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Abstract

This chapter will describe clinical-nursing leadership and discuss how the collaboration between nurse leaders, nursing researchers, and clinical nurses can provide a foundation for a strong research culture in the clinical field. In particular, it will demonstrate the close connection between strategic leadership, quality development involving bedside clinicians, and focused clinical research in the intensive care unit (ICU) nursing service. Research ideas and topics originate from the clinical practices related to ICU patients’ daily challenges during treatment in the ICU as well as in the nursing interventions that address these patients’ needs. The focus has been on designing clinically relevant studies that respond to research questions in order to improve ICU patients’ survival and comfort, decrease their symptom burden, and minimise the length of their stay. A major emphasis has been placed on implementation strategies and on applying the research results in their original settings.

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References

  1. Price S, Reichert C. The importance of continuing professional development to career satisfaction and patient care: meeting the needs of novice to mid- to late-career nurses throughout their career span. Adm Sci. 2017;7(2):17.

    Article  Google Scholar 

  2. Yarbrough S, Martin P, Alfred D, McNeill C. Professional values, job satisfaction, career development, and intent to stay. Nurs Ethics. 2017;24(6):675–85.

    Article  Google Scholar 

  3. Aitken LM, Marshall AP, Elliott R, McKinley S. Critical care nurses’ decision making: sedation assessment and management in intensive care. J Clin Nurs. 2009;18(1):36–45.

    Article  Google Scholar 

  4. Stafseth S, Alpers LM, Austenå M, Gjellum T, Storsveen AM, Vårdal M, Tøien M. Evaluering av klinisk stige ved intensivseksjonen, Rikshospitalet-Norge. Vard Nord Utveckl Forsk. 2014;34(1):9–14.

    Google Scholar 

  5. Alfheim HB. Kvantifisering av pleietyngde og utskrivningskriterier hos pasienter i oppvåkningsenhet. Sykepleien Forskning. 2008;3(2):72–83.

    Article  Google Scholar 

  6. Alfheim HB, Steenfeldt-Foss A, Hanem S, Rosseland LA. High risk of postoperative urinary retention in 1-year-old cleft palate patients: an observational study. J Perianesth Nurs. 2016;31(1):41–8.

    Article  Google Scholar 

  7. Alm-Kruse K, Bull EM, Laake JH. Nurse-led implementation of an insulin-infusion protocol in a general intensive care unit: improved glycaemic control with increased costs and risk of hypoglycaemia signals need for algorithm revision. BMC Nurs. 2008;7:1.

    Article  Google Scholar 

  8. Dagestad EI, Rosèn T, Karlsen MMW. Smerter ved fjerning av retrosternale thoraxdren. Sykepleien Forskning. 2012;7(1):66–73.

    Google Scholar 

  9. Hofsø K, Coyer FM. Part 1. Chemical and physical restraints in the management of mechanically ventilated patients in the ICU: contributing factors. Intensive Crit Care Nurs. 2007;23(5):249–55.

    Article  Google Scholar 

  10. Nortvedt P, Kvarstein G, Jonland I. Sedation of patients in intensive care medicine and nursing: ethical issues. Nurs Ethics. 2005;12(5):522–36.

    Article  Google Scholar 

  11. Woien H, Bjork IT. Nutrition of the critically ill patient and effects of implementing a nutritional support algorithm in ICU. J Clin Nurs. 2006;15(2):168–77.

    Article  Google Scholar 

  12. Graham ID, Logan J, Harrison MB, Straus SE, Tetroe J, Caswell W, et al. Lost in knowledge translation: time for a map? J Contin Educ Heal Prof. 2006;26(1):13–24.

    Article  Google Scholar 

  13. Baker R, Camosso-Stefinovic J, Gillies C, Shaw EJ, Cheater F, Flottorp S, et al. Tailored interventions to overcome identified barriers to change: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2010;3:Cd005470.

    Google Scholar 

  14. Rupinder D, Naomi C, Margot L, HD K. The Canadian critical care nutrition guidelines in 2013. Nutr Clin Pract. 2014;29(1):29–43.

    Article  Google Scholar 

  15. Dokken M, Rustoen T, Stubhaug A. Indirect calorimetry reveals that better monitoring of nutrition therapy in pediatric intensive care is needed. JPEN J Parenter Enteral Nutr. 2015;39(3):344–52.

    Article  Google Scholar 

  16. Bjork IT, Naden D. Patients’ experiences of waiting for a liver transplantation. Nurs Inq. 2008;15(4):289–98.

    Article  Google Scholar 

  17. Dreyer A, Nortvedt P. Sedation of ventilated patients in intensive care units: relatives’ experiences. J Adv Nurs. 2008;61(5):549–56.

    Article  Google Scholar 

  18. Naden D, Bjork IT. Patients’ experiences in hospital following a liver transplantation. Scand J Caring Sci. 2012;26(1):169–77.

    Article  Google Scholar 

  19. Alfheim HB, Hofso K, Smastuen MC, Toien K, Rosseland LA, Rustoen T. Post-traumatic stress symptoms in family caregivers of intensive care unit patients: a longitudinal study. Intensive Crit Care Nurs. 2019;50:5–10.

