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欧洲新生儿重症监护护理研究重点:一项电子德尔菲研究

European neonatal intensive care nursing research priorities: an e-Delphi study.

作者信息

Wielenga Joke M, Tume Lyvonne N, Latour Jos M, van den Hoogen Agnes

机构信息

Department of Intensive Care Neonatology, Emma Children's Hospital/Academic Medical Centre, Amsterdam, The Netherlands.

PICU and Children's Nursing Research Unit, Alder Hey Children's NHS FT, Liverpool UK and University of Central Lancashire, Preston, UK.

出版信息

Arch Dis Child Fetal Neonatal Ed. 2015 Jan;100(1):F66-71. doi: 10.1136/archdischild-2014-306858. Epub 2014 Sep 26.

DOI:10.1136/archdischild-2014-306858
PMID:25260359
Abstract

OBJECTIVE

This study aimed to identify and prioritise neonatal intensive care nursing research topics across Europe using an e-Delphi technique.

DESIGN

An e-Delphi technique with three questionnaire rounds was performed. Qualitative responses of round one were analysed by content analysis and research statements were generated to be ranged on importance on a scale of 1-6 (not important to most important).

SETTING

Neonatal intensive care units (NICUs) in 17 European countries.

POPULATION

NICU clinical nurses, managers, educators and researchers (n=75).

INTERVENTION

None.

MAIN OUTCOME MEASURES

A list of 43 research statements in eight domains.

RESULTS

The six highest ranking statements (≥5.0 mean score) were related to prevention and reduction of pain (mean 5.49; SD 1.07), medication errors (mean 5.20; SD 1.13), end-of-life care (mean 5.05; SD 1.18), needs of parents and family (mean 5.04; SD 1.23), implementing evidence into nursing practice (mean 5.02; SD 1.03), and pain assessment (mean 5.02; SD 1.11). The research domains were prioritised and ranked: (1) pain and stress; (2) family centred care; (3) clinical nursing care practices; (4) quality and safety; (5) ethics; (6) respiratory and ventilation; (7) infection and inflammation; and (8) professional issues in neonatal intensive care nursing.

CONCLUSIONS

The results of this study might support developing a nursing research strategy for the nursing section of the European Society of Paediatric and Neonatal Intensive Care. In addition, this may promote more European researcher collaboratives for neonatal nursing research.

摘要

目的

本研究旨在运用电子德尔菲法确定欧洲新生儿重症监护护理研究主题并排出优先顺序。

设计

进行了三轮问卷调查的电子德尔菲法。第一轮的定性回答通过内容分析进行分析,并生成研究陈述,按1 - 6分的重要性等级排序(从不重要到最重要)。

地点

17个欧洲国家的新生儿重症监护病房(NICU)。

研究对象

NICU临床护士、管理人员、教育工作者和研究人员(n = 75)。

干预措施

无。

主要观察指标

八个领域的43项研究陈述列表。

结果

排名前六位(平均得分≥5.0)的陈述与疼痛的预防和减轻(平均5.49;标准差1.07)、用药错误(平均5.20;标准差1.13)、临终关怀(平均5.05;标准差1.18)、父母及家庭需求(平均5.04;标准差1.23)、将证据应用于护理实践(平均5.02;标准差1.03)以及疼痛评估(平均5.02;标准差1.11)有关。对研究领域进行了优先排序和排名:(1)疼痛与应激;(2)以家庭为中心的护理;(3)临床护理实践;(4)质量与安全;(5)伦理;(6)呼吸与通气;(7)感染与炎症;(8)新生儿重症监护护理中的专业问题。

结论

本研究结果可能有助于为欧洲儿科和新生儿重症监护学会护理分会制定护理研究策略。此外,这可能会促进更多欧洲新生儿护理研究的研究者合作。

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