How qualitative research can contribute to research in the intensive care unit.

Abstract:

:A qualitative research design can provide unique contributions to research in the intensive care unit. Qualitative research includes the entire process of research: the methodology (conceptualization of the research question, choosing the appropriate qualitative strategy, designing the protocol), methods (conducting the research using qualitative methods within the chosen qualitative strategy, analysis of the data, verification of the findings), and writing the narrative. The researcher is the instrument and the data are the participants' words and experiences that are collected and coded to present experiences, discover themes, or build theories. A number of strategies are available to conduct qualitative research and include grounded theory, phenomenology, case study, and ethnography. Qualitative methods can be used to understand complex phenomena that do not lend themselves to quantitative methods of formal hypothesis testing. Qualitative research may be used to gain insights about organizational and cultural issues within the intensive care unit and to improve our understanding of social interaction and processes of health care delivery. In this article, we outline the rationale for, and approaches to, using qualitative research to inform critical care issues. We provide an overview of qualitative methods available and how they can be used alone or in concert with quantitative methods. To illustrate how our understanding of social phenomena such as patient safety and behavior change has been enhanced we use recent qualitative studies in acute care medicine.

journal_name

J Crit Care

journal_title

Journal of critical care

authors

Sinuff T,Cook DJ,Giacomini M

doi

10.1016/j.jcrc.2007.03.001

subject

Has Abstract

pub_date

2007-06-01 00:00:00

pages

104-11

issue

2

eissn

0883-9441

issn

1557-8615

pii

S0883-9441(07)00042-1

journal_volume

22

pub_type

杂志文章,评审
  • Intensive care unit-acquired hypernatremia is an independent predictor of increased mortality and length of stay.

    abstract:PURPOSE:The purpose of this study is to examine the impact of hypernatremia acquired after intensive care unit (ICU) admission on mortality and length of stay (LOS). MATERIALS AND METHODS:Data for this observational study were collected from patients admitted between January 1, 2008, and September 30, 2010 to 344 ICUs...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2012.11.013

    authors: Waite MD,Fuhrman SA,Badawi O,Zuckerman IH,Franey CS

    更新日期:2013-08-01 00:00:00

  • Thiamine in septic shock patients with alcohol use disorders: An observational pilot study.

    abstract:PURPOSE:Alcohol-use disorders (AUDs) have been associated with increased sepsis-related mortality. As patients with AUDs are often thiamine deficient, we investigated practice patterns relating to thiamine administration in patients with AUDs presenting with septic shock and explored the association between receipt of ...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2017.08.022

    authors: Holmberg MJ,Moskowitz A,Patel PV,Grossestreuer AV,Uber A,Stankovic N,Andersen LW,Donnino MW

    更新日期:2018-02-01 00:00:00

  • Fluid resuscitation mediates the association between inhalational burn injury and acute kidney injury in the major burn population.

    abstract:BACKGROUND:It is known that acute respiratory distress syndrome and acute lung injury are independent risk factors for developing acute kidney injury (AKI) through complex pathophysiologic mechanisms. Our specific aim is to evaluate the risk factors for AKI postburn injury and whether inhalation thermal injury is an in...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2016.10.008

    authors: Kumar AB,Andrews W,Shi Y,Shotwell MS,Dennis S,Wanderer J,Summitt B

    更新日期:2017-04-01 00:00:00

  • Relation of heart rate variability to serum levels of C-reactive protein, interleukin 6, and 10 in patients with sepsis and septic shock.

    abstract:PURPOSE:The aim of the study was to investigate possible associations between different heart rate variability (HRV) indices and various biomarkers of inflammation in 45 septic patients. MATERIALS AND METHODS:We daily assessed HRV in the time domain (SD of RR intervals [SDNN]), frequency domain (low [LF], high frequen...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2008.11.010

    authors: Papaioannou VE,Dragoumanis C,Theodorou V,Gargaretas C,Pneumatikos I

    更新日期:2009-12-01 00:00:00

  • Immature granulocytes: A novel biomarker of acute respiratory distress syndrome in patients with acute pancreatitis.

