Kelly Carol Ann, Kirkcaldy Andrew J, Pilkington Melissa, Hodson Matthew, Welch Lindsay, Yorke Janelle, Knighting Katherine
Postgraduate Medical Institute, Edge Hill University, Ormskirk, UK.
Evidence-based Practice Research Centre, Edge Hill University, Ormskirk, UK.
ERJ Open Res. 2018 Apr 20;4(2). doi: 10.1183/23120541.00003-2018. eCollection 2018 Apr.
Respiratory nurses make a significant contribution to the delivery of respiratory healthcare, but there is a dearth of nurse-led, practice-focused, published research. Using a modified three-round Delphi, this study sought to identify research priorities for respiratory nursing to inform a national research strategy. Study information and the survey link were sent electronically to members of UK professional respiratory organisations. Round 1 had 78 items across 16 topics, informed by a systematic literature review. Respondents suggested additional items which were content analysed to inform Round 2. Respondents rated all items and ranked the topics in all rounds. To ensure rigour, rounds had an explicit focus with pre-determined criteria for consensus (70%). In total, 363 responses were received across Rounds 1, 2 and 3 (n=183, 95 and 85, respectively). The top five research priorities were: 1) "Patient understanding of asthma control"; 2) "The clinical and cost-effectiveness of respiratory nurse interventions"; 3) "The impact of nurse-led clinics on patient care"; 4) "Inhaler technique"; and 5) two topics jointly scored: "Prevention of exacerbations" and "Symptom management". With potential international significance, this is the first UK study to identify research priorities for respiratory nursing, providing direction for those planning or undertaking research.
呼吸科护士对呼吸健康护理的提供做出了重大贡献，但缺乏以护士为主导、以实践为重点的已发表研究。本研究采用改良的三轮德尔菲法，旨在确定呼吸护理的研究重点，为国家研究战略提供参考。研究信息和调查链接通过电子邮件发送给英国专业呼吸组织的成员。第一轮有16个主题的78个项目，这些项目基于系统的文献综述。受访者提出了其他项目，对这些项目进行内容分析以用于第二轮。受访者对所有项目进行评分，并在各轮中对主题进行排序。为确保严谨性，各轮都有明确的重点以及预先确定的共识标准（70%）。在第一轮、第二轮和第三轮中，总共收到了363份回复（分别为n = 183、95和85）。排名前五的研究重点是：1）“患者对哮喘控制的理解”；2）“呼吸科护士干预措施的临床效果和成本效益”；3）“护士主导的诊所对患者护理的影响”；4）“吸入技术”；5）两个共同得分的主题：“预防病情加重”和“症状管理”。本研究是英国第一项确定呼吸护理研究重点的研究，具有潜在的国际意义，为那些计划或开展研究的人提供了方向。
