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A7735 - Results of the First Round of the Nursing Assembly CARES Delphi Project to Update Research Priorities by Engaging Nurses, Patients and Caregivers Globally
Author Block: M. R. George1, C. Hernandez2, M. A. Carno3, J. L. Guttormson4, G. L. Narsavage5, S. M. Smith6; 1Columbia University School of Nursing, New York, NY, United States, 2Hospital Clinic Institut Del Torax, Barcelona, Spain, 3Univ of Rochester Sch of Nursing, Rochester, NY, United States, 4Marquette University College of Nursing, Wauwatosa, WI, United States, 5West Virginia University School of Nursing, Port Charlotte, FL, United States, 6Western Sydney University School of Nursing and Midwifery, Rhodes, Australia.
Rationale. The ATS Nursing Assembly CARES (Critical care, Adult REspiratory health and Sleep) Delphi Project was designed to update and expand upon the society’s previous “respiratory” nursing research priorities by engaging international nursing experts, patients and caregivers. Methods. This was a multistep process to identify nursing research priorities in the specialty areas of critical care (CC), adult respiratory health (ARH) and sleep: Initially an in-person meeting was held at the 2016 ATS conference with international nursing experts and adult respiratory patients to select items for the Delphi survey. Whilst two Delphi survey rounds to generate consensus through a quantitative iterative process are planned, we report the results of the first survey round (Nov 2017). Survey versions (versions for nurses, adult patients and caregivers in each specialty area) were produced with each survey being available in three languages (English, Spanish, Chinese). Surveys were delivered across the globe through the ATS Nursing Assembly homepage using Survey Monkey. Invitations to participate were sent via professional pulmonary medicine and nursing organizations, patient advisory networks and personal communications. Results. A total of 566 nurses, 193 patients, and 42 caregivers completed the survey. We report here on nurse respondents. Responses came from 23 countries (10 European, 5 Asian-Pacific, 4 Middle-eastern, 3 African and 1 North American). 227 nurses completed the survey in in English, 171 in Chinese, and 168 in Spanish. Most respondents were female (85%), working fulltime in nursing (80%) in a hospital (63%). Forty-two percent were White, 32% Asian and 26% Hispanic. Forty-two percent had a university degree and 46% a post-graduate degree with 40% reporting > 10 years’ experience in their specialty area. Reporting only the items with the highest levels of endorsement (>90%) across all three languages, the ARH nurses endorsed 6 of 47 candidate items (health-related quality of life, functional status, symptom reduction, symptom overlap, adherence, motivating behaviors), CC nurses endorsed 1 of 25 candidate items (identification and testing of interventions to improve recovery from critical illness) and sleep nurses endorsed 2 of 16 candidate items (functional status and risk reduction) representing perceived highest priority for nursing research. Conclusions. The CARES group has successfully engaged international nursing experts in Round 1 of the Delphi survey. Items with levels of agreement (not just those with highest endorsement across groups) will be incorporated into the Round 2 survey in 2018.