    abstract:PURPOSE:To investigate the relationship between immature granulocyte percentage (IG%) and acute respiratory distress syndrome (ARDS) in patients with acute pancreatitis (AP). MATERIALS AND METHODS:A cohort of 2289 patients with AP was screened; 1933 were enrolled in this prospective multicenter study. Blood samples fo...

    journal_title:Journal of critical care

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jcrc.2018.12.002

    authors: Huang Y,Xiao J,Cai T,Yang L,Shi F,Wang Y,Li Y,Shi T,Li C,Peng Y,Chen J,Song Y,Hu J,Tan C

    更新日期:2019-04-01 00:00:00

  • Major publications in the critical care pharmacotherapy literature: 2019.

    abstract:PURPOSE:To summarize selected meta-analyses and trials related to critical care pharmacotherapy published in 2019. MATERIALS AND METHODS:The Critical Care Pharmacotherapy Literature Update (CCPLU) Group screened 36 journals monthly for impactful articles and reviewed 113 articles during 2019 according to Grading of Re...

    journal_title:Journal of critical care

    pub_type: 杂志文章,评审

    doi:10.1016/j.jcrc.2020.12.018

    authors: Condeni MS,Basting AT,Costello PG,DePriest A,Eriksson EA,Evans H,Hertel K,Holder AL,Kester AN,Kowalski KR,Bell CM,McLean B,Reichert M,Santibañez M,Wieruszewski PM,Newsome AS

    更新日期:2020-12-27 00:00:00

  • A conceptual approach to improving care in pandemics and beyond: severe lung injury centers.

    abstract::The events of the 2009 influenza pandemic sparked discussion regarding the need to optimize delivery of care to those most severely ill. We propose in this conceptual study that a tiered regionalization care system be instituted for patients with severe acute respiratory distress syndrome. Such system would be a compo...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2012.09.016

    authors: Adalja AA,Watson M,Waldhorn RE,Toner ES

    更新日期:2013-06-01 00:00:00

  • Endothelial glycocalyx biomarkers increase in patients with infection during Emergency Department treatment.

    abstract:PURPOSE:Endothelial glycocalyx (EG) shedding may promote organ failure in sepsis. This study describes temporal changes in EG biomarkers from Emergency Department (ED) arrival, and associations with clinical characteristics. MATERIALS AND METHODS:This prospective observational study included 23 patients with simple in...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2017.07.001

    authors: Smart L,Macdonald SPJ,Burrows S,Bosio E,Arendts G,Fatovich DM

    更新日期:2017-12-01 00:00:00

  • Lactate and combined parameters for triaging sepsis patients into intensive care facilities.

    abstract:PURPOSE:To find predictors of intensive care unit (ICU) requirement within the first 48 hours in newly diagnosed sepsis patients presenting at the emergency department. MATERIALS AND METHODS:Analysis of a prospective observational cohort was performed. We recruited new sepsis patients at the emergency department, and ...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2016.01.019

    authors: Junhasavasdikul D,Theerawit P,Ingsathit A,Kiatboonsri S

    更新日期:2016-06-01 00:00:00

  • Partial pressure of arterial carbon dioxide and survival to hospital discharge among patients requiring acute mechanical ventilation: A cohort study.

    abstract:PURPOSE:To describe the prevalence of hypocapnia and hypercapnia during the earliest period of mechanical ventilation, and determine the association between PaCO2 and mortality. MATERIALS AND METHODS:A cohort study using an emergency department registry of mechanically ventilated patients. PaCO2 was categorized: hypoc...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2017.04.033

    authors: Fuller BM,Mohr NM,Drewry AM,Ferguson IT,Trzeciak S,Kollef MH,Roberts BW

    更新日期:2017-10-01 00:00:00

  • Efficacy of early passive tilting in minimizing ICU-acquired weakness: A randomized controlled trial.

    abstract:Purpose:To investigate whether passive tilting added to a standardized rehabilitation therapy improved strength at Intensive Care Unit (ICU) discharge. Material and methods:This single-center trial included patients admitted to an adult surgical ICU and ventilated for at least 3 days. Patients were randomized to daily...

