Clinical significance as it relates to evidence-based practice

International Journal of Nursing Knowledge

Volumn 23, Issue 2, 2012, Pages 62-74

  Bruner, Susan ^a   Corbett, Cynthia ^b   Gates, Brian ^c   Dupler, Alice ^b  

^a PLLC   (United States)

^b State University College of Nursing   (United States)

^c WASHINGTON STATE UNIVERSITY   (United States)

Author keywords

Clinical significance; Clinical significance measures; Clinically important; Clinically meaningful; Clinically significant; Evidence based practice

Indexed keywords

ARTICLE; ATTITUDE TO HEALTH; EVIDENCE BASED PRACTICE; HUMAN;

ATTITUDE TO HEALTH; EVIDENCE-BASED PRACTICE; HUMANS;

EID: 84881005939     PISSN: 20473087     EISSN: 20473095     Source Type: Journal    
DOI: 10.1111/j.2047-3095.2012.01205.x     Document Type: Article

References (78)

1. Atkins, D. C., Bedics, J. D., McGlinchey, J. B., & Beauchaine, T. P. (2005). Assessing clinical significance: Does it matter which method we use? Journal of Consulting and Clinical Psychology, 73(5), 982-989.
2. Baird, A., Worral, L., Haslam, C., & Haslam, R. (2008). Evaluation of a multi-disciplinary back pain rehabilitation programme-Individual and group perspectives. Quality of Life Research, 23(17), 357-366.
3. Barrett, B., Brown, R., & Mundt, M. (2008). Comparison of anchor-based and distributional approaches in estimating important differences in common cold. Quality of Life Research, 20(17), 75-85.
4. Bauer, S., & Romvari, E. (2009). Treatment of chronic myeloid leukemia following Imatinib resistance: A nursing guide to second-line treatment options. Clinical Journal of Oncology Nursing, 1(5), 523-534.
5. Bowers, L., Brennan, G., Flood, C., Lipang, M., & Oladapo, P. (2006). Preliminary outcomes of a trial to reduce conflict and containment on acute psychiatric wards: City nurses. Journal of Psychiatric and Mental Health Nursing, 13(2), 165-172.
6. Brown, I., & Psarou, A. (2007). Literature review of nursing practice in managing obesity in primary care: Developments in the UK. Journal of Clinical Nursing, 17, 17-28.
7. Burns, N., & Grove, S. K. (2007). Understanding nursing research: Building an evidence-based practice (4th ed.). St. Louis: Saunders Elsevier.
8. Callahan, J. L., & Borja, S. E. (2008). Psychological outcomes and measurement of maternal posttraumatic stress disorder during the perinatal period. Journal of Perinatal & Neonatal Nursing, 22(1), 49-59.
9. Callahan, J. L., & Hynan, M. T. (2002). Identifying mothers at risk for postnatal emotional distress: Further evidence for the validity of the perinatal posttraumatic stress disorder questionnaire. Journal of Perinatology, 22(6), 448-454.
10. Carreon, L. Y., Glassman, S. D., Campbell, M. J., & Anderson, P. A. (2010). Neck disability index, short form-36 physical component summary, and pain scales for neck and arm pain: The minimum clinically important difference and substantial clinical benefit after cervical spine fusion. Spine Journal, 10(6), 469-474.
11. Cella, D. F., Zagari, M. J., Vandoros, C., Gagnon, D. D., Huntz, H. J., & Nortier, J. W. R. (2003). Epoetin alfa treatment results in clinically significant improvements in quality of life (QOL) in anemic cancer patients when referenced to the general population. Journal of Clinical Oncology, 21(2), 366-373.
12. Copay, A. G., Glassman, S. D., Subach, B. R., Berven, S., Schuler, T. C., & Carreon, L. Y. (2008). Minimum clinically important difference in lumbar spine surgery patients: A choice of methods using the oswestry disability index, medical outcomes study questionnaire short form 36, and pain scales. The Spine Journal, 8(6), 968-974.
13. Copay, A. G., Subach, B. R., Glassman, S. D., Polly, D. W., & Schuler, T. C. (2008). Understanding the minimum clinically important difference: A review of concepts and methods. The Spine Journal, 7, 541-546.
14. Doughty, D., Ramundo, J., Bonham, P., Beitz, J., Erwin-Toth, P., Anderson, R., & Rolstad, B. S. (2006). Issues and challenges in staging of pressure ulcers. Journal of Wound, Ostomy, and Continence Nursing, 33(2), 125-130.
15. Dowling, G. A., Graf, C. L., Hubbard, E. M., & Luxenberg, J. S. (2007). Light treatment for neuropsychiatric behaviors in Alzheimer's disease. Western Journal of Nursing Research, 29(8), 961-975.
