Mcilfatrick Sonja J, Keeney Sinaed
School of Nursing, University of Ulster at Jordanstown, Shore Road, Newtownabbey BT37 0QB, UK.
J Adv Nurs. 2003 Jun;42(6):629-36. doi: 10.1046/j.1365-2648.2003.02666.x.
Nursing research is an integral component of improving the care of people with cancer. However, for research to be successfully integrated and applied to practice, ownership and identification must come from those in practice. The need for local and national strategies for cancer nursing research and the importance of establishing priorities for cancer nursing research have been repeatedly acknowledged.
The aim of the study was to facilitate a strategic approach to cancer nursing research by identifying the research priorities of cancer nurses.
A three-round Delphi survey was administered to nurses (n = 112) attending a cancer nursing research conference in Northern Ireland. Participants were asked to identify five research questions that they considered a high priority for cancer nursing. A response rate of 54% (60 delegates) was obtained for round one and this generated 117 statements. These statements were content analysed. Two subsequent quantitative rounds followed this.
The top priority areas identified were psychosocial issues, for example communication and information needs; professional issues relating to nurse burnout, stress and nurse-led care; and context of care issues including continuity of care.
A potential limitation of the study is the use of conference delegates. However, it is argued that these are the people we wanted to target as they could be considered as experts who already had an interest and clinical background in both cancer research and practice.
These priorities have helped to provide both direction and focus for the development of a cancer nursing research strategy for Northern Ireland. It is recommended that future research questions should be focused around the highest ranked priorities.
护理研究是改善癌症患者护理工作的一个重要组成部分。然而，要使研究成功地融入并应用于实践，实践人员必须拥有主导权并能够识别其重要性。人们已多次认识到制定地方和国家层面癌症护理研究战略的必要性以及确定癌症护理研究重点的重要性。
本研究旨在通过确定癌症护士的研究重点，推动采取战略性方法开展癌症护理研究。
对参加北爱尔兰癌症护理研究会议的护士（n = 112）进行了三轮德尔菲调查。参与者被要求确定五个他们认为对癌症护理至关重要的研究问题。第一轮的回复率为54%（60名代表），共产生了117条陈述。对这些陈述进行了内容分析。随后进行了两轮定量调查。
确定的首要优先领域是心理社会问题，例如沟通和信息需求；与护士职业倦怠、压力及护士主导护理相关的专业问题；以及护理环境问题，包括护理的连续性。
本研究的一个潜在局限性是使用了会议代表。然而，有人认为这些正是我们想要针对的人群，因为他们可被视为在癌症研究和实践方面既有兴趣又有临床背景的专家。
这些优先事项有助于为北爱尔兰癌症护理研究战略的制定提供方向和重点。建议未来的研究问题应围绕排名最高的优先事项展开。
