2015
DOI: 10.1080/18340806.2015.1076756
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Nurse-led interventions in the concept of randomized controlled trials – critical perspectives on how to handle social contexts

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Cited by 12 publications
(8 citation statements)
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References 77 publications
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“…The oncology professionals considered the RCT to be the golden standard for treatment measurement, as it was believed to provide them with the highest level of “truth knowledge.” The inherent positivistic values of the RCT required professional adherence to medical ethics (in which the individual’s voluntary informed consent was a requirement for participation) and typically framed the way healthcare interventions, and clinical studies of them, were conducted and designed on a daily basis. Thus, RCTs, sui generis , focused on treatment and care interventions from an objectivistic perspective, which often articulated the patient as objects for the intervention rather than being active, influencing parts of the RCT (Glasdam, 2007; Glasdam, Sivberg and Wihlborg, 2015).…”
Section: Resultsmentioning
confidence: 99%
“…The oncology professionals considered the RCT to be the golden standard for treatment measurement, as it was believed to provide them with the highest level of “truth knowledge.” The inherent positivistic values of the RCT required professional adherence to medical ethics (in which the individual’s voluntary informed consent was a requirement for participation) and typically framed the way healthcare interventions, and clinical studies of them, were conducted and designed on a daily basis. Thus, RCTs, sui generis , focused on treatment and care interventions from an objectivistic perspective, which often articulated the patient as objects for the intervention rather than being active, influencing parts of the RCT (Glasdam, 2007; Glasdam, Sivberg and Wihlborg, 2015).…”
Section: Resultsmentioning
confidence: 99%
“…Moreover, the results point to this frame in relation to how specialised palliative homecare prioritised earning possibilities where point-in-action tasks were weighted at the expense of the palliative patients in the institution. Today, there is focus on cost-effectiveness and utility of public services, where the efforts also must be evidencebased (Glasdam et al 2015). Rationalisation, quality management and control are key concepts in evidence-based practice (Olesen 2007).…”
Section: Discussionmentioning
confidence: 99%
“…A selective view on the results of an assessment might lead to a (non-holistic) reduction of human beings to a generic phenomenon void of culture, religion, gender, age, social class etc. (Glasdam et al 2015;Martinsen 2009).…”
Section: Discussionmentioning
confidence: 99%
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“…It is per se a transition of a constructed, controlled context to 'the real reality' in all its complexity. In a systematic literature review on interventions, it is shown that RCTs often operate as if no contextual impacts exist and, at the same time, the studies consider that the addressed health activity has as its core element the encounter between humans (Glasdam et al, 2015). Not only does the context affect the results that can be achieved but also the people involved will affect what and how things can be done.…”
Section: Introductionmentioning
confidence: 99%