Fortuitous phenomena: on complexity, pragmatic randomised controlled trials, and knowledge for evidence-based practice.
Context: Many of the interventions that nurses develop and implement are in themselves complex and have to operate in situations of irreducible complexity and uncertainty.Main Argument: This article argues that the primary means of generating knowledge for the evidence-based deployment of complex in...
| Publicado en: | Worldviews on Evidence-Based Nursing (Wiley-Blackwell) Vol. 1; no. 1; pp. 9 - 18 |
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| Formato: | Journal Article |
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Wiley-Blackwell
Mar2004
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106600590&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106600590 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1545102X 0PW jtl: Worldviews on Evidence-Based Nursing (Wiley-Blackwell) issn: 1545102X maglogo: Y pubinfo: dt: Mar2004 vid: 1 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 106600590 64430145 2005057789 10.1111/j.1741-6787.2004.04004.x NLM17147754 106600590 ppf: 9 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Fortuitous phenomena: on complexity, pragmatic randomised controlled trials, and knowledge for evidence-based practice. aug: au: Thompson C affil: Centre for Evidence-Based Nursing, Room 156, 1st Floor Research Section (Area 2), Seebohm Rowntree Building, University of York, York, UK, YO10 5DW; cat4@york.ac.uk sug: subj: Clinical Trials Research, Nursing ab: Context: Many of the interventions that nurses develop and implement are in themselves complex and have to operate in situations of irreducible complexity and uncertainty.Main Argument: This article argues that the primary means of generating knowledge for the evidence-based deployment of complex interventions should be the pragmatic randomised controlled trial. Randomised controlled trials represent the only research design to adequately deal with that which we know and (far more importantly) that which we do not.Literary Method: Using the example of practice development as an exemplar for complexity, and drawing on the objections often voiced as a response to calls to make use of randomised controlled trials in nursing and nursing research, the article presents a developmental framework and some methodological solutions to problems often encountered.Conclusion: Randomised controlled trials, whilst undoubtedly methodologically and strategically challenging, offer the most robust basis for developing primary research knowledge on the effects of complex interventions in nursing and their active components. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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