Park Tanya, Usher Kim, Foster Kim
School of Nursing, Midwifery and Nutrition, James Cook University, P.O. Box 6811, Cairns, QLD 4870, Australia.
School of Health, University of New England, Armidale, NSW 2350, Australia.
Nurs Res Pract. 2014;2014:394237. doi: 10.1155/2014/394237. Epub 2014 Apr 30.
This paper discusses the challenges encountered by researchers while conducting a randomized controlled trial (RCT) testing the efficacy of a healthy lifestyle educational and exercise intervention for people with serious mental illness. RCTs, even though considered the "gold standard" of research designs, are still prone to risks of potential bias and threats to their validity. Based on researcher reflexivity, the combination of reflection and action, during the conduct of the study, this paper outlines a number of challenges faced by the researchers. These included managing the need of participants to tell their story and be heard, reluctance of participants to remain in allocated groups, participant literacy, dual role of the nurse nurse-researcher, and reporting the benefits of nonstatistical results of a quantitative research project. Recommendations for conducting future behaviour intervention studies of this type include the incorporation of a reflexive component for the nurse nurse-researcher, highlighting the importance of taking a reflexive stance in both qualitative and quantitative research designs.
本文讨论了研究人员在进行一项随机对照试验（RCT）时遇到的挑战，该试验旨在测试针对严重精神疾病患者的健康生活方式教育和运动干预的效果。随机对照试验尽管被视为研究设计的“金标准”，但仍容易出现潜在偏差风险及其有效性受到威胁的情况。基于研究人员的反思性，即在研究过程中反思与行动的结合，本文概述了研究人员面临的一些挑战。这些挑战包括处理参与者讲述自身经历并被倾听的需求、参与者不愿留在分配的组中、参与者的读写能力、护士 - 研究人员的双重角色以及报告定量研究项目非统计结果的益处。对于开展此类未来行为干预研究的建议包括为护士 - 研究人员纳入反思性要素，强调在定性和定量研究设计中采取反思性立场的重要性。