    journal_title:Journal of critical care

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jcrc.2018.03.031

    authors: Sarfati C,Moore A,Pilorge C,Amaru P,Mendialdua P,Rodet E,Stéphan F,Rezaiguia-Delclaux S

    更新日期:2018-08-01 00:00:00

  • Women are more than twice as likely to die from burns as men in Australia and New Zealand: an unexpected finding of the Burns Evaluation And Mortality (BEAM) Study.

    abstract::While the risk of death after nonthermal trauma and sepsis may be higher for men, sex differences in outcome after burns are inconsistently reported. The Burns Evaluation And Mortality Study examined the outcomes of all patients admitted after thermal injury to the intensive care unit (ICU) at 8 of 9 burn referral cen...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2014.03.021

    authors: Moore EC,Pilcher D,Bailey M,Cleland H

    更新日期:2014-08-01 00:00:00

  • Serial measurements of troponin and echocardiography in patients with moderate-to-severe acute respiratory distress syndrome.

    abstract:PURPOSE:To assess the clinical significance of serial troponin I levels (measured in the first 72 hours from admission) in 42 consecutive patients with moderate-to-severe acute respiratory distress syndrome (ARDS). Echocardiography and electrocardiogram testings were serially performed in the time window. MATERIALS AN...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2016.01.004

    authors: Lazzeri C,Bonizzoli M,Cozzolino M,Verdi C,Cianchi G,Batacchi S,Franci A,Gensini GF,Peris A

    更新日期:2016-06-01 00:00:00

  • Outcomes comparison in patients admitted to low complexity rural and urban intensive care units in the Veterans Health Administration.

    abstract:PURPOSE:To evaluate mortality, length of stay, and inter-hospital transfer in the Veteran Health Administration (VHA) among low complexity Intensive Care Unit (ICU) patients. MATERIALS AND METHOD:Retrospective study of adult ICU admissions identified in VHA Medical SAS®; 2010-2015 at Veterans Affairs (VA) Medical Cent...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2018.10.013

    authors: O'Shea AMJ,Fortis S,Vaughan Sarrazin M,Moeckli J,Yarbrough WC,Schacht Reisinger H

    更新日期:2019-02-01 00:00:00

  • The effect of a checklist on the quality of patient handover from the operating room to the intensive care unit: A randomized controlled trial.

    abstract:PURPOSE:Handover of patient care is a potential safety risk for the patient due to loss of information which may result in adverse outcome. We hypothesized that a checklist for handover from the operating room (OR) to the intensive care unit (ICU) will lead to an increase of quality regarding information transfer compa...

    journal_title:Journal of critical care

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jcrc.2015.12.016

    authors: Salzwedel C,Mai V,Punke MA,Kluge S,Reuter DA

    更新日期:2016-04-01 00:00:00

  • Increased atrial contraction contribution to left ventricular filling during early septic shock.

    abstract:PURPOSE:To assess the atrial systolic function and the contribution of atrial contraction to left ventricular (LV) filling in septic shock patients as compared with healthy volunteers. METHODS:Twenty-seven septic patients evaluated during first 48 h of ICU admission and compared with 27 healthy volunteers. Left atrial...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2019.09.006

    authors: Monge García MI,Del Rio Lechuga A,Fletcher N,Gil Cano A

    更新日期:2019-12-01 00:00:00

  • Psychometric validation of the Chinese patient- and family satisfaction in the intensive care unit questionnaires.

    abstract:PURPOSE:To assess the psychometric properties of the Chinese version of the 23-item Patient Satisfaction in the Intensive Care Unit (PS-ICU-23) and 24-item Family Satisfaction in the Intensive Care Unit (FS-ICU-24) questionnaires. MATERIALS AND METHODS:Patients (n = 243) discharged from an intensive care unit (ICU) in...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2019.07.009

    authors: Lai VKW,Li JC,Lee A

    更新日期:2019-12-01 00:00:00

  • Plasma neutrophil gelatinase-associated lipocalin is an early marker of acute kidney injury in adult critically ill patients: a prospective study.

