Lopez Violeta
The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong, China.
J Adv Nurs. 2003 Sep;43(6):578-87. doi: 10.1046/j.1365-2648.2003.02756.x.
Research is vital to nursing practice especially in an area such as critical care, where nursing practice continues to increase in complexity and nurses assume greater responsibility and accountability for patient care. However, without knowledge of what are the most significant problems or questions affecting the welfare of critically ill patients in Hong Kong, nurses' research efforts may be directed to areas that are not of highest priority in today's climate of decreasing health care resources and changing health care provision.
To identify and prioritize research questions of importance to Hong Kong critical care nurses.
A three-round Delphi technique was used to solicit, identify and prioritize problems for critical care nursing research.
Respondents who completed the third round had a mean of 6.25 years of critical care nursing experience. Ninety-one research topics were ranked important or extremely important. Twenty-seven research priorities ranked as extremely important included topics relating to patient care, family care, nursing, technology, alternative interventions, and illness prevention/health promotion research domains. Thirteen research topics were ranked as least important. None of the participants ranked research topics as not important.
Only full-time active members of the Hong Kong Association of Critical Care Nurses participated in this study and they may not necessarily represent the views of all critical care nurses in Hong Kong. In addition, no attempts were made to compare research priorities between specialty groups of nurses.
With the re-structuring of Hong Kong's health care system, critical care nurses are expected to take an active role in advancing the profession, and to be accountable for improving patient outcomes by use of effective, evidence-based interventions. The research priorities identified in this study may provide impetus and direction for critical care nursing research initiatives.
研究对于护理实践至关重要,尤其是在重症监护等领域,护理实践的复杂性不断增加,护士在患者护理方面承担着更大的责任和问责。然而,如果不了解影响香港重症患者福祉的最重要问题或疑问是什么,在当今医疗资源减少和医疗服务提供方式不断变化的情况下,护士的研究工作可能会指向并非最优先的领域。
确定对香港重症监护护士重要的研究问题并排出优先顺序。
采用三轮德尔菲技术来征集、确定和排列重症护理研究的问题优先顺序。
完成第三轮调查的受访者平均有6.25年的重症护理经验。91个研究主题被评为重要或极其重要。27个被评为极其重要的研究优先事项包括与患者护理、家庭护理、护理、技术、替代干预措施以及疾病预防/健康促进研究领域相关的主题。13个研究主题被评为最不重要。没有参与者将研究主题评为不重要。
只有香港重症护理护士协会的全职在职成员参与了本研究,他们不一定能代表香港所有重症护理护士的观点。此外,没有尝试比较不同专业护士群体之间的研究优先事项。
随着香港医疗系统的重组,预计重症护理护士将在推动该专业发展方面发挥积极作用,并通过使用有效的循证干预措施对改善患者结局负责。本研究确定的研究优先事项可能为重症护理研究计划提供动力和方向。