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Practice innovation: a methodological maze.

D Tolson1

  • 1Department of Nursing and Community Health, Glasgow Caledonian University, Cowcaddens Road, Glasgow, G4 0BA, Scotland.

Journal of Advanced Nursing
|August 24, 1999
PubMed
Summary
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Nurse researchers can use realistic evaluation to drive practice innovation and evidence-based practice. This paper navigates the methodological and political challenges of evaluation research in healthcare settings.

Area of Science:

  • Healthcare innovation
  • Nursing research
  • Evidence-based practice

Background:

  • Health culture emphasizes evidence-based practice, necessitating continuous innovation.
  • Practice innovation offers opportunities for nurse researchers via realistic evaluation.
  • Evaluation research informing policy faces significant methodological and political challenges.

Purpose of the Study:

  • To explore political tensions and methodological issues in practice innovation within evaluative research.
  • To present a critical pathway for novice evaluators navigating complex research frameworks.
  • To illustrate challenges using a case study in audiological rehabilitation for elder care.

Main Methods:

  • The study employs a qualitative approach, discussing methodological dilemmas.

Related Experiment Videos

  • It introduces a critical pathway framework for evaluative research.
  • A case study in audiological rehabilitation in elder care serves as an illustration.

    • Main Results:

    • Practice innovation within an evaluative framework presents unique political and methodological hurdles.
    • Novice evaluators require guidance through the complexities of evaluation research.
    • Realistic evaluation is a key approach for nurse researchers engaging with practice change.

    Conclusions:

    • Navigating the complexities of evaluation research is crucial for successful practice innovation.
    • A structured approach, like the critical pathway, can aid researchers.
    • Understanding and addressing methodological and political tensions is vital for evidence-based healthcare advancements.