    abstract:PURPOSE:The aim of the study was to assess the ability of plasma neutrophil gelatinase-associated lipocalin (pNGAL) to predict acute kidney injury (AKI) in adult intensive care unit (ICU) patients. METHODS:All consecutives patients admitted to 3 ICUs were enrolled in this prospective-observational study. Plasma neutro...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2009.05.010

    authors: Constantin JM,Futier E,Perbet S,Roszyk L,Lautrette A,Gillart T,Guerin R,Jabaudon M,Souweine B,Bazin JE,Sapin V

    更新日期:2010-03-01 00:00:00

  • Development and validation of a clinical prediction rule for candidemia in hospitalized patients with severe sepsis and septic shock.

    abstract:OBJECTIVE:To develop and internally validate a prediction rule for the presence of candidemia in patients with severe sepsis and septic shock (candidemia rule) that will fill the gap left by previous rules. To compare the accuracy of the available Candida prediction models. DESIGN:Retrospective cohort study. SETTING:...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2015.03.010

    authors: Guillamet CV,Vazquez R,Micek ST,Ursu O,Kollef M

    更新日期:2015-08-01 00:00:00

  • Mild induced hypothermia for patients with severe traumatic brain injury after decompressive craniectomy.

    abstract:PURPOSE:To evaluate the efficacy and safety of mild induced hypothermia for intracranial hypertension in patients with traumatic brain injury after decompressive craniectomy. METHODS:A total of 60 adults with intracranial pressure (ICP) of more than 20 mm Hg after decompressive craniectomy were randomly assigned to st...

    journal_title:Journal of critical care

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jcrc.2016.12.012

    authors: Tang C,Bao Y,Qi M,Zhou L,Liu F,Mao J,Lei Q,Qi S,Qiu B

    更新日期:2017-06-01 00:00:00

  • Discordance in interpretation of chest radiographs between pediatric intensivists and a radiologist: impact on patient management.

    abstract:PURPOSE:When radiologists are not available, chest radiographs (CXRs) of pediatric intensive care unit (PICU) patients are commonly interpreted by pediatric intensivists. We prospectively investigated the frequency of errors in CXR interpretation by pediatric intensivists and their impact on patient management. MATERI...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2009.05.016

    authors: Nesterova GV,Leftridge CA Jr,Natarajan AR,Appel HJ,Bautista MV,Hauser GJ

    更新日期:2010-06-01 00:00:00

  • Risk factors for prolonged duration of mechanical ventilation in acute traumatic tetraplegic patients--a retrospective cohort study.

    abstract:PURPOSE:Respiratory complications constitute an important determinant of length of stay in tetraplegic patients. In a population of tetraplegic patients, we investigated the factors involved in the duration of mechanical ventilation (MV) and whether the duration of MV was associated with the long-term neurologic status...

    journal_title:Journal of critical care

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jcrc.2013.11.021

    authors: Roquilly A,Seguin P,Mimoz O,Feuillet F,Rosenczweig E,Chevalier F,Loutrel O,Malledant Y,Sebille V,Asehnoune K,ATLANREA Study Group.

    更新日期:2014-04-01 00:00:00

  • Hypoxic hepatitis - its biochemical profile, causes and risk factors of mortality in critically-ill patients: A cohort study of 565 patients.

    abstract:PURPOSE:A retrospective analysis of critically-ill patients with hypoxic hepatitis (HH) to characterize the biochemical profile and to identify predictors of mortality using the Medical Information Mart for Intensive Care III database. METHODS:HH was defined as a rapid increase in AST/ALT≥800IU/L after exclusion of ot...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2017.04.040

    authors: Aboelsoud MM,Javaid AI,Al-Qadi MO,Lewis JH

    更新日期:2017-10-01 00:00:00

  • Furosemide and Albumin for Diuresis of Edema (FADE): A parallel-group, blinded, pilot randomized controlled trial.

    abstract:PURPOSE:To assess the feasibility of a trial evaluating whether hyperoncotic albumin, in addition to diuretics, improves diuresis and facilitates liberation from mechanical ventilation in critically ill adults. MATERIALS AND METHODS:We randomized 46 hemodynamically stable patients with hypoalbuminemia, prescribed diur...

