Study Protocol for the Development of an African Framework for Critical Care Nursing Based on Ubuntu Using
Chris Carter1, Michael Kanyanta2, Joy Notter1
1Birmingham City University, Birmingham, UK.
Background:
Critical care nursing in Zambia is a new speciality that has adopted traditional nursing documentation and currently uses the Roper, Logan and Tierney's Activities of Daily Living combined with NANDA International (NANDA-I) criteria. It is a cause for concern that these models are based on different high-income domains and are not critical care or context-specific, making integration and application in practice challenging. Therefore, there is an urgent need to develop a Zambian context-specific critical care nursing framework.
Aims:
This study aims to explore intensive care nurses' perceptions of the applicability of currently used nursing models and theories and to develop a new Zambian critical care nursing framework based on the principles of Ubuntu.
Methods:
This study will employ a two-phase, mixed-methods approach using a participatory cooperative inquiry design. Phase 1 includes a retrospective review of nursing care plan documentation. This will allow for the identification of the current use of nursing models and theories. Phase 1 utilises documentary data analysis to identify key nursing documentation. Descriptive statistics and, where possible, significant difference will be used to determine patterns and trends. Phase 2 will utilise the findings from phase 1 as the basis for semi-structured focus groups with intensive care nurses within the study site. Total population sampling will be used; therefore, all nurses will be invited to participate. Framework analysis will be used to analyse the qualitative data sets.
Conclusion:
The outcomes will illustrate the efficiency and effectiveness of nursing documentation and perceptions of using the current nursing model. The findings will be combined to develop a critical care nursing framework based on Ubuntu, which will then be piloted.
Relevance To Clinical Practice:
This study has been designed in response to recognition that critical care nursing practice needs to context specific to enhance the nursing care provided.
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