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Review
. 2023 May;66(5):523-529.
doi: 10.1007/s00103-023-03689-1. Epub 2023 Apr 19.

[Development and evaluation of complex interventions in nursing : Application of the medical research council's framework using the example of interventions to prevent physical restraints]

[Article in German]
Jens Abraham  1 , Ralph Möhler  2
Affiliations
Review

[Development and evaluation of complex interventions in nursing : Application of the medical research council's framework using the example of interventions to prevent physical restraints]

[Article in German]
Jens Abraham et al. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2023 May.

Abstract
in English, German

Many nursing interventions are complex. They comprise different intervention elements (components) and aim to change processes or behaviours of individuals or groups. A framework of the British Medical Research Council comprises methodological recommendations for the development and evaluation of complex interventions. This narrative review describes the framework's methodological recommendations using an example of interventions to reduce physical restraints in hospital and long-term care settings, such as bedrails or belts in chairs and beds. In addition to the characteristics of the complex interventions, the development and theoretical foundation of the interventions as well as the feasibility test and evaluation is described.

Viele Interventionen in der Pflege sind komplex. Sie bestehen beispielsweise aus verschiedenen Interventionsteilen (Komponenten) und zielen auf Veränderungen von Prozessen oder dem Verhalten von Individuen oder Gruppen ab. Ein Rahmenmodell des britischen Medical Research Council beinhaltet methodische Empfehlungen für die Entwicklung und Evaluation von komplexen Interventionen. Diese narrative Übersichtsarbeit beschreibt die Umsetzung der methodischen Empfehlungen des Rahmenmodells am Beispiel von Interventionen zur Reduktion freiheitsentziehender Maßnahmen, z. B. Bettgitter oder Gurte an Stuhl und Bett, in der Krankenhaus- und der Langzeitpflege. Neben den Merkmalen der komplexen Interventionen werden die Entwicklung und theoretische Fundierung der Interventionen, die Prüfung der Machbarkeit und Wirksamkeit beschrieben.

Keywords: Complex interventions; Hospital; Intervention development; Nursing home; Physical restraints.

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References

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