澳大利亚基于共识的急诊护理临床研究重点。

Consensus-based clinical research priorities for emergency nursing in Australia.

作者信息

Considine Julie, Curtis Kate, Shaban Ramon Z, Fry Margaret

机构信息

Deakin University, Geelong: School of Nursing and Midwifery and Centre for Quality and Patient Safety Research, Victoria, Australia; Centre for Quality and Patient Safety Research - Eastern Health Partnership, Box Hill, Victoria, Australia.

Sydney Nursing School, The University of Sydney, Clinical Nurse Consultant - Emergency, Illawarra Shoalhaven Local Health District, Camperdown, New South Wales, Australia.

出版信息

Australas Emerg Care. 2018 May;21(2):43-50. doi: 10.1016/j.auec.2018.03.001. Epub 2018 Apr 12.

DOI:10.1016/j.auec.2018.03.001

PMID:30998874

Abstract

INTRODUCTION

Research is vital to responding to contemporary challenges of providing safe, high quality emergency nursing care, yet the research priorities for emergency nursing practice in Australia are unknown. This study aimed to establish research priorities for emergency nursing in Australia.

METHODS

A two-stage descriptive, exploratory study was conducted. First, research themes were identified through a survey of 232 emergency nurses the Delphi Technique (2 rounds) was used to rank and prioritise the research themes.

RESULTS

There were five research themes with a CVI≥0.90: (i) recognising and responding to deteriorating ED patients; (ii) effect of access block on clinical care of admitted ICU patients; (iii) effects of ED overcrowding on clinical care; (iv) scope of practice of specialist emergency nurses; and (v) effect of access block on clinical care of admitted ward patients. These are reflected in four broad research priority areas: professional issues, patient safety, emergency care of vulnerable populations, and healthcare system issues.

CONCLUSION

Future research should focus on these priority areas in partnership with other emergency disciplines to enable safe, high quality emergency care, and, to inform the practice of emergency nursing in Australia.

摘要

引言

研究对于应对提供安全、高质量急诊护理的当代挑战至关重要，但澳大利亚急诊护理实践的研究重点尚不清楚。本研究旨在确定澳大利亚急诊护理的研究重点。

方法

进行了一项两阶段的描述性探索性研究。首先，通过对232名急诊护士的调查确定研究主题，采用德尔菲技术（两轮）对研究主题进行排序和优先排序。

结果

有五个内容效度指数（CVI）≥0.90的研究主题：（i）识别和应对急诊科病情恶化的患者；（ii）准入障碍对入住重症监护病房患者临床护理的影响；（iii）急诊科过度拥挤对临床护理的影响；（iv）专科急诊护士的执业范围；以及（v）准入障碍对入住病房患者临床护理的影响。这些体现在四个广泛的研究优先领域：专业问题、患者安全、弱势群体的急诊护理以及医疗系统问题。