Riding the research roller coaster: what went right, what went wrong?

Area of Science:

• Nursing Research
• Wound, Ostomy, and Continence (WOC) Nursing
• Evidence-Based Practice

Background:

• Implementing evidence-based practice in nursing requires robust research support.
• Identifying knowledge gaps and clinical problems can initiate nursing research endeavors.
• Wound, Ostomy, and Continence (WOC) nurses faced challenges in supporting practice with valid research.

Purpose of the Study:

• To compare the effectiveness of the rectal trumpet versus a fecal collector in preserving skin integrity for patients experiencing fecal incontinence.
• To evaluate the impact of these devices on skin breakdown, healing, leakage, dislodgement, and patient comfort.
• To document the process and challenges encountered during a clinical research study.

Main Methods:

• A convenience sample of 100 patients with fecal incontinence was utilized.
• Patients were randomized to receive either a rectal trumpet or a fecal collector, compared against standard care.
• Data collection focused on skin integrity indicators, device performance (leakage, dislodgement), and patient-reported discomfort.

Main Results:

• The study faced significant challenges and was ultimately terminated before completion.
• Despite termination, the research journey provided invaluable experiences and lessons learned.
• Analysis of the encountered problems is crucial for future research endeavors.

Conclusions:

• Clinical research, even with thorough planning, can encounter unforeseen obstacles leading to termination.
• Documenting and sharing the challenges and lessons learned from terminated studies is vital for the advancement of nursing research.
• The experiences gained offer practical insights into the realities of conducting clinical trials in nursing practice.