Petosa R L, Smith L
1 College of Education and Human Ecology, The Ohio State University, Columbus, OH, USA.
2 College of Nursing, The Ohio State University, Columbus, OH, USA.
J Sch Nurs. 2018 Dec;34(6):430-434. doi: 10.1177/1059840517717592. Epub 2017 Jul 4.
In school settings, nurses lead efforts to improve the student health and well-being to support academic success. Nurses are guided by evidenced-based practice and data to inform care decisions. The randomized controlled trial (RCT) is considered the gold standard of scientific rigor for clinical trials. RCTs are critical to the development of evidence-based health promotion programs in schools. The purpose of this article is to present practical solutions to implementing principles of randomization to RCT trials conducted in school settings. Randomization is a powerful sampling method used to build internal and external validity. The school's daily organization and educational mission provide several barriers to randomization. Based on the authors' experience in conducting school-based RCTs, they offer a host of practical solutions to working with schools to successfully implement randomization procedures. Nurses play a critical role in implementing RCTs in schools to promote rigorous science in support of evidence-based practice.
在学校环境中，护士致力于改善学生的健康状况和福祉，以支持学业上的成功。护士以循证实践和数据为指导来做出护理决策。随机对照试验（RCT）被认为是临床试验科学严谨性的黄金标准。随机对照试验对于学校基于证据的健康促进项目的发展至关重要。本文的目的是针对在学校环境中开展的随机对照试验，提出实施随机化原则的实际解决方案。随机化是一种用于建立内部和外部有效性的强大抽样方法。学校的日常组织和教育使命给随机化带来了诸多障碍。基于作者开展校本随机对照试验的经验，他们提供了一系列与学校合作以成功实施随机化程序的实际解决方案。护士在学校实施随机对照试验以促进严谨科学从而支持循证实践方面发挥着关键作用。
