在危机环境中揭示思维线
Edward Hyun Suh1, Peter C Wyer1
1Department of Emergency Medicine, Columbia University Medical Center, New York, New York, USA.
Journal of evaluation in clinical practice
|June 9, 2023
概括
在COVID-19大流行期间,纽约的临床医生通过整合研究,指导方针和默认知识,迅速适应了护理. 这个动态的过程突出了医疗保健专业人员如何在危机中创造和分享知识.
科学领域:
- 医学社会学 医学社会学
- 医疗保健服务研究 医疗服务研究
- 全球流行病应对行动
背景情况:
- 在全球范围内,COVID-19大流行给医疗保健系统带来了前所未有的挑战.
- 纽约的临床医生在最初的激增期间面临着一种新型病毒,研究证据有限,正式指导.
- 现有的医疗保健知识翻译模型因流行病的快速演变而受到压力.
研究的目的:
- 在纽约市早期的COVID-19激增期间,提供临床实践适应的叙事描述.
- 分析临床医生如何整合各种信息来源,包括研究和默认知识,以告知患者护理.
- 检查"思维模式"在公共卫生危机期间塑造临床决策中的作用.
主要方法:
- 使用叙事案例研究方法,借鉴纽约急诊室临床医生的个人经验.
- "思维路线"的概念框架被应用来解释信息的综合和实践的发展.
- 分析的重点是如何转化和利用临时建议,早期研究和默许知识.
主要成果:
- 医疗保健团队从多个来源动态合成了信息,包括初步研究和建立的指南.
- 突破孤岛的通信网络促进了知识的转化,以满足患者立即的护理需求.
- 临床医生通过将正式知识与他们自己的默认理解相结合,开发出共同的,但个性化的实践方法.
结论:
- COVID-19危机凸显了临床知识创造和应用所涉及的社会过程.
- 在疫情期间,传统的研究和指导方针开发模式面临着重大挑战.
- 了解临床医生在危机期间如何导航信息对于未来的流行病准备和医疗保健知识翻译至关重要.
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