, delivery of the intervention, and selection of outcome measures. The changes are discussed at the conceptual level and illustrated with examples from an ongoing multisite study aimed at determining the usefulness of this theory-driven approach to intervention evaluation.

Original languageEnglish (US)
Pages (from-to)244-255
Number of pages12
JournalResearch in Nursing and Health
Volume26
Issue number3
DOIs
StatePublished - Jun 1 2003
Externally publishedYes

Fingerprint

Clinical Nursing Research
Research
Patient Selection
Randomized Controlled Trials
Outcome Assessment (Health Care)

Keywords

  • Intervention effectiveness
  • Methods
  • Research design

ASJC Scopus subject areas

  • Nursing(all)

Cite this

An alternative paradigm for clinical nursing research : An exemplar. / Sidani, Souraya; Epstein, Dana; Moritz, Patricia.

In: Research in Nursing and Health, Vol. 26, No. 3, 01.06.2003, p. 244-255.

Research output: Contribution to journalReview article

Sidani, Souraya ; Epstein, Dana ; Moritz, Patricia. / An alternative paradigm for clinical nursing research : An exemplar. In: Research in Nursing and Health. 2003 ; Vol. 26, No. 3. pp. 244-255.
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