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Why research doesn't yield treatment.

M Baier1

  • 1School of Nursing, Southern Illinois University, Edwardsville 62026-1066.

Journal of Psychosocial Nursing and Mental Health Services
|May 1, 1988
PubMed
Summary
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Utilizing nursing research with chronically mentally ill patients faces challenges due to complex client factors and outcome measurement difficulties. Despite these hurdles, research shows clinical relevance, highlighting the need for continued study in mental healthcare.

Area of Science:

  • Nursing Research
  • Psychiatric Mental Health Nursing
  • Clinical Practice

Background:

  • Nursing research faces significant obstacles in its application to chronically mentally ill (CMI) clients.
  • Previous studies highlight challenges in identifying treatment goals and measuring outcomes for this population.

Purpose of the Study:

  • To examine the problems and limitations in utilizing nursing research findings in the care of chronically mentally ill clients.
  • To evaluate research utilization based on scientific merit, clinical relevance, and clinical evaluation criteria.

Main Methods:

  • Analysis of nursing research examples involving CMI clients.
  • Application of Fawcett's (1982) criteria for research utilization: scientific merit, clinical relevance, and clinical evaluation.

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  • Identification of specific obstacles: goal setting, outcome measurement, intervention diversity, client attrition, and client variability.

    • Main Results:

    • Limitations in the scientific merit and clinical evaluation of nursing research for CMI clients were identified.
    • Despite limitations, research concerning CMI clients and their treatment demonstrated clear clinical relevance.
    • Obstacles include difficulties in goal identification, outcome measurement, diverse interventions, client attrition, and client heterogeneity.

    Conclusions:

    • Significant challenges exist in applying nursing research to the chronically mentally ill population.
    • The clinical relevance of existing research underscores the critical need for further investigation and improved research methodologies in this field.
    • Addressing identified limitations is crucial for enhancing evidence-based practice in psychiatric mental health nursing.