Nursing and midwifery research priorities for an Australian health service: A priority-setting partnership approach

IF 1.6 4区 医学 Q2 NURSING
Carrie Janerka , Melissa Mellan , Robyn Wright , Fenella J. Gill , Gavin D. Leslie
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Abstract

Background

Determining research priorities for health services is recommended to better understand health service needs, direct resources, and support translational research. This traditionally involved clinicians, whilst consumer perspectives have been overlooked. Priority-setting partnerships bring together consumers and clinicians to identify research priorities.

Aim

To determine nursing and midwifery research priorities for a metropolitan health service in Australia using a priority-setting partnership approach.

Methods

The mixed-methods, multiphase study was guided by a modified James Lind Alliance priority-setting partnership approach to determine the top-10 priorities. This involved (i) formation of a steering group (consumers, clinicians); (ii) a cross-sectional survey of nurses, midwives, patients, carers, and community members to identify research topics; (iii–iv) summarising and checking of research topics; (v) interim priority-setting; (vi) a consensus workshop for final priority-setting using a modified nominal group technique; and (vii) reporting. Inductive content analysis was used to summarise research topics. Descriptive statistics were used to analyse survey participant characteristics and workshop data.

Results

The survey was completed by 168 participants (n = 106 clinicians, n = 62 consumers) across 5 hospital sites. A list of 17 research topics were summarised from the survey. Topics were discussed and ranked by 18 participants at the workshop and the top-10 priorities agreed by consensus.

Conclusions

Priorities reflected a strong desire for research focus on clinical care, as well as education and systems to support nurses and midwives provide care. Involving clinicians and consumers in research can help identify priorities that are of direct relevance to health service users and staff.

澳大利亚保健服务的护理和助产研究优先事项:确定优先事项的伙伴关系方法
背景:建议确定卫生服务的研究重点,以更好地了解卫生服务需求、指导资源和支持转化研究。这通常涉及临床医生,而消费者的观点被忽视了。确定重点的伙伴关系将消费者和临床医生聚集在一起,以确定研究重点。目的采用确定优先次序的伙伴关系方法,确定澳大利亚城市卫生服务的护理和助产研究优先事项。方法采用改良的詹姆斯·林德联盟(James Lind Alliance)优先设定伙伴关系方法,采用混合方法进行多阶段研究,确定十大优先事项。这涉及(i)组建一个指导小组(消费者、临床医生);(ii)对护士、助产士、患者、护理人员和社区成员进行横断面调查,以确定研究主题;(iii-iv)研究课题的总结和核对;临时确定优先事项;最后确定优先事项的协商一致讲习班,使用改良的名义小组技术;(七)报告。采用归纳性内容分析法对研究课题进行总结。使用描述性统计分析调查参与者特征和车间数据。结果本调查由5家医院的168名参与者(106名临床医生,62名消费者)完成。调查总结了17个研究课题。18名与会者在研讨会上讨论了主题并对其进行了排名,并一致商定了十大优先事项。结论研究的重点是临床护理,以及支持护士和助产士提供护理的教育和制度。让临床医生和消费者参与研究有助于确定与卫生服务使用者和工作人员直接相关的优先事项。
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来源期刊
Collegian
Collegian NURSING-
CiteScore
2.70
自引率
6.70%
发文量
127
审稿时长
72 days
期刊介绍: Collegian: The Australian Journal of Nursing Practice, Scholarship and Research is the official journal of Australian College of Nursing (ACN). The journal aims to reflect the broad interests of nurses and the nursing profession, and to challenge nurses on emerging areas of interest. It publishes research articles and scholarly discussion of nursing practice, policy and professional issues. Papers published in the journal are peer reviewed by a double blind process using reviewers who meet high standards of academic and clinical expertise. Invited papers that contribute to nursing knowledge and debate are published at the discretion of the Editor. The journal, online only from 2016, is available to members of ACN and also by separate subscription. ACN believes that each and every nurse in Australia should have the opportunity to grow their career through quality education, and further our profession through representation. ACN is the voice of influence, providing the nursing expertise and experience required when government and key stakeholders are deciding the future of health.
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