How much it is necessary to conduct intervention research in nursing? what topics you may give priority? and, What type of intervention is preferred (other than educational)?
we can test the protocols driven by nurses (e.g sedation interruption protocol), or quality improvement project (e.g. bed sore prevention program). I think evidence based nurses practice will lead us to a lot of research questions which need interventional research to answer it.
Nursing turnover worldwide remains at the top list of crisis. Nursing administrators have been thriving to introduce a certain change or modify a current status in both the work system and culture. Any change is a welcome research intervention as long as it contributes to nursing satisfaction, retention and bed side expertise.
We conducted a research in a topic of self efficacy of nursing students dealing with the mater of nursing ethical issues and ethical dilemmas. They participated in a seminar as an intervention, and filled a questionnaire before and after the intervention.
Another intervention research was in the field of healthy lifestyle. public health nurses were trained as agents for change.
Another intervention was in the field of preventing child home accidents. And in the field of using child restraint to prevent car accidents.
It depends on the scope of practice of nurses within the context. It might be possible to examine the effectiveness if clinics led by nurses to improve patient outcomes.
Any protocols designed and/or directed by nurses can and should be evaluated for their effectiveness which in-turn can be considered an interventional research study. Any of the quality improvement studies, if properly designed "at the front-end", can easily be considered interventional research. These type of studies may be considered "systems approach", but as stated in the previous responses, any new specific nursing intervention for a specific patient population (as long as the actual intervention is within the nursing scope of practice) can also be considered an interventional nursing research project. A good example of this would be taking a manual blood pressure versus an automatic blood pressure on atrial fibrillation patients. The nurse is involved in obtaining a blood pressure--the method of getting that blood pressure is "nurse driven".
Reaching nursing interventions must be highly prioritized - it is at the core of our profession. Most nursing interventions are complex and may be researched using several approaches. I recommend the book: Complex interventions in health. An overview of research methods, edited by David A. Richards and Ingalill Rahm Hallberg. Routledge. 2015.
They are very necessary intervention research in nursing, considering that our profession is in the process of formalizing their scientific knowledge. Personally I think that nurses should focus their attention to the qualitative aspects of care (spirituality , humanity, quality of care , etc.)
The necessity of nursing intervention research lies in the value nursing brings to patient and health outcomes. Priority should be given to patient safety issues such as medication administration or the prevention of falls or suicide prevention; these are usually areas where baseline data is already collected. Competency of the clinician in the performance of the delivery of healthcare should be foremost.
They really are issues of interest to the nursing intervention research and give value to the performance of clinical , yet we can not forget that these interventions should be integrated from the human perspective to take the necessary effectiveness .
Fully agreed with Pia Riis Olsen who commented earlier.
Testing nursing interventions is essential for good quality patient care. It would be a bit simplistic to 'nominate' a single topic (or a few) as the list of nursing interventions is rather endless and so are the populations nurses address and the patient problems nurses can reslove or assist with.
Nursing intervention research could be planned in nursing practice, administration and education. In education there is lot of scope to try a new method of teaching other than conventional . Methods of clinical evaluation can be modified and tested. Methods of assignment monitoring and so on...... In clinical practice too in areas where nurses domain is not questionable nurses will have a free hand to apply interventions but care is taken to safe guard ethical issues and patient safety. If the intervention is cost effective, safe and culturally acceptable, nurse's contribution in nursing practice will be welcomed.
Izzeddin’s answer is comprehensive. However, it is required to legitimise the scope of practice. So, nursing interventions will be acknowledged., and so research will be required to improve the practice.
Every country has a nursing practice or regulation Act which defines the scope of practice for nurses. keeping in view of the nursing practice regulations in force in a particular country ,Nursing Intervention Research could be done.
As far as the nursing practice in India is concerned, Non-pharmacological interventions are in the scope of practice of nursing.
For example, here in India there are intervention studies
1. cabbage leaves for mastitis
2. Banana leaf dressing (BLD) and Boiled potato peel dressing (BPPD) for partial thickness burn wounds
3. Application of Jasmine Flowers to suppress puerperal lactation to treat Breast engorgement
4. Effectiveness of Music therapy in pain relief
e.t.c
In case of efficacy of Jasmine flowers to suppress puerperal lactation, there is a study which compared its efficacay with that of bromocriptine.
My Graduate thesis was an interventional study that compared the effectiveness of two methods of oxygen delivery by assessing the arterial oxygen saturation and respiratory parameters. The findings of the study showed that oxygen administration through nasal prongs is better to improve respiratory status within 30 minutes after delivery if tolerated by children compared to oxygen tent and hood. These findings helped to change the practice in our hospital at that time as it is cost effective.
We did a number of studies on relief of pain and enhancement of birthing process during first stage of labor using alternate therapies and simple midwife led interventions such as: use of birthing ball, accupressure on Li 4 and Sp6 points, selected Yogasnas, selected Pranayam, Hydrotherapy, Music therapy, perennial warm compresses, nipple stimulation etc. Now we have started a natural birthing centre named"SWA" where all these interventions are being put into practice for the last one year, 50 mothers birthed their babies naturally without any medical intervention. We have named these interventions "SWA Bundle". The impact of these interventions has proved very satisfactory, cost effective and mother and baby friendly in many ways.