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Developing complex interventions for nursing: a critical review of key guidelines
Margarita Corry1, Mike Clarke, Alison E While
1School of Nursing, Trinity College Dublin, Dublin, Ireland. corrym@tcd.ie
Journal of Clinical Nursing
|April 5, 2013
Summary
This study reviewed guidelines for developing complex nursing interventions. The Medical Research Council (MRC) framework is widely used, and a new model offers nursing-specific guidance for evidence-based practice.
Area of Science:
- Nursing Research
- Intervention Development
- Evidence-Based Practice
Background:
- Nursing research is predominantly descriptive, lacking intervention development.
- Increasing demand for evidence-based nursing practices.
- Nurses require methods to develop and test interventions for safe practice.
Purpose of the Study:
- To identify the most comprehensive approach for developing complex interventions in nursing.
- To synthesize existing guidelines for intervention development.
- To propose a model for nursing intervention development.
Main Methods:
- Systematic literature review of four databases (CINAHL, PubMed, PsycINFO, BNI) from 2000-2011.
- Search focused on 'brief interventions' and complex intervention development.
- Included papers reporting on intervention development guidelines or processes.
Main Results:
- Six papers provided guidelines for intervention development.
- The Medical Research Council (MRC) framework (2000) was the most frequently reported guideline used (9/14 papers).
- Other papers did not specify a guideline or framework.
Conclusions:
- The MRC framework (2000, updated 2008) is the most utilized guideline for complex intervention development.
- Additional guidelines offer valuable, nursing-specific insights.
- A proposed model integrates these insights for nursing intervention development.
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