Brenner Maria, Hilliard Carol, Regan Geraldine, Coughlan Barbara, Hayden Sharon, Drennan Jonathan, Kelleher Deirdre
School of Nursing, Midwifery & Health Systems, Health Sciences Building, University College Dublin, Belfield, Dublin 4, Ireland.
Our Lady's Children's Hospital, Crumlin, Dublin 12, Ireland.
J Pediatr Nurs. 2014 Jul-Aug;29(4):301-8. doi: 10.1016/j.pedn.2014.01.003. Epub 2014 Jan 11.
This paper is a report of a study which identified research priorities for children's nursing in an acute care setting in Ireland. A limited number of studies have examined research priorities for children's nursing. This study was undertaken against the backdrop of significant proposed changes to the delivery of children's healthcare. A three round Delphi survey design was used to identify and rate the importance of research priorities for children's nursing. In round I participants were asked to identify five of the most important research priorities for children's nursing. Participants in round II were asked to rate the importance of each research priority on a 7-point Likert scale. In round III participants were presented with the mean score of each research priority from the second questionnaire, and again asked to consider the importance of each topic on a 7-point Likert scale. The aim was to reach consensus on the priorities. The top three priorities identified were recognition and care of the deteriorating child, safe transfer of the critically ill child between acute health care facilities, and the child and family's perceptions of care at end-of life. The wide variation of priorities reflects the scope of care delivery of children's nurses and mirrors many global care concerns in caring for children.
本文是一项研究报告,该研究确定了爱尔兰急症护理环境中儿童护理的研究重点。仅有少数研究探讨过儿童护理的研究重点。本研究是在儿童医疗保健服务拟进行重大变革的背景下开展的。采用三轮德尔菲调查设计来确定儿童护理研究重点并对其重要性进行评级。在第一轮中,参与者被要求确定儿童护理最重要的五个研究重点。第二轮的参与者被要求按照7分李克特量表对每个研究重点的重要性进行评分。在第三轮中,向参与者展示第二份问卷中每个研究重点的平均得分,并再次要求他们按照7分李克特量表考量每个主题的重要性。目的是就这些重点达成共识。确定的前三大重点是对病情恶化儿童的识别与护理、危重症儿童在急症医疗机构之间的安全转运,以及儿童及其家庭对临终护理的看法。重点的广泛差异反映了儿童护士护理服务的范围,也反映了全球在儿童护理方面的许多共同关切。