Evaluation of conceptual frameworks applicable to the study of isolation precautions effectiveness

Abstract

Aims A discussion of conceptual frameworks applicable to the study of isolation precautions effectiveness according to Fawcett and DeSanto-Madeya’s (2013) evaluation technique and their relative merits and drawbacks for this purpose Background Isolation precautions are recommended to control infectious diseases with high morbidity and mortality, but effectiveness is not established due to numerous methodological challenges. These challenges, such as identifying empirical indicators and refining operational definitions, could be alleviated though use of an appropriate conceptual framework. Design Discussion paper Data Sources In mid-April 2014, the primary author searched five electronic, scientific literature databases for conceptual frameworks applicable to study isolation precautions, without limiting searches by publication date. Implications for Nursing By reviewing promising conceptual frameworks to support isolation precautions effectiveness research, this paper exemplifies the process to choose an appropriate conceptual framework for empirical research. Hence, researchers may build on these analyses to improve study design of empirical research in multiple disciplines, which may lead to improved research and practice. Conclusion Three frameworks were reviewed: the epidemiologic triad of disease, Donabedian’s healthcare quality framework and the Quality Health Outcomes model. Each has been used in nursing research to evaluate health outcomes and contains concepts relevant to nursing domains. Which framework can be most useful likely depends on whether the study question necessitates testing multiple interventions, concerns pathogen-specific characteristics and yields cross-sectional or longitudinal data. The Quality Health Outcomes model may be slightly preferred as it assumes reciprocal relationships, multi-level analysis and is sensitive to cultural inputs.

Patient care experience with utilization of isolation precautions: systematic literature review and meta-analysis

“…There is variable evidence regarding the effectiveness of precautions, particularly CPs, at preventing transmission of MDROs in healthcare settings [10e17]. Variation in implementation and poor compliance are potentially responsible for disparate results on the effectiveness of these practices [18,19]. A major limitation that affects the validity of results in the published literature is lack of risk adjustment for underlying comorbidities and severity of illness.…”

Evaluating Conceptual Framework for Landslides Natural Disaster Management using Feature Analysis

“…The evaluation technique in this study is adapted from [10], [11], [12], [13] and [14]. The technique is accomplished by a systematic examination with selected criteria such as background, goals, model, content, legitimation, implementation and contribution.…”

“…Conceptual framework is one of effective tools to guide organization to solve the complex problem by defining the concept relevant to the topic of interest [10]. Conceptual framework also helps to identify indicators for the concepts and aid derivation of theories [10]. The conceptual framework for landslide natural disaster management consist of principle guidance and priorities to manage landslides in preparedness phase.…”

“…This study aims to evaluate a conceptual framework for landslides natural disaster in BPBD Batu City. The evaluation method is using feature analysis comparison which developed by [10], [11], [12], [13] and [14]. The framework consists of guidance, priorities, and principles to manage landslide in preparedness phase.…”

An Employee-Centered Care Model Responds to the Triple Aim: Improving Employee Health

“…Donabedian's framework of structure-process-outcomes was introduced in 1966 as a method for evaluating quality of care (Donabedian, 1966). Originally developed exclusively for the evaluation of medical care, the model has been well established in health care research, including nursing, as a strong empirical framework that has assessed the quality of nursing care and clinical practice (Cohen & Shang, 2015).…”