英国/爱尔兰儿科重症监护临床研究资源与护理人力调查
A Survey of Resources and Nursing Workforce for Clinical Research Delivery in Paediatric Intensive Care Within the UK / Ireland.
作者信息
Menzies Julie C, Jennings Claire, Marshall Rebecca
机构信息
Paediatric Intensive Care Unit, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom.
College of Medical and Dental Sciences, Institute of Clinical Sciences, University of Birmingham, Birmingham, United Kingdom.
出版信息
Front Pediatr. 2022 May 2;10:848378. doi: 10.3389/fped.2022.848378. eCollection 2022.
INTRODUCTION
Clinical research within Paediatric Intensive Care (PICU) is necessary to reduce morbidity and mortality associated within this resource-intensive environment. With UK PICUs encouraged to be research-active there was a drive to understand how centres support research delivery.
AIM
To identify the research workforce available within UK/Ireland PICUs to support clinical research delivery.
METHOD
An electronic survey, endorsed by the Paediatric Critical Care Society (PCCS), was designed and reported in accordance with CHERRIES guidelines. The survey was distributed by email to all UK/Ireland Nurse Managers and Medical/ Nursing Research leads, aiming for one response per site during the period of April-June 2021. Only one response per site was included in analysis.
RESULTS
44 responses were received, representing 24/30 UK/Ireland sites (80% response rate). Responses from = 21/30 units are included (three excluded for insufficient data). 90% ( = 19/21) units were research active, although only 52% ( = 11) had permanent research roles funded within their staffing establishment. The majority of units ( = 18, 86%) had less than two WTE research nurses. Resources were felt to be sufficient for current research delivery by 43% of units ( = 9), but this confidence diminished to 19% ( = 4) when considering their ability to support future research. The top barriers to research conduct were insufficiently funded/unfunded studies (52%; = 11), clinical staff too busy to support research activity (52%; = 11) and short-term/fixed-term contracts for research staff (38%; = 8).
CONCLUSION
Despite the perceived importance of research and 90% of responding UK/Ireland PICUs being research active, the majority have limited resources to support research delivery. This has implications for their ability to participate in future multi-centre trials and opportunities to support the development of future medical/nursing clinical academics. Further work is required to identify optimum models of clinical research delivery.
引言
儿科重症监护（PICU）领域的临床研究对于降低在这种资源密集型环境中出现的发病率和死亡率而言是必要的。随着英国的儿科重症监护病房被鼓励积极开展研究，人们开始努力了解各中心是如何支持研究工作开展的。
目的
确定英国/爱尔兰儿科重症监护病房内可用于支持临床研究工作开展的研究人员队伍。
方法
设计了一项经儿科重症监护协会（PCCS）认可的电子调查问卷，并按照CHERRIES指南进行报告。该调查问卷通过电子邮件分发给所有英国/爱尔兰的护士长以及医学/护理研究负责人，目标是在2021年4月至6月期间每个机构收到一份回复。分析中仅纳入每个机构的一份回复。
结果
共收到44份回复，代表了英国/爱尔兰30个机构中的24个（回复率为80%）。纳入了来自30个单位中21个单位的回复（3个因数据不足被排除）。90%（21个单位中的19个）的单位积极开展研究，不过只有52%（11个）在其人员编制中有永久性的研究岗位。大多数单位（18个，86%）的全职等效研究护士少于两名。43%（9个）的单位认为资源足以支持当前的研究工作开展，但在考虑其支持未来研究的能力时，这种信心降至19%（4个）。开展研究的主要障碍是资金不足/无资金支持的研究（52%；11个）、临床工作人员太忙而无法支持研究活动（52%；11个）以及研究人员的短期/固定期限合同（38%；8个）。
结论
尽管研究工作被认为很重要，且90%做出回复的英国/爱尔兰儿科重症监护病房积极开展研究，但大多数单位支持研究工作开展的资源有限。这对它们参与未来多中心试验的能力以及支持未来医学/护理临床学术发展的机会产生影响。需要开展进一步工作以确定临床研究工作开展的最佳模式。
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