一种创新的顺序混合方法方法来评估临床医生在实施标准化劳动诱导协议期间的可接受性
Rebecca Feldman Hamm1,2, Lisa D Levine3, Julia E Szymczak4
1Division of Maternal-Fetal Medicine, Department of Obstetrics & Gynecology, University of Pennsylvania Perelman School of Medicine, 3400 Spruce Street, 2 Silverstein, Philadelphia, PA, 19104, USA. Rebecca.feldmanhamm@uphs.upenn.edu.
BMC medical research methodology
|August 29, 2023
概括
这项研究探讨了使用混合方法方法的诱导标准化的临床医生可接受性. 调查结果表明,教育和患者参与可以改善对母体健康的标准化接受.
科学领域:
- 实施科学 实施科学
- 孕产妇健康 孕产妇健康
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 临床人员的接受度对于成功实施医疗保健干预措施至关重要.
- 干预措施的可接受性 (AIM) 由于正倾斜性而存在局限性.
- 标准化劳动诱导是改善护理提供的一个关键领域.
研究的目的:
- 为了评估临床医生对标准化劳动诱导协议的接受度.
- 通过使用混合方法的方法来提高AIM的解释性.
- 确定提高实施研究可接受性的策略.
主要方法:
- 采用了一种解释性的顺序混合方法设计.
- 对104名临床医生进行了干预措施的可接受性 (AIM).
- 与高和低可接受性组的临床医生进行了定性访谈.
主要成果:
- 临床医生普遍支持诱导标准化,以减少变化和改善护理.
- 接受度低与对灵活性和患者独特性的担忧有关.
- 负面情绪与劳工医疗化和被认为是患者"推土机"有关.
结论:
- 一种混合方法的方法有效地描述了临床医生对诱导标准化的接受性.
- 实施策略,包括临床医师教育和患者参与,可以解决可接受性障碍.
- 调查结果为未来的多地点实施努力提供信息,以促进孕产妇健康.
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