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Pediatr Crit Care Med. 2015 Jul;16(6):e174-82. doi: 10.1097/PCC.0000000000000446.

Pediatric Critical Care Nursing Research Priorities-Initiating International Dialogue.

Author information

1
1PICU and Children's Nursing Research Unit, Alder Hey Children's NHS Foundation Trust, Liverpool, United Kingdom. 2School of Health, University of Central Lancashire, Preston, United Kingdom. 3Department of Paediatrics and Child Health, University of Cape Town, Cape Town, South Africa. 4PICU, Critical Care Program, Hospital for Sick Children, Toronto, Ontario, Canada. 5Department of Child Health Evaluative Sciences, Research Institute, Hospital for Sick Children, Toronto, Ontario, Canada. 6Department of Cardiovascular and Critical Care Services, Boston Children's Hospital, Boston, MA. 7Harvard Medical School, Boston, MA. 8Department of Nursing Research, The Royal Children's Hospital, Melbourne, Australia. 9School of Health Sciences and the Department of Paediatrics, The University of Melbourne, Melbourne, Australia. 10School of Nursing and Midwifery, Faculty of Health and Human Sciences, Plymouth University, Plymouth, United Kingdom. 11School of Nursing and Midwifery, Faculty of Health Sciences, Curtin University, Perth, WA, Australia. 12Department of Pediatric Nursing, Escola Paulista de Enfermagem, Universidade Federal de São Paulo, São Paulo, Brazil. 13Division of Pediatric Critical Care, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL. 14School of Nursing and the Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.

Abstract

OBJECTIVE:

To identify and prioritize research questions of concern to the practice of pediatric critical care nursing practice.

DESIGN:

One-day consensus conference. By using a conceptual framework by Benner et al describing domains of practice in critical care nursing, nine international nurse researchers presented state-of-the-art lectures. Each identified knowledge gaps in their assigned practice domain and then poised three research questions to fill that gap. Then, meeting participants prioritized the proposed research questions using an interactive multivoting process.

SETTING:

Seventh World Congress on Pediatric Intensive and Critical Care in Istanbul, Turkey.

PARTICIPANTS:

Pediatric critical care nurses and nurse scientists attending the open consensus meeting.

INTERVENTIONS:

Systematic review, gap analysis, and interactive multivoting.

MEASUREMENTS AND MAIN RESULTS:

The participants prioritized 27 nursing research questions in nine content domains. The top four research questions were 1) identifying nursing interventions that directly impact the child and family's experience during the withdrawal of life support, 2) evaluating the long-term psychosocial impact of a child's critical illness on family outcomes, 3) articulating core nursing competencies that prevent unstable situations from deteriorating into crises, and 4) describing the level of nursing education and experience in pediatric critical care that has a protective effect on the mortality and morbidity of critically ill children.

CONCLUSIONS:

The consensus meeting was effective in organizing pediatric critical care nursing knowledge, identifying knowledge gaps and in prioritizing nursing research initiatives that could be used to advance nursing science across world regions.

PMID:
25905492
DOI:
10.1097/PCC.0000000000000446
[Indexed for MEDLINE]

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