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Using quantitative and qualitative methods to pretest the publication. Take Charge of Your Diabetes: a Guide for Care.

Quantitative and qualitative methods used to pretest the guidebook Take Charge of Your Diabetes: A Guide for Care are presented in this paper. Questionnaires were used as the quantitative method (completed by 59 diabetes educators and 301 people with diabetes) and focus groups were used as the qualitative method (3 groups composed of 22 black men and women with diabetes) to examine the relevance, purpose, content, and presentation of the Guide. Findings from between-methods triangulation supported the relevance, clarity of messages, identification of groups that would be most likely to benefit, readability, understandability, and credibility of the Guide. Specific areas that needed modification were identified. Each evaluation method provided unique data; for example, quantifiable data on intention to change behavior was provided from one method and a recommendation that diversity be maintained was provided from the other method. The relative strengths and limitations of combining quantitative and qualitative approaches are described.

Adult↗

Types of service--their advantages and disadvantages.

Each service modality has particular advantages and disadvantages that must be considered when deciding about service, whether for one device or for a hospital's entire equipment inventory. Department heads in clinical engineering or other departments responsible for service must understand all the options and their ramifications in order to reach the best decisions.

Competitive Bidding↗

Tricyclics: possible treatment for posttraumatic stress disorder.

The response to tricyclic antidepressants (TCAs) was examined in 17 combat veterans with DSM-III defined posttraumatic stress disorder (PTSD) by means of concurrent and retrospective chart review. Severity and improvement were determined by means of Clinical Global Impressions (CGI) ratings by two independent but nonblind raters who demonstrated satisfactory reliability. Prior to treatment, 82% were rated as markedly or severely ill and 18% as moderately ill. Following treatment, 82% were rated as much improved and 18% as minimally improved. The results support further investigation of TCAs for the treatment of PTSD.

Adult↗

Psychiatric diagnoses (Research Diagnostic Criteria) in symptomatic volunteers.

Symptomatic volunteers (SVs) are increasingly used as subjects for clinical research studies. A total of 362 SVs were recruited, psychiatric diagnoses were made according to Research Diagnostic Criteria (RDC), and standard symptom scale scores on the Hopkins Symptom Check list (HSCL) for the individual diagnostic categories were computed. Of these subjects, 221 were classified as having a depressive disorder (three categories), 112 as having an anxiety disorder (three categories), and 29 as having some other RDC disorder. The HSCL scale scores for the depressive- and anxiety-disorder subject groups were consistent with those for actual patient groups. There were significant differences in HSCL scores for some RDC categories within the broader depressive- or anxiety-disorder groupings. Individual RDC categories should be kept separate in reporting treatment results for depressive or anxiety disorders.

Adolescent↗

The nature and value of small and community hospital accreditation.

Discusses the characteristics of health care accreditation schemes, especially the implications of their voluntary status. Singles out the Trent small hospital accreditation scheme (TSHAS) for detailed and systematic evaluation. Describes the quantitative and qualitative evaluation methods, which involved a meta-analysis of the literature, interviews with key staff and questionnaires completed by other participants in TSHAS. The main findings, divided into ten themes, confirm much of the published work on accreditation. The findings also provide new insights into the nature and value of health care accreditation, notably about the direction in which accreditation needs to go if both community and larger hospital accreditation is to survive.

Accreditation↗

Facilitating research within clinical settings: the development of a beginner's guide.

Increased consumer participation, clinical governance, accreditation, and occupational health and safety requirements have contributed to considerable changes in the demands placed upon mental health staff, and many are now expected to undertake or participate in research. However, many staff have not received formal training in research design and methodology, and the multitude of policies, procedures, and committees, designed to protect research participants, can seem like insurmountable barriers to clinicians new to the field. In response to this, a guide was developed based on self-directed learning principles, to compliment other resource material and promote effective research work. It was considered important to clarify some of the issues surrounding research development, ethics, and scholarly integrity, and to educate staff as to the appropriate approval processes, which must be followed before embarking on research work. This paper seeks to describe the process of developing a guide for novice researchers, its key characteristics, and its implications for practice. The guide 'Undertaking research: a guide for the beginner' described in this paper, provides a helpful resource that can be readily adapted and developed for a variety of workplaces and professional backgrounds. It is a strategy intended to encourage research and ongoing education and narrow the research-practice gap while placing minimum demand upon existing organizational infrastructure.

Clinical Nursing Research↗