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Related Concept Videos

Community Based Intervention01:30

Community Based Intervention

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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Nursing Interventions II: Selecting and Classifying the Nursing Interventions01:29

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Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
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Nursing Interventions I: Taxonomy of Nursing Interventions01:03

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Nursing interventions are chosen as part of the planning process to achieve patient outcomes. Once nursing diagnoses are determined, the goals and outcomes are specified, then the nursing interventions are selected and individualized according to the patient's situation.
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Nursing Implementation01:15

Nursing Implementation

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Implementation is the execution of the nursing care plan developed during the planning phase.
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Specialized Care Centers and Settings-II01:30

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Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
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Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
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Lessons Learned From a Practice-Based, Multisite Intervention Study With Nurse Participants.

Christopher R Friese1, Kari Mendelsohn-Victor2, Pamela Ginex3

  • 1Rho, Professor, Department of Systems, Populations, and Leadership, University of Michigan School of Nursing, Ann Arbor, MI, USA.

Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing
|January 19, 2017
PubMed
Summary

Conducting multisite nursing research requires overcoming infrastructure challenges. Strong engagement and planning are key to successful randomized controlled trials in practice settings.

Keywords:
Educationenvironmental healthintervention researchsurvey methodologywork environment

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Area of Science:

  • Nursing Research
  • Oncology Nursing
  • Clinical Trials

Background:

  • Multisite, practice-based randomized controlled trials (RCTs) are crucial for advancing nursing practice.
  • Challenges in conducting these trials can hinder the implementation of evidence-based interventions.
  • Improving nurses' adherence to personal protective equipment (PPE) is vital in ambulatory oncology settings.

Purpose of the Study:

  • To identify challenges and solutions for efficiently conducting a multisite, practice-based RCT.
  • To improve nurses' adherence to personal protective equipment (PPE) use in ambulatory oncology settings.

Main Methods:

  • The Drug Exposure Feedback and Education for Nurses' Safety (DEFENS) study utilized a clustered, randomized, controlled trial design.
  • Participating sites were randomized to receive Web-based feedback on hazardous drug exposures and tailored messages or a control intervention.
  • Challenges and solutions were identified through input from the principal investigator, study coordinator, and site leaders.

Main Results:

  • Key challenges included variations in human subjects' protection policies, budgeting, nursing research infrastructure, and IT.
  • Successful strategies involved scheduled Web conferences, site champions, principal investigator site visits, and centralized document preparation.
  • The DEFENS study successfully recruited 393 nurses across 12 sites, with high survey completion rates.

Conclusions:

  • Multisite nursing studies face unique infrastructure challenges but can be overcome with robust engagement and planning.
  • Effective strategies include early engagement with contracts, potential regulatory adjustments, and strong leadership support.