• Mary Lou Sole, Steven Talbert, Melody Bennett, Aurea Middleton, Lara Deaton, and Daleen Penoyer.
• Mary Lou Sole is dean and professor, Orlando Health Endowed Chair in Nursing, University of Central Florida College of Nursing, and clinical scientist, Orlando Health, Orlando, Florida. Steven Talbert is assistant clinical professor, University of Central Florida College of Nursing. Melody Bennett is study project director, Orlando Health. Aurea Middleton is clinical research coordinator, Orlando Health. Lara Deaton is clinical research coordinator, Orlando Health. Daleen Penoyer is director, Center for Nursing Research, Orlando Health, Orlando. mary.sole@ucf.edu.
• Am. J. Crit. Care. 2018 Jul 1; 27 (4): 305311305-311.

BackgroundResearch on many routine nursing interventions requires data collection around the clock each day (24/7). Strategies for implementing and coordinating a study 24/7 are not discussed in the literature, and best practices are needed.ObjectiveTo identify strategies incorporated into implementing a nursing intervention trial 24/7, including key lessons learned.MethodsStrategies to facilitate implementation of a clinical trial of a nursing intervention with patients undergoing mechanical ventilation are shared. Challenges and changes for future studies also are discussed.ResultsAdequate planning, including a detailed operations manual, guides study implementation. Staffing is the most challenging and costly part of a study but is essential to a study's success. Other important strategies include communication among the study personnel and with collaborators and direct care staff. An electronic method of recording study-related data also is essential.ConclusionsA nursing clinical trial that requires interventions on a 24/7 basis can be done with thorough planning, staffing, and continuous quality improvement activities.©2018 American Association of Critical-Care Nurses.

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