医疗护理团队对ICU临床研究的看法:一项跨部门研究
Karla Krewulak1, Toyin Ogunyannwo1, Dori-Ann Martin2
1Department of Critical Care Medicine, Alberta Health Services and University of Calgary Cumming School of Medicine, Calgary, AB, Canada.
Critical care explorations
|April 3, 2024
概括
让重症监护室 (ICU) 护理团队参与临床研究需要解决他们的能力,机会和动机. 加强沟通和认可贡献是提高参与ICU研究的关键.
科学领域:
- 关键护理医学 关键护理医学
- 临床研究 临床研究
- 医疗保健专业人员的参与
背景情况:
- 适当的患者招募对于成功的临床研究至关重要.
- 重症监护室 (ICU) 护士至关重要,但更广泛的ICU护理团队也对研究参与产生重大影响.
- 了解ICU护理团队的观点对于提高其参与度至关重要.
研究的目的:
- 探索正在进行的临床研究中的多学科ICU护理团队的经验.
- 识别影响他们参与研究的感知障碍和推动因素.
- 应用能力,机会,动机,行为 (COMB) 模型来增强研究参与.
主要方法:
- 在2021年6月至2023年3月期间进行了一项跨部门调查研究.
- 这项研究包括四个成人ICU和一个儿科ICU (PICU) 的护士,医生,护士从业人员,相关卫生专业人员和单位职员.
- 基于COMB模型的验证调查评估了人口统计,研究经验,能力,机会和动机.
主要成果:
- 172名ICU护理团队成员完成了调查,揭示了能力,机会和动机的差异.
- 与注册护士和相关卫生专业人员相比,医生和护士从业人员在与患者讨论研究时表示更高的信心.
- 观察到对研究协议的沟通信任水平的差异.
结论:
- 许多障碍阻碍了ICU护理团队参与ICU研究.
- 加强参与需要解决护理团队的能力 (知识,沟通技巧),创造机会 (协作,多学科轮),并提供动机 (认可,结果分享).
- 需要有针对性的策略来改善ICU护理团队参与临床研究的行为.
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