Essentials of Nursing Care in Randomized Controlled Trials of Nurse-Led Interventions in Somatic Care: A Systematic Review

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Essentials of Nursing Care in Randomized Controlled Trials of Nurse-Led Interventions in Somatic Care : A Systematic Review

Fridlund, Bengt (author): Jönköping University,Lund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Vård i högteknologisk miljö,Forskargrupper vid Lunds universitet,Department of Health Sciences,Faculty of Medicine,Care in high technological environments,Lund University Research Groups,Lund University, Sweden;Jönköping University, Sweden,HHJ, Avdelningen för omvårdnad,HHJ. ADULT

Jönsson, Ann-Cathrin (author): Lund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Department of Health Sciences,Faculty of Medicine,Lund University, Sweden

Andersson, Ewa K. (author): Blekinge Tekniska Högskola,Lund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Department of Health Sciences,Faculty of Medicine,Blekinge Institute of Technology, Sweden;Lund University, Sweden,Institutionen för hälsa

Bala, Sidona-Valentina (author): Lund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Department of Health Sciences,Faculty of Medicine,Lund University, Sweden

Dahlman, Gull-Britt (author): Lund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Vård i högteknologisk miljö,Forskargrupper vid Lunds universitet,Department of Health Sciences,Faculty of Medicine,Care in high technological environments,Lund University Research Groups,Lund University, Sweden

Forsberg, Anna (author): Lund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Vård i högteknologisk miljö,Forskargrupper vid Lunds universitet,Department of Health Sciences,Faculty of Medicine,Care in high technological environments,Lund University Research Groups,Lund University, Sweden

Glasdam, Stinne (author): Lund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Hälsa i ett tvärvetenskapligt perspektiv,Forskargrupper vid Lunds universitet,Department of Health Sciences,Faculty of Medicine,Integrative Health Research,Lund University Research Groups,Lund University, Sweden

Kristensson Ekwall, Anna (author): Lund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Vård i högteknologisk miljö,Forskargrupper vid Lunds universitet,Department of Health Sciences,Faculty of Medicine,Care in high technological environments,Lund University Research Groups

Lindberg, Catharina (author): Blekinge Tekniska Högskola,Lund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Vård i högteknologisk miljö,Forskargrupper vid Lunds universitet,Department of Health Sciences,Faculty of Medicine,Care in high technological environments,Lund University Research Groups,Lund University, Sweden;Blekinge Institute of Technology, Sweden,Institutionen för hälsa

Sivberg, Bengt (author): Lund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Hälsa i ett tvärvetenskapligt perspektiv,Forskargrupper vid Lunds universitet,Department of Health Sciences,Faculty of Medicine,Integrative Health Research,Lund University Research Groups,Lund University, Sweden

Sjöström-Strand, Annica (author): Lund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Barns och familjers hälsa,Forskargrupper vid Lunds universitet,Department of Health Sciences,Faculty of Medicine,Child and Family Health,Lund University Research Groups,Lund University, Sweden

Wihlborg, Jonas (author): Lund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Department of Health Sciences,Faculty of Medicine,Lund University, Sweden

Samuelson, Karin (author): Lund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Vård i högteknologisk miljö,Forskargrupper vid Lunds universitet,Department of Health Sciences,Faculty of Medicine,Care in high technological environments,Lund University Research Groups,Lund University, Sweden

Hommel, A. (author): Lund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Vård i högteknologisk miljö,Forskargrupper vid Lunds universitet,Department of Health Sciences,Faculty of Medicine,Care in high technological environments,Lund University Research Groups

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Irvine : Scientific Research Publishing, 2014
2014
English.
In: Open Journal of Nursing. - Irvine : Scientific Research Publishing. - 2162-5336 .- 2162-5344. ; 4:3, s. 181-197

Related links:: https://doi.org/10.4...; show more...; https://lnu.diva-por... (primary) (Raw object); http://www.scirp.org...; https://portal.resea... (primary) (free); http://dx.doi.org/10... (free); https://hj.diva-port... (primary) (Raw object); https://bth.diva-por... (primary) (Raw object); https://urn.kb.se/re...; https://doi.org/10.4...; https://urn.kb.se/re...; https://lup.lub.lu.s...; https://urn.kb.se/re...; https://urn.kb.se/re...; https://urn.kb.se/re...; show less...

Research review (peer-reviewed)

Abstract Subject headings

Background: Nursing practice has to contribute to evidence pointing out why there is a need for more nurse-designed randomized control trials (RCTs) focusing on evidence-based practice (EBP). How far this EBP has progressed in different health aspects is usually established by systematic reviews of RCTs. Nurse-led RCTs exist but no study has addressed the essentials of nursing care. Aim: The aim was therefore to determine the essentials of nurses’ interventions by means of nurse-led RCTs in somatic care focusing on the stated context, goals, content, strategies as well as the nurse’s role related to effectiveness. Methods: A systematic review was realized according to Cochrane review assumptions to identify, appraise and synthesize all empirical evidence meeting pre-specified eligibility criteria. The PRISMA statement guided the data extraction process (n = 55) from PubMed and CINAHL. Results: Of the RCTs in somatic care, 71% showed a positive effectiveness of nurse-led interventions, of which the nurse had a significant role with regard to being the main responsible in 67% of the studies. Also, 47% of the RCTs presented a theoretical standpoint related to the nurse-led interventions and most prominent were international evidence-based guidelines. Goals were found to have either a patient-centered or a professional-centered ambition. Strategies were based on patient-directed initiatives, nurse-patient-directed initiatives or nurse-directed initiatives, while contents were built upon either a patient-nurse interaction or a nursing management plan. Conclusions: This review underlines the necessity of a holistic view of a person, as nurse-led RCTs comprising a patient-centered ambition, patient-directed initiative and patient-nurse interaction plan showed beneficial nursing care effectiveness, particularly if theory-based. In a nurse-led RCT, a basic theoretical perspective is advantageous as well as to elucidate the role of the nurse in relation to the estimated effects.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)

Keyword

Nurse-Led
Nursing Care
Randomized Controlled Trial
Somatic Care
Systematic Review
Omvårdnad
Nursing
Nurse-Led
Nursing Care
Randomized Controlled Trial
Somatic Care
Systematic Review

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By the author/editor: Fridlund, Bengt; Jönsson, Ann-Cat ...; Andersson, Ewa K ...; Bala, Sidona-Val ...; Dahlman, Gull-Br ...; Forsberg, Anna; show more...; Glasdam, Stinne; Kristensson Ekwa ...; Lindberg, Cathar ...; Sivberg, Bengt; Sjöström-Strand, ...; Wihlborg, Jonas; Samuelson, Karin; Hommel, A.; show less...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Nursing

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By the university: Linnaeus University; Malmö University; Lund University; Jönköping University; Högskolan Dalarna; Blekinge Institute of Technology

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