European neonatal intensive care nursing research priorities: an e-Delphi study (original) (raw)
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Pediatric Critical Care Medicine, 2014
Objectives: To identify and to establish research priorities for pediatric intensive care nursing science across Europe. Design: A modified three-round electronic Delphi technique was applied. Questionnaires were translated into seven different languages. Setting: European PICUs. Participants: The participants included pediatric intensive care clinical nurses, managers, educators, and researchers. In round 1, the qualitative responses were analyzed by content analysis and a list of research statements and domains was generated. In rounds 2 and 3, the statements were ranked on a scale of one to six (not important to most important). Mean scores and sds were calculated for rounds 2 and 3. Interventions: None. Measurements and Main Results: Round 1 started with 90 participants, with round 3 completed by 64 (71%). The seven highest ranking statements (≥ 5.0 mean score) were related to end-of-life care, decision making around forgoing and sustaining treatment, prevention of pain, education and competencies for pediatric intensive care nurses, reducing healthcare-associated infections, identifying appropriate nurse staffing levels, and implementing evidence into nursing practice. Nine research domains were prioritized, and these were as follows: 1) clinical nursing care practices, 2) pain and sedation, 3) quality and safety, 4) respiratory and mechanical ventilation, 5) child-and family-centered care, 6) ethics, 7) professional issues in nursing, 8) hemodynamcis and resuscitation, and 9) trauma and neurocritical care. Conclusions: The results of this study inform the European Society of Pediatric and Neonatal Intensive Care's nursing research agenda in the future. The results allow nurse researchers within Europe to encourage collaborative initiatives for nursing research. (Pediatr Crit Care Med 2014; XX:00-00) Tume et al 2 www.pccmjournal.org XXX 2014 • Volume XX • Number XX 6 www.pccmjournal.org XXX 2014 • Volume XX • Number XX
Global neonatal nurses identify research priorities for improving neonatal outcome
Journal of Neonatal Nursing, 2021
This study aimed to explore Neonatal nurses and midwives opinion regarding global research priorities. A prospective descriptive study was completed using survey methodology. Responses (n = 596) were received from 42 countries. Countries were divided into geographical areas: Africa 18 (3%), Asia 36 (6%), North America 156 (26%), South America 26 (4%), Europe 169 (28%) and Oceania 191 (32%). Sixteen research priorities were identified and categorised under two main themes with two key priorities being identified for each theme: 1) Improving clinical care of new-borns; key priorities are: Training and education needs of neonatal nurses, midwives and health workers; and Implementation of existing evidence into nursing practice: 2) The management and long-term outcomes of neonates; two key priorities are: Extreme prematurity: management and improving outcomes; and Pain: prevention management, and long-term outcomes of pain. Collaboration and research are needed to improve the dissemination of not only research evidence but practice methodologies that enable nurses to implement best practice.
Nursing Perceptions of Clinical Research in the Neonatal Intensive Care Unit
Newborn and infant nursing reviews : NAINR, 2013
The purpose of the study is to determine perceptions of clinical research in the NICU. This is a survey study. Nurses (n = 68) employed in a level III NICU in the Midwestern United States were included. The main outcome variable is the cross-sectional analysis of responses to a survey exploring perceptions of clinical research. Ninety-seven percent of nurses (n = 66) agree that clinical research is important for improving care, while 57% (n = 39) report that it affects their day positively. Thirty-seven percent reported excellent communication between clinical and research teams. In addition, 27% (n = 18) of nurses reported research presents complications for families, and 79% (n = 54) reported that it is acceptable to cease a research protocol for infant benefit. Years of practice and whether nurses read research affected various responses. Clinical research is imperative to inform best practice, and nurses are an integral part of care. Therefore, it is essential to better define s...
Pediatric Critical Care Nursing Research Priorities-Initiating International Dialogue
Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2015
To identify and prioritize research questions of concern to the practice of pediatric critical care nursing practice. One-day consensus conference. By using a conceptual framework by Benner et al describing domains of practice in critical care nursing, nine international nurse researchers presented state-of-the-art lectures. Each identified knowledge gaps in their assigned practice domain and then poised three research questions to fill that gap. Then, meeting participants prioritized the proposed research questions using an interactive multivoting process. Seventh World Congress on Pediatric Intensive and Critical Care in Istanbul, Turkey. Pediatric critical care nurses and nurse scientists attending the open consensus meeting. Systematic review, gap analysis, and interactive multivoting. The participants prioritized 27 nursing research questions in nine content domains. The top four research questions were 1) identifying nursing interventions that directly impact the child and fam...
Journal of Clinical Nursing, 2010
Aims and objectives. This paper describes a study that aimed to identify research priorities for the care of infants, children and adolescents at the sole tertiary referral hospital for children in Western Australia. The secondary aim was to stimulate nurses to explore clinical problems that would require further inquiry. Background. Planning for research is an essential stage of research development; involving clinicians in this exercise is likely to foster research partnerships that are pertinent to clinical practice. Nursing research priorities for the paediatric population have not previously been reported in Australia. Design. Delphi study. Method. Over 12 months in 2005-2006, a three-round questionnaire, using the Delphi technique, was sent to a randomly selected sample of registered nurses. This method was used to identify and prioritise nursing research topics relevant to the patient and the family. Content analysis was used to analyse Round I data and descriptive statistics for Round II and III data. Results. In Round I, 280 statements were identified and reduced to 37 research priorities. Analysis of data in subsequent rounds identified the top two priority research areas as (1) identification of strategies to reduce medication incidents (Mean = 6AE47; SD 0AE88) and (2) improvement in pain assessment and management (Mean = 6; SD 1AE38). Additional comments indicated few nurses access the scientific literature or use research findings because of a lack of time or electronic access. Conclusions. Thirty-seven research priorities were identified. The identification of research priorities by nurses provided research direction for the health service and potentially other similar health institutions for children and adolescents in Australia and internationally. Relevance to clinical practice. The nurse participants showed concern about the safety of care and the well-being of children and their families. This study also enabled the identification of potential collaborative research and development of pain management improvement initiatives.
Pediatric Research
BACKGROUND: Innovation is important to improve patient care, but few studies have explored the factors that initiate change in healthcare organizations. METHODS: As part of the European project EPICE on evidence-based perinatal care, we carried out semi-structured interviews (N = 44) with medical and nursing staff from 11 randomly selected neonatal intensive care units in 6 countries. The interviews focused on the most recent clinical or organizational change in the unit relevant to the care of very preterm infants. Thematic analysis was performed using verbatim transcripts of recorded interviews. RESULTS: Reported changes concerned ventilation, feeding and nutrition, neonatal sepsis, infant care, pain management and care of parents. Six categories of drivers to change were identified: availability of new knowledge or technology; guidelines or regulations from outside the unit; need to standardize practices; participation in research; occurrence of adverse events; and wish to improve care. Innovations originating within the unit, linked to the availability of new technology and seen to provide clear benefit for patients were more likely to achieve consensus and rapid implementation. CONCLUSIONS: Innovation can be initiated by several drivers that can impact on the success and sustainability of change.