title: Research methodology issues related to interviewing the mechanically ventilated patient.
abstract: Difficulties conducting research in vulnerable or frail patient populations limit the data-based information on which to base practice in these populations. Although there are many challenges in this type of research, they are not insurmountable, and, in an effort to encourage others interested in studying vulnerable patient populations, we discuss the methodological process used to prospectively study one vulnerable group. Interviews about perceptions of weaning, fatigue, mood, and sleep/rest states were conducted with 20 patients who were chronically critically ill and required long-term mechanical ventilation. Illness severity and communication difficulties were primary considerations in the design, development, and implementation of the study. Ethical considerations, informed consent, sample representation, and data collection issues are discussed.
authors.affiliation: Frances Payne Bolton School of Nursing, Case Western Reserve University, USA.
authors.forename: P A
authors.initials: PA
authors.lastname: Higgins
authors.forename: B J
authors.initials: BJ
authors.lastname: Daly
mesh_terms: D000328:Adult; D000368:Aged; D001294:Attitude to Health; D003144:Communication Barriers; D005260:Female; D006801:Humans; D007407:Interviews as Topic / Q000379:methods*; D008134:Long-Term Care / Q000523:psychology; D008297:Male; D008875:Middle Aged; D015399:Nursing Research / Q000379:methods*; D011446:Prospective Studies; D011788:Quality of Life; D015203:Reproducibility of Results; D012107:Research Design; D012121:Respiration, Artificial / Q000009:adverse effects / Q000451:nursing* / Q000523:psychology*; D011795:Surveys and Questionnaires / Q000592:standards*