Effectiveness of participatory-action-research to put in practice evidence at a nursing onco-hematology unit

Abstract

The aim was to evaluate the effectiveness of evidence implementation through participatoryaction research (PAR). A prospective quasi-experimental design with two non-equivalent and non-concurrent groups (2006 and 2008) was adopted. The research was conducted at the bone marrow transplant unit of a tertiary-level Spanish hospital. To put the evidence in practice, PAR was adopted as an "intervention studied". The dependent variables were: professional performance and patient outcomes (psycho-emotional area and adverse effects). In total, 125 patients were recruited (1 st period=56; 2 nd period=69). The results in the second period show significant improvements in professional performance in terms of the quality of the registers of signs and symptoms. In the psycho-emotional area, the psycho-social adjustment improved significantly; without caregiver burden or satisfaction showing any clear tendencies. Among the adverse effects, catheter-related thrombosis and catheter-related infection improved significantly; there were no significant differences in the level of pain or mucositis. Through the PAR, evidence could be put in practice and the outcomes under analysis could be improved. desempeño profesional y resultados de salud (área psico-emocional y efectos adversos).Se reclutaron 125 pacientes (1 er grupo=56; 2º grupo=69). Se aprecia una mejoría significativa en el segundo grupo en la calidad de los registros de valoración de signos y síntomas. En el área psico-emocional, el ajuste psico-social mejora significativamente; no hay cambios en la sobrecarga ni la satisfacción. En efectos adversos, la obstrucción e infección relacionada con catéter mejoran significativamente; no hay diferencias en dolor y mucositis. La IAP ha servido para implantar evidencias y mejorar los resultados de salud.Descriptores: Enfermería Basada en la Evidencia; Investigación sobre la Eficacia

Implementing evidence‐based practices on the therapeutic relationship in inpatient psychiatric care: A participatory action research

“…The process of change therefore allowed them to become aware of their clinical practice and thus generate improvements. Professional satisfaction and motivation increased because the nurses felt they participated in improving the organisation (Abad‐Corpa et al, ; Dawber, ; Munten et al, ; Oelofsen, ).…”

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