了解临床医生访问电子数据库以寻找疼痛管理证据的经验,使用混合方法方法
Vanitha Arumugam1, Joy C MacDermid2,3,4, Dave Walton4
1Chronic Pain Management Program, St. Joseph's Healthcare London, London, ON N6A 4V2, Canada.
Healthcare (Basel, Switzerland)
|June 28, 2023
概括
临床医生表现出基本的文献审查技能,但需要在先进的基于证据的实践 (EBP) 技能方面进行更多的培训,例如布尔运营者和批判性评估,以有效管理疼痛.
科学领域:
- 医疗保健研究 医疗保健研究
- 基于证据的实践.
- 信息科学 信息科学 信息科学
背景情况:
- 有效的疼痛管理依赖于基于证据的实践 (EBP) 过程,特别是追踪最佳证据.
- 评估临床医生在访问电子数据库方面的能力对于改善证据检索至关重要.
研究的目的:
- 评估医疗保健专业人员在电子数据库中搜索疼痛管理证据方面的能力.
- 用混合方法方法识别临床医生的证据检索技能的优缺点.
主要方法:
- 一项混合方法研究,涉及37名医疗保健专业人员 (职业治疗师,理疗师,护士,心理学家) 在疼痛管理方面.
- 通过半结构面试收集的定性数据和使用图表刺激回忆 (CSR) 技术收集的定量数据.
- 对面试成绩单进行主题分析,并根据事先确定的能力对企业社会责任绩效进行利克尔特级评分.
主要成果:
- 七个关键主题出现了:研究问题制定,证据来源,搜索策略,结果改进,障碍/促进者,临床决策和评估意识.
- 临床医生表现出了基本文献审查技能的熟练程度.
- 在高级技能,包括布尔运算符,批判性评估和识别证据水平方面发现了缺陷.
结论:
- 临床医生需要进一步培训先进的技能,以有效的基于证据的疼痛管理.
- 混合方法方法有效地确定了电子数据库搜索中的特定能力差距.
- 有针对性的培训可以提高临床医生获取和评估高质量的患者护理证据的能力.
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