导航复杂性:临床医生的经验和系统性挑战在实施基于证据的实践慢性腰痛 - - 一项定性研究
Emily D Walker1,2, Mitchell T Gibbs1,2, Andrew R Natoli1,2
1School of Health Sciences, Faculty of Medicine and Health, University of New South Wales, Sydney, Australia.
Disability and rehabilitation
|July 13, 2024
概括
对慢性腰部疼痛 (CLBP) 实施基于证据的实践 (EBP) 是临床医生面临的挑战. 误解,患者期望和系统压力造成障碍,而专业发展和支持性环境则促进EBP的采用.
科学领域:
- 临床实践指南 临床实践指南
- 康复科学 康复科学 康复科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 根据证据实践 (EBP) 对慢性腰部疼痛 (CLBP) 的实施仍然不理想.
- 了解影响基于运动的临床医生采用EBP的因素对于改善患者护理至关重要.
研究的目的:
- 调查影响基于运动的临床医生对患有CLBP的人实施EBP的多方面的因素.
- 确定影响在CLBP管理中采用EBP的障碍和推动因素.
主要方法:
- 与40名以运动为基础的临床医生 (20名理疗师,20名认可的运动生理学家) 进行了半结构化采访.
- 利用反射主题分析来探索临床医生对EBP的理解,感知到的障碍和推动因素,以及它们对CLBP护理实施的影响.
主要成果:
- 确定了影响EBP实施的临床专家,系统和患者相关因素的复杂相互作用.
- 临床医生对EBP,患者期望和外部压力 (资助者,商业模式) 的误解带来了重大挑战.
- 持续的专业发展,社区支持和EBP支持的工作场所被确定为有效实施EBP的关键推动因素.
结论:
- 许多因素,相互作用的动态,显著影响基于炼的临床医生实施EBP对CLBP的能力.
- 解决临床医生的误解和系统性障碍,同时培养支持性环境,对于加强在CLBP管理中的EBP采用至关重要.
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