Pragmatic research in health service

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Manjubala Dash

MTPG & RIHS, India

: J Nurs Patient Care

Abstract

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“If we want more evidence based practice, we need more practicebased evidence.” Green, LW. Pragmatic research is designed with input from health systems—and produces evidence that can be readily used to improve care. By engaging health systems, providers, and patients as partners, pragmatic research accelerates the integration of research, policy, and practice. Pragmatic clinical trials (PCTs) are designed to improve practice & policy. Unlike most traditional RCTs, they take place in settings where everyday care happens, such as community clinics, hospitals, and health systems. Collaborating providers and organizations are integral partners and gain practical evidence on how to improve patient health and satisfaction. Pragmatic partnerships engage at multiple levels – including patients, practitioners, teams, health systems and communities Core characteristics of pragmatic clinical trials (PCTs • Questions from and important to stakeholders • Diverse, representative populations • Multiple, heterogeneous settings • Multiple outcomes important to decision and policy makers • Comparison conditions are real-world alternatives, not a placebo or no treatment Advantages of Pragmatic Clinical Trials Practical: Designed to test what will work in everyday care, with emphasis on successful implementation. Inclusive: PCTs study diverse populations receiving care in real world settings using broadly inclusive criteria for study participation. Engaged: Health systems, providers, and patients are involved in study design, collecting data, interpreting results, and acting on findings. Relevant: Results designed to directly inform decision-making of administrators, providers, patients, and policymakers. Benefits of PCTs for healthy systems & providers Actionable: Designed around application to practice, with an emphasis on successful implementation Patient-centered: Research questions and goals are strongly aligned with patient centered research and care. Relevant: Transparent reporting of results that are focused on issues and data those are relevant for making decisions and taking action. Conclusion: Pragmatism approach in research is a reasonable and logical way of doing things or of thinking about problems that is based on dealing with specific situations instead of on ideas and theories. It is a practical approach to problems and affairs tried to strike a balance between principles and pragmatism. Health care organizations as research partners in large-scale studies designed to yield results relevant to clinical practice. The Health Care Systems Research Collaboratory will move us beyond traditional randomized clinical trials to more broad-based, real world settings.

Biography

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Manjubala Dash, working as a professor in nursing. Speciality is obstetric and Gynaecological Nursing. Have 21 years of teaching and research experience in the field of Nursing. She is organized National and International Conferences, workshops in the field of Nursing. Participated and presented more than 100 papers in the National and International conferences. Published articles nearly 50 in the National and International Journals. She is the co-editor for International Journal of Nursing Panorama, The Genesis, Contemporary Journal of Microbiology, EC Paediatrics, EC Gynaecology etc. she has credit of 3 books in the field of Midwifery and Word management. Contributed chapters for Midwifery Books. She is a National Trainer for Infant and Young Child Feeding Counselling Specialit course. Did research projects under DHR and ICMR, DST etc. Main interest is on Research, Education and Administration. Conducted many programmers for antenatal, postnatal mothers in the community level and hospital level. Got opportunity to deliver a talk as speaker in the International and National Conferences. She is guiding the Students of UG, PG and PhD for Research. She has a recognized guide in different university and examiner for PG and PhD Students too. She have gone for conducting Inspections to various colleges by the Indian Nursing Council. Her special interest is on family planning, contraceptive methods, reproductive health, promote exclusive breast feeding etc. manju_narayan@rediffmail.com