    journal_title:Journal of critical care

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jcrc.2018.07.020

    authors: Oczkowski SJW,Klotz L,Mazzetti I,Alshamsi F,Chen ML,Foster G,Meade MO,Hamielec C

    更新日期:2018-12-01 00:00:00

  • Early nutritional inadequacy is associated with psoas muscle deterioration and worse clinical outcomes in critically ill surgical patients.

    abstract:PURPOSE:To explore whether psoas cross sectional area (CSA) and density (Hounsfield Units, HU) are associated with nutritional adequacy and clinical outcomes in surgical intensive care unit patients. MATERIALS AND METHODS:Subjects with at least one CT scan within 72h of ICU admission were included. Demographic, nutrit...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2017.12.027

    authors: Yeh DD,Ortiz-Reyes LA,Quraishi SA,Chokengarmwong N,Avery L,Kaafarani HMA,Lee J,Fagenholz P,Chang Y,DeMoya M,Velmahos G

    更新日期:2018-06-01 00:00:00

  • Assessment of macro- and micro-oxygenation parameters during fractional fluid infusion: A pilot study.

    abstract:PURPOSE:The main goal of this study was to assess whether maximal fluid infusion improves both oxygen delivery (DO2) and micro-circulatory parameters during hemodilution. The secondary objective was to assess the ability of baseline micro-circulatory parameters to predict oxygen consumption (VO2) response following flu...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2017.03.021

    authors: Fischer MO,Bonnet V,Lorne E,Lefrant JY,Rebet O,Courteille B,Lemétayer C,Parienti JJ,Gérard JL,Fellahi JL,Hanouz JL,French Hemodynamic Team.

    更新日期:2017-08-01 00:00:00

  • Pandemic influenza-implications for critical care resources in Australia and New Zealand.

    abstract:OBJECTIVES:To quantify resource requirements (additional beds and ventilator capacity), for critical care services in the event of pandemic influenza. MATERIALS AND METHODS:Cross-sectional survey about existing and potential critical care resources. Participants comprised 156 of the 176 Australasian (Australia and New...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2003.08.008

    authors: Anderson TA,Hart GK,Kainer MA,ANZICS Database Management Committee.

    更新日期:2003-09-01 00:00:00

  • Predicting early deterioration of admitted patients at the Intermediate Care Unit.

    abstract:PURPOSE:Under-triage is a major threat when admitting patients at the Intermediate Care Unit (IMCU). This study aims to identify risk factors and predict early deterioration of IMCU admissions, to reduce the risk of under-triage. MATERIALS AND METHODS:This retrospective cohort study included all admissions to the mixe...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2018.08.012

    authors: Plate JDJ,Hietbrink F,Leenen LPH,Peelen LM

    更新日期:2018-12-01 00:00:00

  • Implementing and sustaining an early rehabilitation program in a medical intensive care unit: A qualitative analysis.

    abstract:PURPOSE:Early rehabilitation programs in a medical intensive care unit can improve patient outcomes, but clinicians face barriers in implementing and sustaining such programs. We sought to describe a multidisciplinary team perspective regarding how to implement and sustain a successful early rehabilitation program. ME...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2015.03.019

    authors: Eakin MN,Ugbah L,Arnautovic T,Parker AM,Needham DM

    更新日期:2015-08-01 00:00:00

  • Thoracic ultrasound: Potential new tool for physiotherapists in respiratory management. A narrative review.

    abstract::The use of diagnostic ultrasound by physiotherapists is not a new concept; it is frequently performed in musculoskeletal physiotherapy. Physiotherapists currently lack accurate, reliable, sensitive, and valid measurements for the assessment of the indications and effectiveness of chest physiotherapy. Thoracic ultrasou...

    journal_title:Journal of critical care

    pub_type: 杂志文章,评审

    doi:10.1016/j.jcrc.2015.10.014

    authors: Le Neindre A,Mongodi S,Philippart F,Bouhemad B

    更新日期:2016-02-01 00:00:00