Qualitative evaluation in nursing interventions—A review of the literature

Rørtveit, Kristine; Hansen, Britt Sætre; Joa, Inge; Lode, Kirsten; Severinsson, Elisabeth

doi:10.1002/nop2.519

Cited by 16 publications

(13 citation statements)

References 30 publications

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“…patient‐centred handover practices) and designing interventions to address these. Qualitative evaluation is recognized as a way of evaluating the implementation of nursing interventions and improvements, particularly when interventions occur in natural settings (Rørtveit et al, 2020 ). Previous research on communication in hospital emergency departments (Pun et al, 2017 ; Slade et al, 2015 ) and clinical handover (Eggins et al, 2016 ) has demonstrated the effectiveness of our approach.…”

Section: The Studymentioning

confidence: 99%

Improving patient‐centred care through a tailored intervention addressing nursing clinical handover communication in its organizational and cultural context

Chien

Slade

Dahm

et al. 2022

Journal of Advanced Nursing

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Aims To increase the quality and safety of patient care, many hospitals have mandated that nursing clinical handover occur at the patient's bedside. This study aims to improve the patient‐centredness of nursing handover by addressing the communication challenges of bedside handover and the organizational and cultural practices that shape handover. Design Qualitative linguistic ethnographic design combining discourse analysis of actual handover interactions and interviews and focus groups before and after a tailored intervention. Methods Pre‐intervention we conducted interviews with nursing, medical and allied health staff (n = 14) and focus groups with nurses and students (n = 13) in one hospital's Rehabilitation ward. We recorded handovers (n = 16) and multidisciplinary team huddles (n = 3). An intervention of communication training and recommendations for organizational and cultural change was delivered to staff and championed by ward management. After the intervention we interviewed nurses and recorded and analyzed handovers. Data were collected from February to August 2020. Ward management collected hospital‐acquired complication data. Results Notable changes post‐intervention included a shift to involve patients in bedside handovers, improved ward‐level communication and culture, and an associated decrease in reported hospital‐acquired complications. Conclusions Effective change in handover practices is achieved through communication training combined with redesign of local practices inhibiting patient‐centred handovers. Strong leadership to champion change, ongoing mentoring and reinforcement of new practices, and collaboration with nurses throughout the change process were critical to success. Impact Ineffective communication during handover jeopardizes patient safety and limits patient involvement. Our targeted, locally designed communication intervention significantly improved handover practices and patient involvement through the use of informational and interactional protocols, and redesigned handover tools and meetings. Our approach promoted a ward culture that prioritizes patient‐centred care and patient safety. This innovative intervention resulted in an associated decrease in hospital‐acquired complications. The intervention has been rolled out to a further five wards across two hospitals.

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Section: The Studymentioning

confidence: 99%

Improving patient‐centred care through a tailored intervention addressing nursing clinical handover communication in its organizational and cultural context

Chien

Slade

Dahm

et al. 2022

Journal of Advanced Nursing

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“…For this reason, our study cannot be considered representative, which is a limitation. However, small scale studies are important as a means of evaluating naturalistic setting [52] or bridging gaps between research and practice [53]. From this perspective, our study provides information about how to conceptualise therapeutic writing for patients suffering from BED as experienced in a group setting.…”

Section: Methodological Considerationsmentioning

confidence: 99%

Therapeutic writing in a programme for binge eating disorder—A tool to come closer to clarifying feelings

Oftedal

Ueland

Rørtveit

2022

Scandinavian Caring Sciences

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Introduction: Therapeutic writing involving affect consciousness (AC) can be used to put difficult topics into words. In this study, we investigated how patients with binge eating disorder (BED) experienced therapeutic writing and AC in the context of cognitive behavioural therapy. The elements were included in an existing cognitive behavioural therapy group programme and the participants' experiences investigated qualitatively. Aim: To investigate therapeutic writing as experienced by patients in the context of a BED group programme focusing on AC. Method: A phenomenological, hermeneutic design with semi-structured interviews was employed. Eight participants were recruited after completing the BED programme at a Community Mental Health Centre on the West Coast of Norway. Findings: Four sub-themes emerged: Struggling to achieve a flow in the writing process, Deeper understanding of eating patterns through writing, Moving specific feelings towards the surface by writing and Greater insight into oneself as a human being by shared writing. Based on the sub-themes, one main theme was developed: Therapeutic writing in a binge eating disorder programme means focusing on oneself as a human being by becoming closer to one's feelings. Conclusion: Therapeutic writing offered in treatment for BED involves individual movements at different levels, including processes of awareness of feelings, cognitions and oneself as a human being.

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“…The aim of a project titled 'Quality End-of-life Care' (QEoLC) described in this paper is to pilot evidence-based approaches to improve the quality of palliative and end-of-life care for older people in Australian RACHs. A qualitative evaluation of the intervention was conducted because it allows researchers to gain a thorough and in-depth understanding of participants' perspectives, which can greatly assist with understanding pros and cons of different components of the intervention (Rørtveit et al, 2020) and in improving care. Furthermore, the results highlight the need for codesigning the intervention with RACHs, provision of dedicated staff/resources to support implementation, and integration of project tools with existing systems for achieving effective implementation outcomes.…”

Section: Introductionmentioning

confidence: 99%

Australian residential aged care home staff experiences of implementing an intervention to improve palliative and end‐of‐life care for residents: A qualitative study

Nagarajan

Poulos

Clayton

et al. 2022

Health Social Care Comm

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Access to high-quality and safe evidence-based palliative care (PC) is important to ensure good end-of-life care for older people in residential aged care homes (RACHs). However, many barriers to providing PC in RACHs are frequently cited. The Quality End-of-Life Care (QEoLC) Project was a multicomponent intervention that included training, evidencebased tools and tele-mentoring, aiming to equip healthcare professionals and careworkers in RACHs with knowledge, skills and confidence in providing PC to residents. This study aims to understand: (1) the experiences of healthcare professionals, careworkers, care managers, planners/implementers who participated in the implementation of the QEoLC Project; and (2) the barriers and facilitators to the implementation. Staff from two RACHs in New South Wales, Australia were recruited between September to November 2021.Semi-structured interviews and thematic data analysis were used. Fifteen participants (seven health professionals [includes one nurse, two clinical educators, three workplace trainers, one clinical manager/nurse], three careworkers and five managers) were interviewed. Most RACH participants agreed that the QEoLC Project increased their awareness of PC and provided them with the skills/confidence to openly discuss death and dying. Participants perceived that the components of the QEoLC Project had the following benefits for residents: more appropriate use of medications, initiation of timely pain management and discussions with families regarding end-of-life care preferences. Key facilitators for implementation were the role of champions, the role of the steering committee, regular clinical meetings to discuss at-risk residents and mentoring. Implementation barriers included: high staff turnover, COVID-19 pandemic, time constraints, perceived absence of executive sponsorship, lack of practical support and systems-related barriers. The findings underline the need for strong leadership, supportive organisational culture and commitment to the implementation of processes for improving the quality of end-of-lifeThis is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

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Qualitative evaluation in nursing interventions—A review of the literature

Cited by 16 publications

References 30 publications

Improving patient‐centred care through a tailored intervention addressing nursing clinical handover communication in its organizational and cultural context

Improving patient‐centred care through a tailored intervention addressing nursing clinical handover communication in its organizational and cultural context

Therapeutic writing in a programme for binge eating disorder—A tool to come closer to clarifying feelings

Australian residential aged care home staff experiences of implementing an intervention to improve palliative and end‐of‐life care for residents: A qualitative study

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