A qualitative study exploring Emergency Department Staff attitudes to COVID-19 research

Joanna Quinn, Antonia Ho, Andrew Blunsum, David J Lowe
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Abstract

Introduction: Research conducted in the Emergency Department (ED) is essential for improving patient care and advancing evidence-based practice. However, there are several challenges to research engagement in the ED, including lack of time, awareness of research opportunities, and concerns about the impact on clinical duties. This study aimed to explore the attitudes and perceptions of ED staff involved in an enhanced syndromic surveillance of hospitalised severe acute respiratory illness (CHARISMA study) during the COVID-19 pandemic. Methods: This qualitative study utilised semi-structured interviews with a mix of nursing and medical staff with a range of experience levels. Thematic analysis was then undertaken. Results: 9 respondents informed our four key themes: the value of research, the user experience of the study tools, clinician research engagement and improvement recommendations for future iterations of the study. Our findings reveal that ED staff value research and recognise its importance in improving patient care and evidence-based practice. However, they also face significant challenges in participating in research due to time constraints, lack of awareness of research opportunities, and concerns about the impact on clinical duties. Conclusion: To address these challenges, we propose strategies to enhance research engagement in the ED, including providing more support from senior staff, more transparent communication about research studies, training on research methods and tools, and opportunities for feedback and input. Implementing these measures, we can enhance the environment for research in the ED, enabling wider staff contribution.
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探索急诊科员工对 COVID-19 研究态度的定性研究
导言:急诊科 (ED) 开展的研究对于改善患者护理和推进循证实践至关重要。然而,在急诊科开展研究面临着一些挑战,包括缺乏时间、对研究机会的认识以及担心对临床职责的影响。本研究旨在探讨在 COVID-19 大流行期间,参与住院重症急性呼吸道疾病强化综合征监测(CHARISMA 研究)的急诊室工作人员的态度和看法。研究方法:这项定性研究采用半结构式访谈法,访谈对象包括具有不同经验水平的护理人员和医务人员。然后进行了主题分析。结果9 位受访者为我们提供了四个关键主题:研究的价值、研究工具的用户体验、临床医生的研究参与度以及对未来研究迭代的改进建议。我们的调查结果显示,急诊室工作人员重视研究,并认识到研究在改善患者护理和循证实践方面的重要性。然而,由于时间限制、缺乏对研究机会的认识以及担心对临床职责的影响,他们在参与研究时也面临着巨大挑战。结论:为了应对这些挑战,我们提出了加强急诊科研究参与度的策略,包括提供更多来自资深员工的支持、就研究项目进行更透明的沟通、就研究方法和工具进行培训,以及提供反馈和意见的机会。通过实施这些措施,我们可以改善急诊科的研究环境,让更多员工参与其中。
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