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  • References (21)
  • Citations (1)
Published on Jun 1, 2018in Journal of Advanced Nursing 2.38
Peter Allmark18
Estimated H-index: 18
(SHU: Sheffield Hallam University),
Katarzyna Machaczek3
Estimated H-index: 3
(SHU: Sheffield Hallam University)
Aim - A discussion of how adopting a Realist rather than Pragmatist methodology affects the conduct of mixed methods research. Background - Mixed methods approaches are now extensively employed in nursing and other health care research. At the same time, realist methodology is increasingly used as philosophical underpinning of research in these areas. However, the standard philosophical underpinning of mixed methods research is Pragmatism, which is generally considered incompatible or at least a...
Published on Dec 1, 2017in Trials 1.98
Samuel Porter21
Estimated H-index: 21
(BU: Bournemouth University),
Tracey McConnell6
Estimated H-index: 6
('QUB': Queen's University Belfast),
Joanne Reid10
Estimated H-index: 10
('QUB': Queen's University Belfast)
Background Some realists have criticised randomised controlled trials for their inability to explain the causal relations that they identify; to take into account the influence of the social context of the interventions they evaluate; and to account for individual difference. However, among realists, there is controversy over whether it is possible to improve trials by making them realist, or whether realism and the philosophical assumptions underlying trials are incompatible. This paper contrib...
Published on Apr 1, 2017in Nursing Philosophy 1.07
Samuel Porter21
Estimated H-index: 21
(BU: Bournemouth University)
Published on Dec 1, 2016in International Journal of Nursing Studies 3.57
Wendy Chaboyer Rn Mn42
Estimated H-index: 42
(Griffith University),
Tracey Bucknall32
Estimated H-index: 32
(Griffith University)
+ 9 AuthorsMandy Tallott1
Estimated H-index: 1
(Griffith University)
Abstract Background Hospital-acquired pressure ulcers are a serious patient safety concern, associated with poor patient outcomes and high healthcare costs. They are also viewed as an indicator of nursing care quality. Objective To evaluate the effectiveness of a pressure ulcer prevention care bundle in preventing hospital-acquired pressure ulcers among at risk patients. Design Pragmatic cluster randomised trial. Setting Eight tertiary referral hospitals with >200 beds each in three Australian s...
Published on Jan 1, 2015in Revue médicale de Liège
Philippe Ernest3
Estimated H-index: 3
Bernard Jandrain11
Estimated H-index: 11
André Scheen70
Estimated H-index: 70
Randomised Controlled Trials (RCTs) represent the cornerstone of Evidence-Based Medicine (EBM). Based upon the rules of Good Clinical Practice (GCP), they offer many strengths but also present some weaknesses. The rigorous methodology used allows avoid bias related to confounding factors (through a control group), selection bias (through randomisation) and interpretation bias (through double blinding). However, patients recruited in clinical trials and study experimental conditions markedly diff...
Published on Apr 1, 2014in Journal of Emergency Medicine 1.25
Mary Mooney13
Estimated H-index: 13
(Trinity College, Dublin),
Gabrielle McKee15
Estimated H-index: 15
(Trinity College, Dublin)
+ 3 AuthorsDebra K. Moser67
Estimated H-index: 67
(UK: University of Kentucky)
Abstract Background The literature suggests that people delay too long prior to attending emergency departments with acute coronary syndrome (ACS) symptoms. This delay is referred to as prehospital delay. Patient decision delay contributes most significantly to prehospital delay. Objectives Using a randomized controlled trial, we tested an educational intervention to reduce patient prehospital delay in ACS and promote appropriate responses to symptoms. Methods Eligible patients who were admitted...
Published on Oct 1, 2013in Social Science & Medicine 3.09
Bruno Marchal13
Estimated H-index: 13
Gill Westhorp12
Estimated H-index: 12
+ 4 AuthorsRay Pawson33
Estimated H-index: 33
(University of Leeds)
Abstract Bonell et al. discuss the challenges of carrying out randomised controlled trials (RCTs) to evaluate complex interventions in public health, and consider the role of realist evaluation in enhancing this design ( Bonell, Fletcher, Morton, Lorenc, & Moore, 2012 ). They argue for a “ synergistic, rather than oppositional relationship between realist and randomised evaluation” and that “ it is possible to benefit from the insights provided by realist evaluation without relinquishing the RCT...
Published on Dec 1, 2012in Social Science & Medicine 3.09
Chris Bonell38
Estimated H-index: 38
(University of Oxford),
Adam Fletcher28
Estimated H-index: 28
(Lond: University of London)
+ 2 AuthorsLaurence Moore41
Estimated H-index: 41
(Cardiff University)
Randomized trials of complex public health interventions generally aim to identify what works, accrediting specific intervention ‘products’ as effective. This approach often fails to give sufficient consideration to how intervention components interact with each other and with local context. ‘Realists’ argue that trials misunderstand the scientific method, offer only a ‘successionist’ approach to causation, which brackets out the complexity of social causation, and fail to ask which intervention...
Published on Mar 1, 2012in Nursing Inquiry 1.50
Samuel Porter21
Estimated H-index: 21
('QUB': Queen's University Belfast),
Peter O’Halloran8
Estimated H-index: 8
('QUB': Queen's University Belfast)
PORTER S and O’HALLORAN P. Nursing Inquiry 2012; 19: 18–28 The use and limitation of realistic evaluation as a tool for evidence-based practice: a critical realist perspective In this paper, we assess realistic evaluation’s articulation with evidence-based practice (EBP) from the perspective of critical realism. We argue that the adoption by realistic evaluation of a realist causal ontology means that it is better placed to explain complex healthcare interventions than the traditional method use...
Published on Feb 16, 2011in Cochrane Database of Systematic Reviews 7.75
Ralph Möhler9
Estimated H-index: 9
(Witten/Herdecke University),
Tanja Richter9
Estimated H-index: 9
(UHH: University of Hamburg)
+ 1 AuthorsGuilherme C. Meyer2
Estimated H-index: 2
(Witten/Herdecke University)
Background Physical restraints (PR) are commonly used in geriatric long-term care. Restraint-free care should be the aim of high quality nursing care. Objectives To evaluate the effectiveness of interventions to prevent and reduce the use of physical restraints in older people who require long-term nursing care (either in community nursing care or in residential care facilities). Search methods The Cochrane Dementia and Cognitive Improvement Group’s Specialized Register, MEDLINE, EMBASE, CINAHL,...