Wiegand Debra Lynn-McHale, Norton Sally A, Baggs Judith Gedney
University of Maryland School of Nursing, USA.
AACN Adv Crit Care. 2008 Apr-Jun;19(2):170-7. doi: 10.1097/01.AACN.0000318120.67061.82.
Critical care units present some unique challenges to the researcher, especially when the research topic of interest is related to end-of-life care. The purpose of this article is to address some of the methodological and practical issues related to conducting end-of-life research in the critical care setting. Recruitment barriers include gaining access to a clinical site, gaining access to patients, and prognostic uncertainty. Additional barriers include challenges related to informed consent, data collection, the research team, and ethical considerations. Strategies are described that can be used to guide researchers to conduct end-of-life research successfully in critical care.
重症监护病房给研究人员带来了一些独特的挑战，尤其是当感兴趣的研究主题与临终关怀相关时。本文旨在探讨在重症监护环境中进行临终研究的一些方法学和实际问题。招募障碍包括进入临床场所、接触患者以及预后的不确定性。其他障碍包括与知情同意、数据收集、研究团队和伦理考量相关的挑战。文中描述了一些策略，可用于指导研究人员在重症监护中成功开展临终研究。
