Rudy S F, Wilkinson M A, Dropkin M J, Stevens G
Johns Hopkins Bayview Medical Center, Baltimore, Maryland, USA.
ORL Head Neck Nurs. 1998 Winter;16(1):14-20.
This study was initiated by the Society of Otorhinolaryngology and Head-Neck Nurses, Inc. (SOHN) to establish research priorities for the specialty. Otorhinolaryngology (ORL) Nurses were asked to identify, rate, and rank priorities for ORL nursing research. The survey sample was gleaned from attendees at the 20th Annual SOHN Congress and Nursing Symposium plus a follow-up mailing to active SOHN members who did not attend. A decision-making method, the reactive delphi technique, was employed. Four rounds of soliciting opinions by questionnaires were completed. Data from each round were reviewed and analyzed by three ORL nurse investigators. The respondents were largely actively employed, female SOHN members who were seasoned nurses, experienced in ORL nursing. The majority were Registered Nurses (RN) or held Bachelor of Science (BSN) degrees. They were primarily employed as staff nurses in outpatient settings and working with a general otorhinolaryngology patient population of all ages. The fourteen priorities identified fall in the areas of patient outcomes (three), patient education (three), symptom management (two), patient self-care (two), psychosocial issues (two), and nursing care delivery (two), spanning the practice spectra of all ORL nurse generalists and subspecialists. The top five research priorities identified are; care of neck stomas and related equipment, quality of life in head and neck cancer patients, impact of managed care on ORL nursing care delivery, value of ORL specialty nurses/nursing units, and effective techniques to promote cessation of substance abuse in adolescents. This priority identification provides a baseline for the newly forming SOHN Foundation.
这项研究由耳鼻咽喉头颈护士协会(SOHN)发起,旨在确定该专业的研究重点。研究要求耳鼻咽喉科(ORL)护士确定、评估并排列ORL护理研究的重点。调查样本来自第20届SOHN年度大会和护理研讨会的参会者,以及对未参会的活跃SOHN成员的后续邮件调查。采用了一种决策方法——反应性德尔菲技术。通过问卷进行了四轮征求意见。三轮问卷收集的数据由三名ORL护士研究人员进行审查和分析。受访者大多是积极工作的女性SOHN成员,她们是经验丰富的护士,在ORL护理方面经验丰富。大多数人是注册护士(RN)或拥有护理学学士学位(BSN)。她们主要受雇于门诊担任护士,负责护理各年龄段的普通耳鼻咽喉科患者。确定的14个重点领域包括患者结局(3个)、患者教育(3个)、症状管理(2个)、患者自我护理(2个)、心理社会问题(2个)和护理服务提供(2个),涵盖了所有ORL普通护士和专科护士的实践范围。确定的前五项研究重点是:颈部造口及相关设备的护理、头颈癌患者的生活质量、管理式医疗对ORL护理服务提供的影响、ORL专科护士/护理单元的价值,以及促进青少年戒除药物滥用的有效技术。这一重点领域的确定为新成立的SOHN基金会提供了一个基线。