Parent and staff experiences of a feasibility trial evaluating neurally adjusted ventilatory assist in infants with acute viral bronchiolitis: A qualitative study.

Journal article


Harris, J., Tibby, Shane M and Latour, J. (2024). Parent and staff experiences of a feasibility trial evaluating neurally adjusted ventilatory assist in infants with acute viral bronchiolitis: A qualitative study. Nursing in Critical Care. pp. 1-9. https://doi.org/10.1111/nicc.13070
AuthorsHarris, J., Tibby, Shane M and Latour, J.
AbstractThere is limited literature regarding family and staff experiences of participating in clinical trials. A qualitative study was embedded in the NAVABronch feasibility trial evaluating the effectiveness of a novel mode of ventilation, neurally adjusted ventilatory assist (NAVA), in infants with acute viral bronchiolitis. The aim of this qualitative study was to explore the experiences of parents and health care practitioners (HCPs) involved in the NAVABronch Trial. Semi-structured interviews were conducted with two parents and two focus groups were held with six HCPs. Four themes were identified from the focus groups: (1) Creating staff engagement, (2) Education to deliver NAVA, (3) Normalizing NAVA in clinical practice (4) Creating meaningful study outcomes and (5) support of parents during the trial, this theme was generated from the parent interviews. The findings indicated the need for education regarding NAVA for HCPs which would lead to increased confidence, better guidance around the use of NAVA and the need for NAVA to be normalized and embedded into the unit culture. Parents identified the need for further support around preparation for what may happen as a result of the interventions, particularly the weaning of sedation. Our study indicates that staff and parents had no concerns regarding the trial methods and procedures. Conducting clinical trials in Paediatric Intensive Care Units (PICUs) is challenging and complex. There is limited literature regarding family and staff experiences of participating in clinical trials. Understanding their experiences is crucial in ensuring trial success. [Abstract copyright: © 2024 The Authors. Nursing in Critical Care published by John Wiley & Sons Ltd on behalf of British Association of Critical Care Nurses.]
KeywordsNAVA; parent and staff experience; acute viral bronchiolitis; neurally adjusted ventilatory assist; clinical trials
Year2024
JournalNursing in Critical Care
Journal citationpp. 1-9
PublisherWiley
ISSN1478-5153
Digital Object Identifier (DOI)https://doi.org/10.1111/nicc.13070
Web address (URL)https://onlinelibrary-wiley-com.plymouth.idm.oclc.org/doi/10.1111/nicc.13070
Publication dates
Print30 Mar 2024
Online30 Mar 2024
Publication process dates
Accepted14 Mar 2024
Deposited02 May 2024
Publisher's version
License
File Access Level
Open
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