Sun Carolyn, Dohrn Jennifer, Oweis Arwa, Huijer Huda Abu-Saad, Abu-Moghli Fathieh, Dawani Hania, Ghazi Cheherezade, Larson Elaine
Alpha Zeta, Nurse Scientist, Columbia University School of Nursing, New York, NY, USA.
Assistant Professor of Nursing, Columbia University School of Nursing, New York, NY, USA.
J Nurs Scholarsh. 2017 Mar;49(2):223-235. doi: 10.1111/jnu.12280. Epub 2017 Feb 8.
As the shortage of nurses and midwives is expected to worsen in the Eastern Mediterranean region concomitantly with a growing focus on achievement of universal health coverage, nurses and midwives are expected to fill major gaps in health care. Hence, the need for a solid evidence base for nursing practice and a clear direction for clinical nursing research are paramount. Therefore, a Delphi survey was conducted to determine clinical (research focused on patient outcomes) nursing and midwifery priorities for research within this region.
A Delphi survey, using iterative rounds of an online survey of regional clinical nursing and midwifery research experts, was conducted between January and April 2016.
Consensus was determined by percentage agreement on level of priority for topics as determined by participants. Additionally, results were compared between countries within the region by income and mortality levels using Kendall's tau.
Critical research topics were focused on public/community/primary care as well as emergency preparedness for disasters, and these priorities are well aligned with gaps in the literature for this region. There were statistically significant differences between priority level and country mortality group for geriatrics, self-management of disease, and sexually transmitted infections.
Critical research priorities should focus on population-based health topics. Between-country differences should be analyzed further. A clinical research database for the region may help improve research access for nurses and midwives.
Practicing nurses and midwives lack extensive evidence (including culturally relevant evidence) on which to practice. Increasing research in areas identified in this survey may improve patient outcomes and quality of care regionally.
由于预计东地中海区域护士和助产士短缺的情况将恶化，同时对实现全民健康覆盖的关注日益增加，护士和助产士有望填补医疗保健方面的重大缺口。因此，为护理实践建立坚实的证据基础以及为临床护理研究指明明确方向至关重要。为此，开展了一项德尔菲调查，以确定该区域临床（侧重于患者结局的研究）护理和助产研究的优先事项。
2016年1月至4月期间，开展了一项德尔菲调查，对区域临床护理和助产研究专家进行了多轮在线调查。
根据参与者确定的主题优先级别达成的百分比共识来确定一致性。此外，使用肯德尔tau系数按收入和死亡率水平对该区域内各国的结果进行比较。
关键研究主题集中在公共/社区/初级保健以及灾害应急准备方面，这些优先事项与该区域文献中的缺口高度吻合。在老年医学、疾病自我管理和性传播感染方面，优先级别与国家死亡率组之间存在统计学显著差异。
关键研究优先事项应侧重于基于人群的健康主题。应进一步分析国家间差异。该区域的临床研究数据库可能有助于改善护士和助产士获取研究资源的情况。
执业护士和助产士缺乏广泛的证据（包括与文化相关的证据）来指导实践。增加本次调查中确定领域的研究可能会改善该区域的患者结局和护理质量。
