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Title: Implementation of the evidence for the improvement of nursing care to the critical patient's family: a participatory action research
Author: Cueva Ariza, Laura de la
Delgado-Hito, Pilar
Martínez Estalella, Gemma
Via-Clavero, Gemma
Lluch Canut, Ma. Teresa
Romero García, Marta
Keywords: Cura dels malalts
Infermeria en cures intensives
Infermeria basada en l'evidència
Malalts en estat crític
Relacions personal sanitari-família
Care of the sick
Intensive care nursing
Evidence-based nursing
Critically ill
Professional-Family Relations
Issue Date: 11-May-2018
Publisher: BioMed Central
Abstract: Background: There are many descriptive studies regarding the needs of the family, as well as those regarding nursing care aimed directly at family members. However, there is no widespread application of such evidence in clinical practice. There has also been no analysis made of the evolution of patterns of knowing during the act of improving clinical practice. Therefore, the purpose of the study is to understand the change process aimed at improving care to critical patient's families, and to explore the evolution of patterns of knowing that nurses use in this process. Methods: Qualitative study with a Participatory Action Research method, in accordance with the Kemmis and McTaggart model. In this model, nurses can observe their practice, reflect upon it and compare it with scientific evidence, as well as define, deploy and evaluate improvement strategies adapted to the context. Simultaneously, the process of empowerment derived from the Participatory Action Research allows for the identification of patterns of knowing and their development over time. The research will take place in the Intensive Care Units of a tertiary hospital. The participants will be nurses who are part of the regular workforce of these units, with more than five years of experience in critical patients, and who are motivated to consider and critique their practice. Data collection will take place through participant observation, multi-level discussion group meetings and documentary analysis. A content analysis will be carried out, following a process of codification and categorisation, with the help of Nvivo10. The approval date and the beginning of the funding were December 2012 and 2013, respectively. Discussion: The definition, introduction and evaluation of care strategies for family members will allow for their real and immediate implementation in practice. The study of the patterns of knowing in the Participatory Action Research will be part of the theoretical and practical feedback process of a professional discipline. Also, the identification of the construction and evolution of knowledge will provide decision elements to managers and academics when choosing strategies for increased quality.
Note: Reproducció del document publicat a:
It is part of: BMC Health Services Research, 2018, vol. 18, num. 1, p. 357
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ISSN: 1472-6963
Appears in Collections:Articles publicats en revistes (Infermeria Fonamental i Clínica)
Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil)
Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))

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