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Action research studies in the intensive care setting: a systematic review
K L Soh1, P M Davidson, G Leslie
1Department of Medicine, Faculty of Medicine and Health Sciences, University Putra Malaysia, Malaysia. K.Soh@curtin.edu.au
International Journal of Nursing Studies
|October 30, 2010
Summary
Action research shows promise for improving intensive care unit (ICU) practices. However, studies need to include clinical outcome assessments to enhance the framework for better patient results.
Area of Science:
- Healthcare Research
- Nursing Research
- Critical Care
Background:
- Action research is a methodology for improving practice.
- Intensive care units (ICUs) present complex challenges for clinical practice improvement.
- A framework for utilizing action research in ICUs is needed.
Purpose of the Study:
- To review studies using action research in the ICU.
- To develop an intervention framework to enhance clinical outcomes in the ICU.
Main Methods:
- Systematic review of published studies.
- Searches conducted across multiple electronic databases (CINAHL, Scopus, Medline, Embase, PsycINFO, WWW).
- Keywords included 'action research', 'health care research', 'health services evaluation', and 'intensive care unit'.
Main Results:
- Identified 21 studies using action research in the ICU from 195 articles.
- Most studies originated from the United Kingdom.
- Studies predominantly involved nurses, patients, families, and healthcare practitioners addressing ICU problems.
Conclusions:
- Action research is a promising approach for ICU clinical practice improvement.
- Current studies focus on process and formative evaluation, lacking clinical outcome assessment.
- Incorporating outcome assessment is crucial for action research in the ICU to improve clinical outcomes.
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