emergency department, Bristol Royal Infirmary, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, England.
Emerg Nurse. 2023 Feb 28;31(2):27-31. doi: 10.7748/en.2022.e2137. Epub 2022 Aug 15.
Research is essential for the implementation of evidence-based practice and can lead to improvements and innovations in care delivery. Although ultimately beneficial for patients and staff, the data collection involved in research often presents challenges, particularly in the emergency department (ED) setting. This article describes the challenges of undertaking a feasibility trial in a city centre ED. The target research population were adult patients who presented to the ED with an issue related to opioid misuse, for example opioid overdose, injection site wounds and/or abscess, or injury sustained during opioid intoxication. Challenges experienced during this trial included a demanding work environment, ED attendees not being suitable for recruitment into research, and suspension of the trial during the coronavirus disease 2019 (COVID-19) pandemic. The author details the strategies introduced to ensure effective patient recruitment to the trial, including nurse secondment onto the research team, offering incentives, raising awareness of the trial among ED staff and implementing flexible training. These strategies continued to be effective after a period of suspension due to the COVID-19 pandemic.
研究对于实施基于证据的实践至关重要,并可以促进护理提供方面的改进和创新。尽管最终有益于患者和工作人员,但研究中涉及的数据收集常常带来挑战,尤其是在急诊科 (ED) 环境中。本文描述了在市中心 ED 进行可行性试验所面临的挑战。目标研究人群是因阿片类药物滥用相关问题而到 ED 就诊的成年患者,例如阿片类药物过量、注射部位伤口和/或脓肿,或阿片类药物中毒期间受伤。在这项试验中遇到的挑战包括工作环境要求高、ED 就诊者不适合招募参加研究,以及在 2019 冠状病毒病 (COVID-19) 大流行期间暂停试验。作者详细介绍了为确保试验有效招募患者而引入的策略,包括将护士借调到研究团队、提供激励措施、提高 ED 工作人员对试验的认识以及实施灵活的培训。由于 COVID-19 大流行,试验暂停后,这些策略仍然有效。