非医生麻醉提供者的观点在赞比亚和索马里兰的任务共享实践:一个定性研究
Konstantina Ilia Karydi1, Siston Kabaghe2, Helen Blamey3
1Nuffield Department of Anaesthetics, Oxford University Hospitals NHS Foundation Trust, Oxford, UK konstilia@gmail.com.
赞比亚和索马里兰的非医生提供者在麻醉中进行任务共享的体验不同. 了解这些做法和障碍,是改善医疗保健劳动力战略的关键,在低资源环境中.
科学领域:
- 全球健康 全球健康
- 医疗卫生工作人员发展发展
- 麻醉学 麻醉学
背景情况:
- 第68届世界卫生大会 (2015) 倡导加强外科手术和麻醉服务,特别是在资源较低的环境中.
- 任务共享被认为是解决医疗保健人员短缺和改善麻醉的覆盖范围和安全性的策略.
- 现有的任务共享数据主要集中在非麻醉医疗保健环境中.
研究的目的:
- 探索在赞比亚和索马里兰的非医生麻醉提供者的经验和对任务共享的看法.
- 了解在这些特定的低资源环境中麻醉任务共享的当前状态和未来愿望.
主要方法:
- 采用了一种探索性的定性研究设计.
- 有目的的抽样和雪球招募了13名非医生麻醉提供者 (6名来自赞比亚,7名来自索马里兰).
- 半结构面试的专题分析,三角化和受访者验证数据严格性.
主要成果:
- 参与者承认在他们的实践中存在可变的任务共享组件.
- 访问任务共享受到可用的来源和资源的影响.
- 隐含的障碍被确定为任务共享的潜在抑制因素.
- 参与者显然希望改善任务共享实践.
结论:
- 了解当前的任务共享动态和障碍对于有效实施至关重要.
- 调查结果可以为低资源环境中劳动力规划的全球战略提供信息.
- 通过明智的任务共享模型,进一步的研究可以优化麻醉提供者的有效性和福祉.
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