在拉丁美洲的资源可变儿科瘤中心连接临床能力和干预可持续性
Virginia McKay1, Yichen Chen2, Kim Prewitt1
1Brown School, Washington University, MSC 1196-251-46, 1 Brookings Drive, St. Louis, MO 63130, USA.
Global implementation research and applications
|April 3, 2024
概括
临床能力显著提高了儿科瘤学中儿科早期预警系统 (PEWS) 的维持能力. 足够的资源对于在医院中维持PEWS等基于证据的实践至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 儿科瘤学 儿科瘤学
- 实施科学 实施科学
背景情况:
- 维持基于证据的实践对于长期改善医疗保健至关重要.
- 临床能力,包括必要的资源,是干预可持续性的关键因素.
- 儿科早期预警系统 (PEWS) 对于改善儿科瘤学的结果至关重要.
研究的目的:
- 调查临床可持续性能力与PEWS的维持之间的关联.
- 在资源可变的儿科瘤学环境中确定PEWS维持的决定因素.
- 评估临床能力对PEWS长期使用的影响.
主要方法:
- 在拉丁美洲儿科瘤中心的临床医生中进行了横截面调查.
- 该调查使用临床可持续性评估工具 (CSAT) 来评估临床能力.
- 采用多级建模来分析临床能力和PEWS维持之间的关系.
主要成果:
- 87%的参与者报告成功维持PEWS.
- 临床能力与PEWS维持有显著的关联 (OR 3.27,p < .01).
- 在CSAT得分上的每一个额外点都对PEWS维持有11%的积极影响.
结论:
- PEWS是儿童瘤学的可持续干预措施.
- 临床能力是成功维持PEWS的有意义贡献者.
- 投资于临床能力对于在资源变化的环境中维持基于证据的干预措施至关重要.
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