在重症监护病房进行临床研究的组织:一个范围审查
Mireille Adda1, Claire Dupuis2, Lise Laclautre3
1CHU Clermont-Ferrand, Service de Médecine Intensive Réanimation, Clermont-Ferrand, France; CHU Clermont-Ferrand, Direction de la Recherche Clinique et des Innovations, Clermont-Ferrand, France.
在重症监护室 (ICU) 中的临床研究组织显示出显著的多样性. 专业人员在ICU临床研究有不同的培训和执行不同的任务,影响工作满意度.
科学领域:
- 关键护理医学 关键护理医学
- 临床研究管理 临床研究管理
背景情况:
- 临床研究对于推进治疗和患者护理至关重要.
- 重症监护病房 (ICU) 是对最病重的患者进行临床试验的关键场所.
- 新兴专业是临床研究基础设施的组成部分.
研究的目的:
- 进行范围审查,确定ICU内临床研究组织的证据的范围和性质.
- 探索ICU临床研究的结构,专业角色和培训要求.
主要方法:
- 专注于有关ICU临床研究组织的观察性和定性叙事研究.
- 从2000年1月到2024年6月,搜索了Medline和Embase数据库.
- 使用"让证据指南每一个新决定"和纽卡斯尔-太华尺度进行质量评估.
主要成果:
- 包括14项研究 (4项叙述性,10项观察性描述性),主要来自北美,英国和澳大利亚/新西兰.
- 临床研究专业人员主要是女性护士 (31-50岁),具有不同的培训和任务 (数据收集到出版).
- 工作满意度与自主,工作量,认可和晋升机会有关.
结论:
- 临床研究在ICU的组织的特点是,在专业培训,任务执行和职位结构方面存在巨大的多样性.
- 临床研究专业人员在重症监护机构有不同的责任和组织框架.
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