PECARN nursing research priorities: Reaching consensus through the Delphi Method
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Warren D. Frankenberger, PhD, RN, CCNS; Jackie Noll, MSN, RN, CEN; Mary Kate Abbadessa, MSN, RN, RN-BC, CPEN; Rupinder Sandhu, MRN, RN; Darcy Brodecki, BS; Elizabeth Ely, RN, PhD; Amy Pasmann, MS RN
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Poster presentation
Session D presented Monday, September 30, 2:30-3:30 pm
Purpose: The 2010 IOM report on the future of nursing supports the active participation of nurses in the design and implementation of solutions to improve health outcomes. Although prior studies have assessed the need for research education within the Pediatric Emergency Care Applied Research Network (PECARN) , no systematic efforts have assessed nursing priorities for research in the pediatric ED setting. The purpose of this study was to identify the research priorities for pediatric nurses who work in the emergency department.
Design: A prospective, survey design was employed that utilized the Delphi technique to elicit expert opinion on a topic of interest.
Setting: The study was conducted in emergency departments who are members of the Pediatric Emergency Care Applied Research Network (PECARN). PECARN is the first federally funded research network in the United States dedicated to generate multi institutional research on emergency medical services for children. The PECARN sites include 18 hospitals and Emergency Medical Service (EMS) affiliates. The PECARN hospitals are all pediatric academic centers. Twelve of the eighteen hospitals have a level one trauma designation for pediatrics.
Participants/Subjects: Subjects identified for this study were pediatric ED nurses who worked full time in PECARN EDs. Inclusion criteria included: registered nurses who work in a PECARN hospital, and nursing leaders (Supervisors, Managers, Unit Based Educators, and Clinical Nurse Specialists) who directly oversee nurses who work in the pediatric ED.
Methods: The Delphi technique was used to reach consensus among ED nurses regarding research priorities for pediatric emergency care. The RAND Corporation developed the Delphi technique in the 1950’s in order to reach consensus among a group of experts. The technique uses an iterative process through multiple rounds of data collection. Participants have the opportunity to provide feedback during each round of data collection with the goal of reaching consensus. Thematic analysis (round one), Likert scoring (round two) and ranking of items (round three) were used to analyze responses.
Results/Outcomes: One hundred and thirty three nurses participated in all three rounds of the survey. The participants represented the majority of the PECARN hospitals from all four regions of the United States. Ten clinical and eight workforce priorities were identified through this iterative process. Workforce priorities identified included sepsis care (recognition, alerts) and Triage (ESI and accuracy with pediatric patients). Workforce priorities identified included safe patient ratios, staff stress and burnout.
Implications: This study was the first nursing survey that used PECARN to build expert consensus regarding research priorities among nurses who care for ill and injured children in emergency departments across the United States. The results of the study will help inform further nursing research studies that address patient care and nursing practice issues for children in the pediatric ED. The data reflect the highest research priority of ED nurses, which also mirror local and national trends in patient care and workforce issues. The PECARN network may be leveraged to plan and execute multi institutional nursing research based on the results of this study.
Type | Poster |
Format | Text-based Document |
Evidence Level | N/A |
Research Approach | N/A |
Keywords | Pediatrics; Emergency Nursing; Research Priorities |
Name | Emergency Nursing 2019 |
Host | Emergency Nurses Association |
Location | Austin, Texas, USA |
Date | 2019 |
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