Jos M. Latour (United Kingdom)
University of Plymouth Faculty of HealthAuthor Of 5 Presentations
PEDIATRIC INTENSIVE CARE NURSING RESEARCH PRIORITIES IN ASIA COUNTRIES: AN E-DELPHI STUDY
Abstract
Background and Aims
To identify and establish research priorities for paediatric intensive care unit (PICU) nursing across Asia countries.
Methods
A three-round e-Delphi technique was used between July 2020 and March 2021. Questionnaires were translated into six languages. Participants were PICU clinical nurses, managers and educators from Asian PICUs. In round 1, content analysis was used to analyse qualitative responses to generate domains and statements. In round 2 and 3, the statements were ranked using a 6-point scale ranging from one to six (not important to extremely important). Mean scores from round 2 were included for round 3.
Results
Round 1 started with 146 participants across eight Asian countries (21 PICUs) with round 3 completed by 95 (65%) participants. Round 1 generated 50 research-related statements categorised in 7 domains. In round 3, the overall mean scores of the domains resulted were ranked from highest to lowest priority: 1) End-of-life care, 2) professional issues, 3) pain, sedation and delirium, 4) clinical nursing practices, 5) child and family centered care, 6) safety and quality and 7) rehabilitation and follow-up. The 10 highest ranked statements received a mean scores of >5.4 and were related to recognising early deterioration, supportive care, nurse-led interventions, medication safety, job satisfaction, end-of-life care, and collaboration between families and professionals.
Conclusions
The results inform a roadmap of a paediatric critical care nursing research priorities in Asia in collaboration with Pediatric Acute & Critical Care Medicine Asian Network (PACCMAN).
ROLES AND RESPONSIBILITIES IN THE INTENSIVE CARE UNIT – WHO IS IN THE DRIVER’S SEAT?
EMPOWERMENT OF PARENTS IN THE INTENSIVE CARE STUDY: MULTI-CENTRE STUDY IN JAPANESE PICUS
Abstract
Background and Aims
To validate the EMpowerment of Parents in THe Intensive Care 30 (EMPATHIC-30) questionnaire in Japanese PICUs and to identify potential factors for family-centred care satisfaction.
Methods
An observational study was conducted in 4 PICUs. Reliability was measured by Cronbach’s α and congruent validity was tested with overall satisfaction-with-care scales by correlation analysis. Multivariate linear regression modeling was conducted to identify factors related to each domain of the Japanese EMPATHIC-30. This study was approved by all Institutional Review Boards and written, informed consent was obtained by parents or legal guardians.
Results
From April 2020 to February 2021, a total of 163 parents (average age 31.9 ± 5.4 years; 81% were mothers) participated. During their PICU stay, 46% of children received mechanical ventilation. The domains of the Japanese EMPATHIC-30 showed high reliability (α = 0.87 to 0.97) and were highly correlated with overall satisfaction with nurses (r = 0.75) and doctors (r = 0.76). Professional attitude and parental participation domain levels were also highly correlated (r = 0.91). Multivariate modeling found that elective admission, using mechanical ventilation, and parents whose partners have ICU experience had higher satisfaction scores in all five categories (p<0.05) while Buddhists assigned higher satisfaction scores in categories of care and cure (p=0.03).
Conclusions
We showed the high accuracy of the Japanese EMPATHIC-30 questionnaire and factors related to family-centred care satisfaction in Japanese PICUs. The results reveal general and cultural differences in factors and the actual condition of family care satisfaction across Asian and European countries.