Effectiveness of the implementation of an evidence-based nursing model using participatory action research in oncohematology: research protocol.
OBJECTIVE
To generate changes in nursing practice introducing an evidence-based clinical practice (EBCP) model through a participatory process. To evaluate the effectiveness of the changes in terms of nurse-sensitive outcome (NSO).


BACKGROUND
For international nursing science, it is necessary to explore the reasons for supporting EBCP and evaluate the real repercussions and effectiveness.


METHODS
A mixed methods study with a sequential transformative design will be conducted in the bone marrow transplant unit of a tertiary-level Spanish hospital, in two time periods >12 months (date of approval of the protocol: 2006). To evaluate the effectiveness of the intervention, we will use a prospective quasi-experimental design with two non-equivalent and non-concurrent groups. NSO and patient health data will be collected: (a) impact of psycho-social adjustment; (b) patient satisfaction; (c) symptom control; (d) adverse effects. All patients admitted during the period of time will be included, and all staff working on the unit during a participatory action research (PAR). The PAR design will be adopted from a constructivist paradigm perspective, following Checkland's "Soft Systems" theoretical model. Qualitative techniques will be used: 2-hour group meetings with nursing professionals, to be recorded and transcribed. Field diaries (participants and researchers) will be drawn up and data analysis will be carried out by content analysis.


CONCLUSIONS
PAR is a rigorous research method for introducing changes into practice to improve NSO.
Abad-Corpa
Eva
E
Research Unit, General University Hospital, J. M. Morales Meseguer, Murcia, Spain. evaabadcorpa@ono.com
Meseguer-Liza
Cristobal
C
Martínez-Corbalán
José Tomás
JT
Zárate-Riscal
Lourdes
L
Caravaca-Hernández
Amor
A
Paredes-Sidrach de Cardona
Antonio
A
Carrillo-Alcaraz
Andrés
A
Delgado-Hito
Pilar
P
Cabrero-García
Julio
J
D000293:Adolescent; D001291:Attitude of Health Personnel; D016026:Bone Marrow Transplantation / Q000451:nursing; D055318:Evidence-Based Nursing; D019337:Hematologic Neoplasms / Q000451:nursing*; D006757:Hospital Units; D006785:Hospitals, University; D006801:Humans; D016294:Models, Nursing; D015404:Nursing Methodology Research; D009936:Organizational Innovation; D017063:Outcome Assessment, Health Care; D015397:Program Evaluation; D036301:Qualitative Research; D012107:Research Design; D013030:Spain