Study Protocol for the Development of an African Framework for Critical Care Nursing Based on Ubuntu Using Participatory Cooperative Inquiry: Decolonising Care.

IF 2.6 3区 医学 Q1 NURSING
Chris Carter, Michael Kanyanta, Joy Notter
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引用次数: 0

Abstract

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.

基于Ubuntu开发非洲重症护理框架的研究方案:使用参与式合作调查:非殖民化护理。
背景:赞比亚的重症护理是一门新的专业,采用了传统的护理文献,目前使用Roper, Logan和Tierney的日常生活活动与NANDA国际(NANDA- i)标准相结合。值得关注的是,这些模型是基于不同的高收入领域,而不是重症监护或具体情况,这使得在实践中的整合和应用具有挑战性。因此,迫切需要制定赞比亚具体情况的重症护理框架。目的:本研究旨在探讨重症监护护士对当前使用的护理模型和理论的适用性的看法,并基于Ubuntu原则开发新的赞比亚重症监护护理框架。方法:本研究将采用两阶段的混合方法,采用参与式合作调查设计。第一阶段包括对护理计划文件的回顾性审查。这将允许识别当前使用的护理模型和理论。第一阶段利用文献数据分析来确定关键的护理文件。描述性统计和可能时的显著差异将用于确定模式和趋势。第二阶段将利用第一阶段的研究结果作为半结构化焦点小组的基础,其中包括研究现场的重症监护护士。将采用总人口抽样;因此,将邀请所有护士参加。框架分析将用于分析定性数据集。结论:结果将说明护理文件的效率和有效性以及使用当前护理模式的看法。这些发现将结合起来,开发一个基于Ubuntu的重症护理框架,然后进行试点。与临床实践的相关性:本研究的设计是为了回应人们对重症护理实践需要根据具体情况来加强所提供的护理的认识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.00
自引率
13.30%
发文量
109
审稿时长
>12 weeks
期刊介绍: Nursing in Critical Care is an international peer-reviewed journal covering any aspect of critical care nursing practice, research, education or management. Critical care nursing is defined as the whole spectrum of skills, knowledge and attitudes utilised by practitioners in any setting where adults or children, and their families, are experiencing acute and critical illness. Such settings encompass general and specialist hospitals, and the community. Nursing in Critical Care covers the diverse specialities of critical care nursing including surgery, medicine, cardiac, renal, neurosciences, haematology, obstetrics, accident and emergency, neonatal nursing and paediatrics. Papers published in the journal normally fall into one of the following categories: -research reports -literature reviews -developments in practice, education or management -reflections on practice
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