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護理介入性研究之實務與挑戰-以提升產婦哺餵母乳率為例

Practices and Challenges of Conducting Interventional Studies within Nursing Context - an Interventional Program in Assisting Mothers to Breast-feeding

摘要


介入性研究近年來已成為全球護理研究的趨勢,被視為用來評價健康照護措施的一項有效方式。在追求以最佳研究證據提供護理照護的目標下,唯有嚴謹的介入性研究,才能夠精確的探討護理措施的效益,進而解決護理臨床實務問題。然而,在執行護理介入性研究常會面臨理想實驗情境與真實環境的差異,以及研究倫理議題的挑戰,須發展有效策略加以克服,以達到研究的嚴謹度與實務之可行性。本文以執行一項協助提升產婦哺餵母乳率之介入研究為例,說明介入性研究於護理實務情境執行之經驗、面臨之問題、限制與困難,以及克服方法,期能提供進行護理介入性研究之參考。

並列摘要


This article discusses the challenges, limitations and possible strategies to conduct an interventional study on assisting mothers to breast-feed under clinical environments. Interventional research design is a valid method to evaluate health care interventions and is a global trend in nursing research. Rigorous interventional studies can provide the most valid evidence on the efficacy of nursing interventions and solving the problems in clinical practice. Conducting nursing intervention studies often is faced with the challenge of differences between ideal and actual clinical conditions and research ethical issues. Nursing researchers must develop effective strategies in overcoming challenges to achieve the degree of rigor and feasibility under the restrain of clinical situations. This paper may be used as a reference for nursing interventional studies.

參考文獻


Borglin, G., & Richards, D. A. (2010). Bias in experimental nursing research: Strategies to improve the quality and explanatory power of nursing science. International Journal of Nursing Studies, 47, 123-128.
Brink, P. J., & Wood, M. J. (1998). Advanced design in nursing research. (2nd ed.). Thousand Oaks CA: Sage Publications.
Corry, M., Clarke, M., While, A. E., & Lalor, J. (2013). Developing complex interventions for nursing: A critical review of key guidelines. Journal of Clinical Nursing, 22, 2366-2386.
Craig, P., Dieppe, P., Macintyre, S., Michie, S., Nazareth, I., & Petticrew, M. (2008). Developing and evaluating complex interventions: The new Medical Research Council guidance. British Medical Journal, 337, a1655.
Gustafsson, M., Bohman, D. M., & Borglin, G. (2014). Challenges of conducting experimental studies within a clinical nursing context. Applied Nursing Research, 27(2), 133-136.

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