16. Dysvik, E., Kvaoy, J. T., Stokkeland, R., & Natvig, G. K. (2010). The effectiveness of a multidisciplinary pain management programme managing chronic pain on pain perceptions, health-related quality of life and stages of change-a non-randomized controlled study. International Journal of Nursing Studies, 47, 826-835.
17. Edmunds, M. W., & Scudder, L. E. (2009). Malpractice trends: Viewing the data and avoiding the hot seat of litigation. International Journal of Nursing Practice, 5, 662-665.
18. England, M., Tripp-Reimer, T., & Rubenstein, L. (2005). Exploration of the psychometric properties of an inventory of voice experiences. Archives of Psychiatric Nursing, 19, 202-217.
19. Farnell, S., Maxwell, L., Tan, S., Rhodes, A., & Philips, B. (2005). Temperature measurement: Comparison of non-invasive methods used in adult critical care. Journal of Clinical Nursing, 14, 632-639.
20. Fawcett, J., & Garity, J. (2009). Evaluating research for evidence-based nursing practice. Philadelphia: EA Davis Company.
21. Fjelltun, A.-M., Henriksen, N., Norberg, A., Gilje, F., & Normann, H. K. (2009). Functional levels and nurse workload of elderly awaiting nursing home placement and nursing home residents: A comparative study. Scandinavian Journal of Caring Sciences, 23, 736-747.
22. Frost, M. H., Bonomi, A. E., Estwing-Ferrans, C., Wong, G. Y., Hays, R. D., & The Clinical Significance Consensus Meeting Group. (2002). Patient, clinician and population perspectives on determining the clinical significance of quality-of-life scores. Mayo Clinic Proceedings, 77, 488-494.
23. Gallagher, R., & McKinley, S. (2009). Anxiety, depression and perceived control in patients having coronary artery bypass grafts. Journal of Advanced Nursing, 65(11), 2386-2396.
24. Gilbert, M., Barton, A. J., & Counsell, C. M. (2002). Comparison of oral and tympanic temperatures in adult surgical patients (2002). Applied Nursing Research, 15(1), 42-47.
25. Greenstein, G. (2003). Clinical versus statistical significance as they relate to the efficacy of periodontal therapy. Journal of the American Dental Association, 134, 583-591.
26. Guyatt, G. H., Ferrans, C. E., Halyard, M. Y., Revicki, D. A., Symonds, T. L., Varricchio, C. G., ...Alonso, J. L., & The Clinical Significance Consensus Meeting Group. (2007). Exploration of the value of health-related quality-of-life information from clinical research and into clinical practice. Mayo Clinic Proceedings, 82(10), 1229-1239.
27. Guyatt, G. H., Osoba, D., Wu, A. W., Wyrwich, K. W., Norman, G. R., & The Clinical Significance Consensus Meeting. (2002). Methods to explain the clinical significance of health status measures. Mayo Clinic Proceedings, 77(4), 371-383.
28. Hajiro, T., & Nishimura, K. (2002). Minimally clinically significant difference in health status: The thorny path of health status measures? European Respiratory Journal, 19, 390-391.
29. Haley, S. M., & Fragala-Pinkham, M. A. (2006). Interpreting change scores of tests and measures used in physical therapy. Physical Therapy, 86(5), 735-743.
30. Happ, M. B., Tuite, P., Dobbin, K., DiVirgilio-Thomas, D., & Kitutu, J. (2004). Communication ability, method, and content among nonspeaking nonsurviving patients treated with mechanical ventilation in the intensive care unit. American Journal of Critical Care, 13(3), 210-218.
31. Harrington, L. (2005). Potassium protocols: In search of evidence. Clinical Nurse Specialist, 19(3), 137-141.
32. Hayat, M. J. (2010). Understanding statistical significance. Nursing Research, 59(3), 219-223.
33. Hogan, R. (2009). Implementation of an oral care protocol and its effectiveness on oral mucositis. Journal of Pediatric Oncology Nursing, 26, 125-134.
34. Jacobs, J. L., Apatov, N., & Glei, M. (2007). Increasing vigilance on the medical/surgical floor to improve patient safety. Journal of Advanced Nursing, 57(5), 472-481.
35. Jacobson, N. S., Follette, W. C., & Revenstorf, D. (1984). Psychotherapy outcome research: Methods for reporting variability and evaluating clinical significance. Behavior Therapy, 15(4), 336-352.
36. Jacobson, N. S., Roberts, L. J., Berns, S. B., & McGlinchey, J. B. (1999). Methods for defining and determining the clinical significance of treatment effects: Description, application and alternatives. Journal of Consulting and Clinical Psychology, 67(3), 300-307.
37. Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59(1), 12-19.
38. Jeans, M. (1992). Clinical significance of research: A growing concern. Canadian Journal of Nursing Research, 24(1), 1-2.
39. Jenkins, S. D., & Lindsey, P. L. (2010). Clinical nurse specialists as leaders in rapid response. Clinical Nurse Specialist, 24(1), 24-30.
40. Jones, K. R. (2010). Rating the level, quality, and strength of the research evidence. Journal of Nursing Care Quality, 25, 304-312.
41. Kazdin, A. E. (1999). The meanings and measurement of clinical significance. Journal of Consulting and Clinical Psychology, 67(3), 332-339.
42. Kokki, A., Kankkunen, P., Pietila, A. M., & Vehvilainen-Julkunen, K. (2003). Validation of the parents' postoperative pain measure in Finnish children aged 1-6 years. Scandinavian Journal of Caring Sciences, 17, 12-18.
43. Kurlowicz, L. H. (2001). Benefits of psychiatric consultation-liaison nurse interventions for older hospitalized patients and their nurses. Archives of Psychiatric Nursing, 15(2), 53-61.
44. Lacasse, Y., Brosseau, L., Milne, S., Martin, S., Wong, E., Guyatt, G. H., & Goldstein, R. S. (2002). Pulmonary rehabilitation for chronic obstructive pulmonary disease. Cochrane Database of Systematic Reviews, (3), CD003793.
45. LeFort, S. M. (1993). The statistical versus clinical significance debate. Image-the Journal of Nursing Scholarship, 25(1), 57-62.
46. Mantha, S., Thisted, R., Foss, J., Ellis, J. E., & Roizen, M. F. (1993). A proposal to use confidence intervals for visual analog scale data for pain measurement to determine clinical significance. Anesthesia and Analgesia, 77(5), 1041-1047.
47. Marrs, J., & Zubal, B. A. (2009). Oncolocy nursing in a new era: Optimizing treatment with bevacizumab. Clinical Journal of Oncology Nursing, 13(5), 564-572.
48. Melnyk, B. M., & Fineout-Overholt, E. (2005). Evidence-based practice in nursing and healthcare: A guide to best practice. Philadelphia: Williams & Wilkins.
49. Metz, S. M., Wyrwich, K. W., Babu, A. N., Kroenke, K., Tierney, W. M., & Wolinsky, F. D. (2007). Validity of patient-reported health-related quality of life global ratings of change using structural equation modeling. Quality of Life Research, 16, 1193-1202.
50. Molnar, F. J., Man-Son-Hing, M., & Fergusson, D. (2009). Systematic review of measures of clinical significance employed in randomized controlled trials of drugs for dementia. Journal of the American Geriatric Society, 57(3), 536-546.
51. Moorhead, S., Johnson, M., Maas, M., & Swanson, E. (2008). Nursing outcomes classification (NOC) (4th ed.). St. Louis, MO: Mosby.
52. NANDA-I. (2011). North American Nursing Diagnosis Association International. Retrieved from http://www.nanda.org
53. Ogles, B. M., Lunnen, K. M., & Bonesteel, K. (2001). Clinical significance: History, application, and current practice. Clinical Psychology Review, 21(3), 421-446.
54. Pittman, J., & Rawl, S. M. (2008). Statistical and clinical significance are they one and the same? Journal of Wound, Ostomy, and Continence Nursing, 35(4), 374-376.
55. Puhan, M. A., Behnke, M., Devereaux, P. J., Montori, V. M., Braendi, O., Frey, M., & Schunemann, H. M. (2004). Measurement of agreement on health-related quality of life changes in response to respiratory rehabilitation by patients and physicians-A prospective study. Respiratory Medicine, 98(12), 1195-1202.
56. Riegel, B., Dickson, V. V., Hoke, L., McMahon, J. P., Reis, B. F., & Sayers, S. (2006). A motivational counseling approach to improving heart failure self care: Mechanisms of effectiveness. Journal of Cardiovascular Nursing, 21(3), 232-241.
57. Rodgers, B. L. (1989). Concepts, analysis and the development of nursing knowledge: The evolutionary cycle. Journal of Advanced Nursing, 14(4), 330-336.
58. Rodgers, B. L. (2000). Concept analysis: An evolutionary view. In B. L. Rodgers & K. A. Knafl (Eds.), Concept development in nursing (2nd ed., pp. 77-102). Philadelphia: Saunders.
59. Ruchala, P. L., Metheny, N., Essenpreis, H., & Borcherding, K. (2002). Current practice in oxytocin dilution and fluid administration for induction of labor. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 31, 545-550.
