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- Skärsäter, Ingela, 1952, et al.
(författare)
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The Recovery Process in Major Depression : an Analysis Employing Meleis´Transition Framework for Deeper Understanding as a Foundation for Nursing Interventions.
- 2006
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Ingår i: Advances in Nursing Science. - Philadelphia, USA : Lippincott Williams & Wilkins. - 0161-9268 .- 1550-5014. ; 29:3, s. 245-259
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Tidskriftsartikel (refereegranskat)abstract
- The number of persons with mental illness is increasing globally; despite this fact, nursing research on research-based interventions to prevent or minimize illness and increase quality of life is sparse. The purpose of this secondary analysis of men and women recovering from major depression (N=25) was to gain a deeper understanding of the concept of transition in the recovery process associated with major depression as well as to develop and suggest nursing interventions that support the recovery process. The transition framework was useful, as it was describing the transition process as fluid, going back and forth, which was confirmed by the respondents´statements. Transition planning is a feasible way of supporting both the recovery process and health promotion, thus laying the foundation for a good quality of life.
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| 2. |
- Stoltz, Peter, et al.
(författare)
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"Insufficient Evidence of Effectiveness" Is Not "Evidence of No Effectiveness:" Evaluating Computer-Based Education for Patients with Severe Mental Illness
- 2009
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Ingår i: WORLDVIEWS ON EVIDENCE-BASED NURSING. - Hoboken, USA : Wiley-Blackwell. - 1545-102X .- 1741-6787. ; 6:4, s. 190-199
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Forskningsöversikt (refereegranskat)abstract
- ABSTRACT Rationale: This article reports on commissioned research funded by the Swedish Council of Technology Assessment in Health Care (SBU) and the Swedish Nursing Society (SSF). The objective was to review computer-based education programs. However, as the review produced insufficient evidence of effectiveness, the publication was withheld due to a previous incident where such evidence was misunderstood by Swedish policy and health care decision makers. Aims: This article highlights the concept of evidence with regard to the consequences of insufficient evidence of effectiveness being mistaken for evidence of no effectiveness. The aim is also to present a systematic review evaluating a computer-based education program for patients suffering from severe mental illness. Methods: Systematic database searches in Medline, CINAHL, PsycINFO and the Cochrane Library identified a total of 131 potentially relevant references. Thereafter, 27 references were retrieved as full-text documents, of which 5 were finally included and co-reviewed by two independent researchers. Findings: The review found no decisive evidence of effectiveness regarding computer-based education programs designed to assist persons suffering from severe mental illness. Implications for Practice and Policy: Failing to see the difference between insufficient evidence and evidence of no effectiveness may have unexpected consequences. As a result, practice may be misguided and treatments withheld, which at worse may have harmful consequences for patients. In the end, it is of utmost importance that researchers do good quality research by ensuring statistical power and quality of outcome measurement. For example, this review of computer-based education programs could have revealed effective ways of dealing with severe mental illness if the studies included had been conducted using more sophisticated designs.
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