    Google Scholar 

  20. Alfheim HB, Rosseland LA, Hofso K, Smastuen MC, Rustoen T. Multiple symptoms in family caregivers of intensive care unit patients. J Pain Symptom Manag. 2018;55(2):387–94.

    Article  Google Scholar 

  21. Langerud AK, Rustoen T, Brunborg C, Kongsgaard U, Stubhaug A. Prevalence, location, and characteristics of chronic pain in intensive care survivors. Pain Manag Nurs. 2018;19(4):366–76.

    Article  Google Scholar 

  22. Langerud AK, Rustoen T, Smastuen MC, Kongsgaard U, Stubhaug A. Intensive care survivor-reported symptoms: a longitudinal study of survivors’ symptoms. Nurs Crit Care. 2018;23(1):48–54.

    Article  Google Scholar 

  23. Woien H, Balsliemke S, Stubhaug A. The incidence of delirium in Norwegian intensive care units; deep sedation makes assessment difficult. Acta Anaesthesiol Scand. 2013;57(3):294–302.

    Article  CAS  Google Scholar 

  24. Woien H, Vaeroy H, Aamodt G, Bjork IT. Improving the systematic approach to pain and sedation management in the ICU by using assessment tools. J Clin Nurs. 2014;23(11–12):1552–61.

    Article  Google Scholar 

  25. van Dijk M, Peters JWB, van Deventer P, Tibboel D. The COMFORT behavior scale: a tool for assessing pain and sedation in infants. Am J Nurs. 2005;105(1):33–6.

    Article  Google Scholar 

  26. Sørensen K, Wøien H. Vurdering av smertelindring og sedasjon hos barn på respirator ved hjelp av Comfort Scale. Sykepleien Forskning. 2011;6(1):80–9.

    Google Scholar 

  27. Jackson DL, Proudfoot CW, Cann KF, Walsh TS. The incidence of sub-optimal sedation in the ICU: a systematic review. Crit Care. 2009;13(6):R204.

    Article  Google Scholar 

  28. Pandharipande P, Ely EW. Sedative and analgesic medications: risk factors for delirium and sleep disturbances in the critically ill. Crit Care Clin. 2006;22(2):313–27, vii.

    Article  Google Scholar 

  29. Kress JP, Pohlman AS, O’Connor MF, Hall JB. Daily interruption of sedative infusions in critically ill patients undergoing mechanical ventilation. N Engl J Med. 2000;342(20):1471–7.

    Article  CAS  Google Scholar 

  30. Berntzen H, Bjork IT, Woien H. “Pain relieved, but still struggling”-critically ill patients experiences of pain and other discomforts during analgosedation. J Clin Nurs. 2018;27(1–2):e223–e34.

    Article  Google Scholar 

  31. Laerkner E, Egerod I, Hansen HP. Nurses’ experiences of caring for critically ill, non-sedated, mechanically ventilated patients in the Intensive Care Unit: a qualitative study. Intensive Crit Care Nurs. 2015;31(4):196–204.

    Article  Google Scholar 

  32. Stafseth S, Solms D, Bredal I. The characterisation of workloads and nursing staff allocation in intensive care units: a descriptive study using the Nursing Activities Score for the first time in Norway. Intensive Crit Care Nurs. 2011;27(5):290–4.

    Article  Google Scholar 

  33. Stafseth S, Inge Tønnessen T, Fagerström L. Association between patient classification systems and nurse staffing costs in intensive care units: an exploratory study. Intensive Crit Care Nurs. 2018;45:78–84.

    Article  Google Scholar 

  34. Rycroft-Malone J, Harvey G, Kitson A, McCormack B, Seers K, Titchen A. Getting evidence into practice: ingredients for change. Nurs Stand. 2002;16(37):38–43.

    Article  Google Scholar 

  35. Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci. 2009;4:50.

    Article  Google Scholar 

  36. Pronovost PJ, Berenholtz SM, Needham DM. Translating evidence into practice: a model for large scale knowledge translation. BMJ. 2008;337:a1714.

    Article  Google Scholar 

  37. Rangachari P, Rissing P, Rethemeyer K. Awareness of evidence-based practices alone does not translate to implementation: insights from implementation research. Qual Manag Health Care. 2013;22(2):117–25.

    Article  Google Scholar 

  38. Bjørk IT, Samdal GB, Tørstad S. Personlige motivasjonsfaktorer er hovedgrunnen til at sykepleiere velger å delta i kliniske stiger. Sykepl Fag. 2007;95(17):52–5.

    Google Scholar 

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Correspondence to Hilde Wøien .

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Wøien, H., Rannem, S. (2019). Research Development in the Clinical Field. In: Hafsteinsdóttir, T., Jónsdóttir, H., Kirkevold, M., Leino-Kilpi, H., Lomborg, K., Rahm Hallberg, I. (eds) Leadership in Nursing: Experiences from the European Nordic Countries. Springer, Cham. https://doi.org/10.1007/978-3-030-10964-6_15

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  • DOI: https://doi.org/10.1007/978-3-030-10964-6_15

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