Vivian Lauraine, Marais Adele, McLaughlin Sean, Falkenstein Sandra, Argent Andrew
Paediatric Intensive Care Unit, Red Cross War Memorial Children's Hospital, Rondebosch, Cape Town, South Africa.
Intensive Care Med. 2009 Sep;35(9):1593-8. doi: 10.1007/s00134-009-1551-z. Epub 2009 Jun 25.
To assess the care-giving practices of health-care practitioners in the paediatric intensive care unit (PICU) through their qualitative insights, reflections and experience in participatory action research.
Qualitative research in the form of 'participatory action research' was used to gather data from three sources within the unit: focus groups within disciplines, observations within the PICU, and semi-structured interviews. All staff members were active collaborators and equal stakeholders in the decision-making process, research and feedback.
The paediatric intensive care unit (PICU) of the Red Cross War Memorial Children's Hospital (RCWMCH).
All staff members from various disciplines working in the PICU.
Staff members described problems with respect to relationships, trust and decision-making within care-giving practices.
The study qualitatively describes how poor communication amongst staff members in respect of relationships and decision-making impacted on trust and how this tended to compromise care-giving practices in the PICU. The data suggested that this was more evident in informal rather than formal clinical decision-making procedures. The strength of the study was that the participatory action design in the research allowed staff members to address the very dynamics that they themselves cited as problematic.
通过参与式行动研究中医疗从业者的定性见解、反思和经验，评估儿科重症监护病房（PICU）中医疗从业者的护理实践。
采用“参与式行动研究”形式的定性研究，从该病房的三个来源收集数据：各学科焦点小组、PICU内的观察以及半结构化访谈。所有工作人员都是决策过程、研究和反馈中的积极合作者和平等利益相关者。
红十字会战争纪念儿童医院（RCWMCH）的儿科重症监护病房（PICU）。
在PICU工作的各学科所有工作人员。
工作人员描述了护理实践中在关系、信任和决策方面存在的问题。
该研究定性描述了工作人员在关系和决策方面沟通不畅如何影响信任，以及这如何往往损害PICU的护理实践。数据表明，这在非正式而非正式临床决策程序中更为明显。该研究的优势在于研究中的参与式行动设计使工作人员能够解决他们自己认为有问题的动态情况。
