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克服重病后招募和访谈患者的挑战。

Overcoming the challenges of recruiting and interviewing patients following critical illness.

机构信息

School of Health and Social Care, London South Bank University, London, England.

Central London Community Healthcare NHS Trust, London, England.

出版信息

Nurse Res. 2023 Jun 7;31(2):11-18. doi: 10.7748/nr.2023.e1854. Epub 2023 Mar 16.

DOI:10.7748/nr.2023.e1854
PMID:36924132
Abstract

BACKGROUND

The strict restrictions implemented in England during the COVID-19 pandemic meant it was no longer possible to recruit or interview participants in person. However, virtual recruitment and interviews are not without their challenges, particularly when exploring sensitive topics.

AIM

To discuss how to overcome some of the challenges involved in recruiting and interviewing participants who have been critically ill with COVID-19.

DISCUSSION

An exploratory, descriptive study was conducted involving interviews with 20 people who had been critically ill with COVID-19 and had been discharged from two community-based healthcare settings in London, England. Participants were interviewed at home after being discharged from hospital after at least one month. The sensitivity of the research topic meant strategies for recruiting and interviewing needed to be adapted, including involving patient experience facilitators, using virtual interviews, managing the distress of participants and self-care for the researchers.

CONCLUSION

The adaptations used in this study can be used in research involving people who have been critically ill.

IMPLICATIONS FOR PRACTICE

Researchers can explore innovative ways to recruit participants using hospital or community staff who are not usually involved in research. Virtual interviews require additional skills, such as building rapport with participants, so may require additional training. A distress protocol for participants should always be considered when discussing sensitive topics. Self-care and debrief strategies for interviewers are also critical.

摘要

背景

在 COVID-19 大流行期间,英国实施了严格的限制措施,这意味着无法再亲自招募或面试参与者。然而,虚拟招募和访谈并非没有挑战,特别是在探讨敏感话题时。

目的

讨论如何克服招募和访谈曾因 COVID-19 而病重的参与者所涉及的一些挑战。

讨论

一项探索性描述性研究涉及对 20 名曾因 COVID-19 而病重并从英格兰伦敦的两个社区医疗保健机构出院的人进行访谈。参与者在出院至少一个月后在家中接受访谈。由于研究主题的敏感性,招募和访谈的策略需要进行调整,包括涉及患者体验促进者、使用虚拟访谈、管理参与者的痛苦和研究人员的自我护理。

结论

本研究中使用的调整可以用于涉及曾病重的人的研究。

对实践的影响

研究人员可以探索使用通常不参与研究的医院或社区工作人员招募参与者的创新方法。虚拟访谈需要额外的技能,例如与参与者建立融洽关系,因此可能需要额外的培训。在讨论敏感话题时,应始终考虑为参与者制定应急预案。采访者的自我护理和汇报策略也至关重要。

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