患者及社区护士对一项导尿管冲洗液随机对照试验招募工作的看法。
Patient and community nurse perspectives on recruitment to a randomized controlled trial of urinary catheter washout solutions.
作者信息
Shepherd Ashley, Steel Emma, Taylor Anne, Mackay William Gordon, Hagen Suzanne
机构信息
Faculty of Health Sciences and Sport University of Stirling Stirling UK.
Institute of Healthcare Policy and Practice, Health, Nursing and Midwifery University of the West of Scotland Paisley UK.
出版信息
Nurs Open. 2019 Apr 14;6(3):907-914. doi: 10.1002/nop2.285. eCollection 2019 Jul.
AIM
To give evidence around the acceptability of a proposed randomized controlled trial (RCT) of catheter washout solutions.
DESIGN
A sample of senior community nursing staff ( = 7) were interviewed, and four focus groups with a sample of community nurses were conducted. Eleven semi-structured face-to-face interviews were undertaken with patients using a long-term catheter.
METHODS
An in-depth qualitative study using a phenomenological approach was employed. This approach was suitable to explore the lived experiences of patients and gain their viewpoints and experiences.
RESULTS
Nurse participants raised concerns about the removal of washout treatment or increased risk of infection in relation to which arm of the trial patients were randomized to. There was concern that patients could get used to the increased contact with nursing staff. Six patients who agreed to participate cited personal benefit, benefiting others and a sense of indifference. Four patients were unsure about taking part and one declined. All cited concerns about negative implications for themselves.
目的
为一项关于导管冲洗液的拟议随机对照试验（RCT）的可接受性提供证据。
设计
对7名高级社区护理人员进行了访谈，并与一组社区护士开展了4个焦点小组讨论。对11名使用长期导管的患者进行了半结构化面对面访谈。
方法
采用现象学方法进行深入的定性研究。该方法适合探索患者的生活经历并获取他们的观点和体验。
结果
护士参与者对冲洗治疗的取消或与试验中患者被随机分配到的组别相关的感染风险增加表示担忧。有人担心患者可能会习惯与护理人员增加的接触。6名同意参与的患者提到了个人利益、对他人有益以及冷漠感。4名患者不确定是否参与，1名患者拒绝参与。所有人都提到了对自身负面影响的担忧。
Zotero 插件