Including qualitative research in Randomized Controlled Trials: Opportunities for nursing researchers

Sasso, Loredana; Hayter, Mark; Catania, Gianluca; Aleo, Giuseppe; Zanini, Milko; Bagnasco, Annamaria

doi:10.1111/jan.13873

Cited by 3 publications

(3 citation statements)

References 3 publications

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“…However, these quantitative studies have their limitations: a reduction in the interaction between children and older people following a break period in the intervention – suggesting that children required more time to get back into the routine of the programme was evident (Belgrave, ); perceiving older people as a homogenous population within sampling without distinguishing any demographic or other social differences (Liu et al, ); a failure to account for why some older people were non‐responsive within the interventions (Newman & Ward, ); high dropout rates between the intervention and follow‐up (Yasunaga et al, ); and a failure to fully account for children's previous experience with older people and how this may influence their perceptions (Kamei et al, ). Most of these limitations could have been addressed by the inclusion of a qualitative element in the design to capture the lived experience of the participants involved in the study (Sasso et al, ). It is acknowledged that qualitative research adds depth and detail to quantitative investigations in health care – particularly when the patient experience is so central to the study.…”

Section: Introductionmentioning

confidence: 99%

Experiences of participating in intergenerational interventions in older people's care settings: A systematic review and meta‐synthesis of qualitative literature

Bagnasco

Hayter

Rossi

et al. 2019

Journal of Advanced Nursing

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Aims: To synthesize the findings of qualitative research exploring the experiences of being involved in intergenerational interventions in older people's care settings. Design: A meta-synthesis of the qualitative literature, employing Sandelowski and Barroso's method, was conducted. Data Sources: Eight databases were searched in March 2017. Review Methods: The PRISMA statement was used for reporting the different phases of the literature search and the Critical Appraisal Skills Programme (CASP) qualitative research checklist was used as an appraisal framework. Data synthesis was conducted using Sandelowski and Barroso's method.Results: Four qualitative studies were included in the meta-synthesis. Thematic analysis revealed four themes: 'Recreating the family'; 'Building intergenerational empathy and respect'; 'Uplifting and energizing'; and 'Engagement risks and challenges'. Conclusion:The meta-synthesis strengthens the evidence that intergenerational interventions can be positive. However, it also shows that there may also be some negative aspects if not planned or managed carefully. Impact: This review contributes to the body of evidence by synthesizing the experiences of older people and children involved in intergenerational interventions. Although qualitative literature supports the quantitative evidence that intergenerational interventions can have a positive effect, intergenerational interventions could also have negative effects on some participants. Older people may feel tired, or experience feelings of infantilization. Practitioners need to be more aware of the potential negative effects of intergenerational interventions and include risk assessment, possibly by requiring ethical scrutiny. K E Y W O R D S children, intergenerational program, meta-synthesis, nurses, older people, patient's perspective, relationships

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Section: Introductionmentioning

confidence: 99%

Experiences of participating in intergenerational interventions in older people's care settings: A systematic review and meta‐synthesis of qualitative literature

Bagnasco

Hayter

Rossi

et al. 2019

Journal of Advanced Nursing

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“…As those nurses who missed care are also likely to be more dissatisfied (Kalisch & Xie, 2014), perhaps it is the dissatisfaction that prompts negative responses about care activities, thus perhaps a perspective rather than a reflection of reality. Our study found that qualitative data, albeit subjective, provided a unique perspective not possible through large-scale studies (Sasso, Hayter, et al, 2019). There is merit, therefore, in developing mixed-method research in this field, and for a greater understanding of missed care in context, rather than aiming to reach a global or European perspective, which may not be possible given the diversity and uniqueness of health care settings.…”

Section: Discussionmentioning

confidence: 79%

A qualitative descriptive inquiry of the influences on nurses’ missed care decision‐making processes in acute hospital paediatric care

et al. 2020

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Aim: To explore influences on nurses' missed care decision-making processes in acute hospital paediatric care. Background: Many contemporary studies describe the phenomenon of missed care. It is clear that environment and organizational culture influence the nursing activities; however, what influences their decision-making processes has not been investigated. Method: A descriptive qualitative inquiry was performed using semi-structured interviews with paediatric nurses (n = 20) from one Italian paediatric hospital. Findings: Thematic analysis revealed four themes: nurses' value system; hospital logistics, structures and resources; prioritization processes; and the informal caregiver's role. Conclusion: This paper offers insights into the various factors involved in nurses' decision-making process when contemplating missed care that will be of use to managers when planning care or addressing missed care in the paediatric clinical setting. Implications for Nursing Management: Knowledge and awareness of missed care in children's nursing needs greater exploration, especially in relation to what influences nurses' decision-making choices around missed care. Overall, a greater understanding of this will help managers to manage situations effectively and ethically so that missed care does not impact on outcomes for children in health care.

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“…Importantly, the patients reported improvement in patient‐centred care as measured by surveys comprising validated measures. Qualitative approaches are able to capture the lived experiences of participants, adding to the quantitative data obtained via surveys (Sasso et al, 2019). A recent framework for integrating qualitative methods into RCTs may assist in this regard (Davis et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

A state‐of‐the‐art review of the experience of care coordination interventions for people living with multimorbidity

Peart

Barton

Lewis

et al. 2020

Journal of Clinical Nursing

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Aim: To explore recent research on care coordination interventions for people living with multimorbidity, from the perspective of the person receiving care. Background: Care coordination interventions for people living with multimorbidity show some effectiveness in improving management of their health and reducing potentially preventable hospitalisations. The experience of people enrolled in care coordination interventions requires further exploration. Design: State-of-the-art review. Methods: A review was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist where five databases (The Cochrane Library, PsycINFO, Scopus, CINAHL and MEDLINE) were searched for qualitative sources published from January 2008-March 2019. Two additional databases focused on multimorbidity and integrated care were included in the search. Titles, abstracts and full texts were screened using inclusion criteria. Reference lists of the included articles were hand-searched. Summary tables were developed for data extraction, and the data were mapped to the research question. Results: Eighteen primary research articles were included. Three themes of participant experience were identified: (a) relationships built on trust, (b), a sense of safety and security and (c) feeling cared for and respected. Conclusion: The contribution of qualitative approaches to evaluating the experiences of care for people living with multimorbidity is growing. Participants' describe a focus on relationships formed with healthcare professionals during care coordination. Further research incorporating lived experiences of participants could illuminate these concepts further. Relevance to clinical practice: People living with multimorbidity who require assistance via care coordination value trusting relationships with healthcare professionals, who respect their needs and provide a sense of security. Understanding participant experiences is important to shape care coordination interventions that incorporate person-centred approaches. Additional supporting information may be found online in the Supporting Information section. How to cite this article: Peart A, Barton C, Lewis V, Russell G. A state-of-the-art review of the experience of care coordination interventions for people living with multimorbidity.

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Including qualitative research in Randomized Controlled Trials: Opportunities for nursing researchers

Cited by 3 publications

References 3 publications

Experiences of participating in intergenerational interventions in older people's care settings: A systematic review and meta‐synthesis of qualitative literature

Experiences of participating in intergenerational interventions in older people's care settings: A systematic review and meta‐synthesis of qualitative literature

A qualitative descriptive inquiry of the influences on nurses’ missed care decision‐making processes in acute hospital paediatric care

A state‐of‐the‐art review of the experience of care coordination interventions for people living with multimorbidity

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