Mixed-method research protocol : defining and operationalizing patient-related complexity of nursing care in acute care hospitals

Huber, Evelyn; Kleinknecht-Dolf, Michael; Müller, Marianne; Kugler, Christiane; Spirig, Rebecca

doi:10.1111/jan.13218

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Mixed-method research protocol : defining and operationalizing patient-related complexity of nursing care in acute care hospitals
Authors:	Huber, Evelyn Kleinknecht-Dolf, Michael Müller, Marianne Kugler, Christiane Spirig, Rebecca
DOI:	10.1111/jan.13218
Published in:	Journal of Advanced Nursing
Volume(Issue):	73
Issue:	6
Page(s):	1491
Pages to:	1501
Issue Date:	2017
Publisher / Ed. Institution:	Wiley
ISSN:	0309-2402 1365-2648
Language:	English
Subjects:	Complexity of nursing care; Concept definition and operationalization; Embedded mixed-methods design; Hybrid model; Questionnaire development; Hospital nursing staff; Surveys and questionnaires; Switzerland; Nursing care
Subject (DDC):	610.73: Nursing
Abstract:	Aim: To define the concept of patient‐related complexity of nursing care in acute care hospitals and to operationalize it in a questionnaire. Background: The concept of patient‐related complexity of nursing care in acute care hospitals has not been conclusively defined in the literature. The operationalization in a corresponding questionnaire is necessary, given the increased significance of the topic, due to shortened lengths of stay and increased patient morbidity. Design: Hybrid model of concept development and embedded mixed‐methods design. Methods: The theoretical phase of the hybrid model involved a literature review and the development of a working definition. In the fieldwork phase of 2015 and 2016, an embedded mixed‐methods design was applied with complexity assessments of all patients at five Swiss hospitals using our newly operationalized questionnaire ‘Complexity of Nursing Care’ over 1 month. These data will be analysed with structural equation modelling. Twelve qualitative case studies will be embedded. They will be analysed using a structured process of constructing case studies and content analysis. In the final analytic phase, the quantitative and qualitative data will be merged and added to the results of the theoretical phase for a common interpretation. Cantonal Ethics Committee Zurich judged the research programme as unproblematic in December 2014 and May 2015. Discussion: Following the phases of the hybrid model and using an embedded mixed‐methods design can reach an in‐depth understanding of patient‐related complexity of nursing care in acute care hospitals, a final version of the questionnaire and an acknowledged definition of the concept.
URI:	https://digitalcollection.zhaw.ch/handle/11475/13294
Fulltext version:	Published version
License (according to publishing contract):	Licence according to publishing contract
Departement:	School of Engineering
Organisational Unit:	Institute of Data Analysis and Process Design (IDP)
Appears in collections:	Publikationen School of Engineering

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Huber, E., Kleinknecht-Dolf, M., Müller, M., Kugler, C., & Spirig, R. (2017). Mixed-method research protocol : defining and operationalizing patient-related complexity of nursing care in acute care hospitals. Journal of Advanced Nursing, 73(6), 1491–1501. https://doi.org/10.1111/jan.13218

Huber, E. et al. (2017) ‘Mixed-method research protocol : defining and operationalizing patient-related complexity of nursing care in acute care hospitals’, Journal of Advanced Nursing, 73(6), pp. 1491–1501. Available at: https://doi.org/10.1111/jan.13218.

E. Huber, M. Kleinknecht-Dolf, M. Müller, C. Kugler, and R. Spirig, “Mixed-method research protocol : defining and operationalizing patient-related complexity of nursing care in acute care hospitals,” Journal of Advanced Nursing, vol. 73, no. 6, pp. 1491–1501, 2017, doi: 10.1111/jan.13218.

HUBER, Evelyn, Michael KLEINKNECHT-DOLF, Marianne MÜLLER, Christiane KUGLER und Rebecca SPIRIG, 2017. Mixed-method research protocol : defining and operationalizing patient-related complexity of nursing care in acute care hospitals. Journal of Advanced Nursing. 2017. Bd. 73, Nr. 6, S. 1491–1501. DOI 10.1111/jan.13218

Huber, Evelyn, Michael Kleinknecht-Dolf, Marianne Müller, Christiane Kugler, and Rebecca Spirig. 2017. “Mixed-Method Research Protocol : Defining and Operationalizing Patient-Related Complexity of Nursing Care in Acute Care Hospitals.” Journal of Advanced Nursing 73 (6): 1491–1501. https://doi.org/10.1111/jan.13218.

Huber, Evelyn, et al. “Mixed-Method Research Protocol : Defining and Operationalizing Patient-Related Complexity of Nursing Care in Acute Care Hospitals.” Journal of Advanced Nursing, vol. 73, no. 6, 2017, pp. 1491–501, https://doi.org/10.1111/jan.13218.