胃肠科医生和外科医生对最佳内镜定位结直肠瘤建议的看法
Garrett Johnson1,2, Harminder Singh3,4, Ramzi M Helewa5
1Department of Surgery, Section of General Surgery, University of Manitoba, AE101-820 Sherbrook St, Winnipeg, MB, R3A 1R9, Canada. umjoh529@myumanitoba.ca.
Scientific reports
|June 7, 2024
概括
胃肠病学家和外科医生发现,结直肠癌的新指导方针是明确的,但面临诸如缺乏激励和反等障碍. 实施变革需要资金,激励和教育,以改善结肠镜检查期间的瘤定位和记录.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 制定了国家共识建议,以标准化结肠直肠瘤定位和结肠镜检查期间的文档.
- 有效实施这些指南对于改善患者护理和治疗结果至关重要.
研究的目的:
- 识别和对比使用新的结直肠瘤局部化和文档建议的感知障碍和促进因素.
- 探索胃肠病学家和外科医生的指导方针实施的观点.
主要方法:
- 与胃肠病学家和外科医生进行的定性半结构面试研究.
- 使用实施研究综合框架 (CFIR) 和定向内容分析进行分析.
- 解决方案的分类使用专家推实施变革 (ERIC) 框架.
主要成果:
- 两组人都发现建议是明确的,相关的,并且比现有做法更有利.
- 关键的障碍包括缺乏组织激励,正式的反流程和熟悉证据.
- 促进者包括建议的感知清晰度,适用性和适应性.
结论:
- 虽然建议得到了好评,但实施障碍需要有针对性的战略.
- 通过资金,激励,教育和反机制解决障碍是必不可少的.
- 需要进一步的研究来测试实施策略的可行性和有效性.
更多相关视频
08:26Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
457
06:46Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery
Published on: September 27, 2024
250
相关概念视频
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
72
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
72
01:25Endoscopic Procedures II: Colonoscopy
82
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
82