打开包装推推 sensu lato:从范围审查的见解
N Reinoso Schiller1, A Bludau1, T Mathes2
1Department for Infection Control and Infectious Diseases, University Medical Centre Göttingen, Georg-August University Göttingen, Göttingen, Germany.
The Journal of hospital infection
|November 10, 2023
概括
纽奇可以通过影响医疗保健工作者 (HCW) 来改善医院感染预防和控制 (IPC). 本综述强调了有效的推动策略,并介绍了有效的推动策略.
科学领域:
- 医疗保健管理的管理
- 预防和控制感染的预防和控制.
- 行为科学 行为科学
背景情况:
- 推干预措施有可能提高医院环境中的感染预防和控制 (IPC).
- 在IPC中现有的nudge策略通常采用既定的目标,战术和实施方法.
- "感性推动"的概念扩大了范围,包括具有相似目标和方法的干预措施,即使不严格地定义为推动.
研究的目的:
- 审查和分类用于医院IPC针对医疗保健工作者 (HCWs) 的推动干预的方法.
- 引入和探索"感性冲动"概念的实用性,以开发更有效的IPC干预措施.
- 评估各种推动策略的结果,以改善HCW遵守IPC协议.
主要方法:
- 按照PRISMA指南,在PubMed,Epistemonikos,Web of Science和PsycInfo进行了系统的文献搜索.
- 最初的搜索集中在传统的推动;扩展的搜索包含了"nudge sensu lato"以捕捉相关的干预.
- 跨学科团队选了5706项识别的独特初级研究的摘要和完整文本,其中67项用于审查.
主要成果:
- 在被审查的67项研究中,只有4项被归类为严格的推推 ('nudge sensu stricto'),所有这些研究都侧重于手部卫生,并取得了积极的结果.
- 旨在改善遵守手部卫生的干预措施在56项研究中的71.4%显示出积极的结果.
- 在50%的研究中,医疗设备消毒干预报告了显著的结果,在66.7%的研究中,指南遵守干预报告了显著的结果.
结论:
- "感性推动"框架,包括使用类似推动策略的干预措施,可以推动开发具有影响力的IPC措施.
- 调查结果表明,更广泛地应用推动原则可以为医疗保健工作者带来更有效的干预措施.
- 本综述为临床医生,研究人员和政策制定者提供了洞察力,帮助他们设计和实施在医院IPC中成功的nudging策略.
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