Autori: Louise Rose
Ustanova zaposlenja: CANADA
Ključne riječi: critical care; research; survey
Kongres/Simpozij: ”5. Međunarodni kongres HDMSARIST-a” i ”8. Međunarodni kongres WFCCN-a”
Mjesto i vrijeme održavanja: Šibenik, 12.-15. travnja 2012. godine
Background: Despite the important role of bedside nurses in
clinical research in the intensive care unit (ICU), little is known about how
ICU nurses feel about research conduct or their contribution to the research
process.
Methods: Self-administered, cross-sectional, paper-based
survey to characterize nurses’ experiences and beliefs about ICU research in 5
academic ICUs affiliated with the Canadian Critical Care Trials Group. Prior to
administration we assessed the survey for face and content validity, discriminability,
utility, clarity, and test-retest reliability.
Results: Response rate was 67% (n=297/446). On average, ICUs
were engaged in 16 studies and employed 2 full-time research coordinators. Most
respondents were female (79%) with over 6 years of ICU experience (70%). Most
had an undergraduate nursing degree (56%); 44% had completed an ICU
certificate. While the majority reported completing a statistics course (55%),
most had minimal to no experiential knowledge of research processes (67%). Few
(20%) reported ever participating in research protocol development, data
analysis, publication, or research committees. The majority (62%) had cared for
a patient requiring study procedures ≥ 6 times but never or infrequently (<
6 times) completed data collection forms (61%). Most (75%) agreed or strongly
agreed research facilitates improved care and that eligible ICU patients should
be approached for research (61%), but only for minimal risk studies (76%). Most
disagreed or strongly disagreed (76%) that ICU patients were too sick to participate
in research. Few (22%) agreed or strongly agreed researchers consider
practicalities of nursing care when designing studies and 40% agreed or
strongly agreed that caring for study patients substantially increased nursing
workload.
Conclusion: Nurses support ICU research and are
actively involved in the care of research participants. Paradoxically, nurses
remain peripheral to important research processes. Greater inclusion of nurses
in study conceptualization and design and investigation of research-related
nursing workload is warranted.