60. Ryan-Wenger, N. A., Neal, J. L., Jones, A. S., & Lowe, N. K. (2010). Accuracy of vaginal symptom self-diagnosis algorithms for deployed military women. Nursing Research, 59(1), 2-10.
61. Ryu, E., Kim, K., Cho, M. S., Kwon, I. G., Kim, H. S., & Fu, M. (2010). Symptom clusters and quality of life in Korean patients with hepatocelluar carcinoma. Cancer Nursing, 33(1), 3-10.
62. Schaffer, S. D., Yoon, S., & Zadezensky, I. (2009). A review of smoking cessation: Potentially risky effects on prescribed medications. Journal of Clinical Nursing, 18, 1533-1540.
63. Schunemann, H. M., Puhan, R., Goldstein, R., Jaeschke, R. J., & Guyatt, G. H. (2005). Measurement properties and interpretability of the chronic respiratory disease questionnaire (CRQ). COPD, 2(1), 81-89.
64. Selbaek, G., Kirkevold, O., & Engedal, K. (2008). Psychiatric and behavioural symptoms and the use of psychotropic medication in special care units and regular units in Norwegian nursing homes. Scandinavian Journal of Caring Sciences, 22, 568-573.
65. Simpson, M., Parsons, M., Greenwood, J., & Wade, K. (2001). Raspberry leaf in pregnancy: Its safety and efficacy in labor. Journal of Midwifery & Women's Health, 46(2), 51-58.
66. Skelly, A. H., Carlson, J., Leeman, J., Soward, A., & Burns, D. (2009). Controlled trial of nursing interventions to improve health outcomes of older African American women with type 2 diabetes. Nursing Research, 58(6), 410-418.
67. Sloan, J. A., Cella, D., Frost, M. H., Guyatt, G. H., Sprangers, M. A. G., Symonds, T., & The Clinical Significance Consensus Meeting Group. (2002). Assessing clinical significance in measuring oncology patient quality of life: Introduction to the symposium, content overview, and definition of terms. Mayo Clinic Proceedings, 77(4), 367-370.
68. Sloan, J. A., Vargas-Chanes, D., Kamath, C. C., Sargent, D. J., Novotny, P. J., Atherton, P., ...Loprinzi, C. L. (2003). Detecting worms, ducks and elephants: A simple approach for defining clinically relevant effects in quality-of-life measures. Journal of Cancer Integrative Medicine, 1(1), 41-47.
69. Sprangers, M. A., Moinpour, C. M., Moynihan, T. J., Patrick, D. L., Revicki, D. A., & The Clinical Significance Consensus Meeting Group. (2002). Assessing meaningful change in quality of life over time: A users' guide for clinicians. Mayo Clinic Proceedings, 77(6), 561-571.
70. Substance Abuse and Mental Health Services Administration, and Center for Mental Health Services. (2006). Understanding evidence-based practices for co-occurring disorders. COCE Overview Paper 6. Rockville, MD: Author. Retrieved September 29, 2010 from http://coce.samhsa.gov/cod_resources/PDF/Evidence-BasedPractices(OP6).pdf
71. Swanson, J., & Koch, L. (2010). The role of the oncology nurse navigator in distress management of adult inpatients with cancer: A retrospective study. Oncology Nursing Forum, 37(1), 69-76.
72. Symonds, T., Berzon, R., Marquis, P., Rummans, T. A., & The Clinical Significance Consensus Meeting Group. (2002). The clinical significance of quality-of-life results: Practical considerations for specific audiences. Mayo Clinic Proceedings, 77(6), 572-580.
73. Van Roon, E. N., van den Bernt, P. M., Jansen, T. L., Houtman, N. M., van de Laar, M. A., & Brouwers, J. R. (2009). An evidence-based assessment of the clinical significance of drug-drug interactions between disease-modifying antirheumatic drugs and non-antirheumatic drugs according to rheumatologists and pharmacists. Clinical Therapeutics, 31(8), 1734-1746.
74. Waltman, P. A., Brewer, J. M., Rogers, B. P., & May, W. L. (2004). Building evidence for practice: A pilot study of newborn bulb suctioning at birth. Journal of Midwifery & Women's Health, 49(1), 32-38.
75. Ward-Smith, P., Korphage, R. M., & Hutto, C. J. (2008). Cost comparison between two pediatric palliative care programs. Nursing Economic$, 26(3), 175-178.
76. Wendler, M. C. (2003). Effects of Tellington touch in healthy adults awaiting venipuncture. Research in Nursing & Health, 26, 40-52.
77. Wilson, M. E., & Helgadottir, H. L. (2006). Patterns of pain and analgesic use in 3- to-7-year-old children after tonsillectomy. Pain Management Nursing, 7(4), 159-166.
78. Zengin, N., & Enc, N. (2008). Comparison of two blood sampling methods in anticoagulation therapy: Venipuncture and peripheral venous catheter. Journal of Clinical Nursing, 17(3), 386-393.