利用一种新的谦卑调查采访方法来评估护士驱动的Clostridioides difficile测试订单组的实施障碍
Shelley Kon1, Sara Fisher2, Nhi Ngo2
1Rocky Mountain Regional VA Medical Center, Aurora, CO; University of Colorado School of Medicine, Aurora, CO, USA.
American journal of infection control
|May 31, 2023
概括
一个由护士领导的倡议,以减少医院发病的Clostridioides difficile感染 (CDI) 的利用不足. 谦卑的调查采访揭示了意想不到的障碍,突出了改善感染预防实践的方法.
科学领域:
- 与医疗保健相关的感染
- 预防和控制感染.
- 医疗质量改善 改善医疗质量
背景情况:
- 医院发病的Clostridioides difficile感染 (CDI) 造成了重大负担,增加了患者的死亡率.
- 实施了一套由护士驱动的订单集,以对抗医院发作的CDI,但面临着较低的采用率.
研究的目的:
- 为了识别阻碍使用护士驱动的CDI测试订单组的障碍.
- 评估谦卑的调查在发现实施挑战方面的有效性.
主要方法:
- 采用定性研究方法,采用简单的调查面试.
- 让医疗保健专业人员探索不遵守CDI测试订单的原因.
主要成果:
- 简单的调查采访揭示了以前未被识别的CDI测试订单集的使用障碍.
- 该方法在识别基于证据的实践实施障碍方面被证明是有效的.
结论:
- 意想不到的障碍阻碍了感染预防策略的有效实施,例如CDI测试订单集.
- 谦卑的调查是识别感染预防的证据与实践差距的宝贵工具.
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