随机证据是否会改变临床实践? 反应定性研究是对反应的定性研究
Samuel Lawday1,2,3,4, Karen Mattick2, Rob Bethune5,6
1HeSRU, Royal Devon & Exeter Hospital, Exeter, UK.
BMC health services research
|July 29, 2024
概括
外科医生面临的障碍是采用基于证据的实践,如小型咬伤腹腔切除关闭,尽管有证据表明减少切口的好处. 了解这些挑战是改善患者护理的关键.
科学领域:
- 手术实践和基于证据的医学
- 椎间板预防研究研究
背景情况:
- 史蒂奇试验证明了小咬合关闭在减少切口的优越性.
- 尽管有证据,但大多数外科医生并没有采用这种做法.
- 医学证据的实施平均需要17年.
研究的目的:
- 调查外科医生采用基于证据的中线腹腔切除术关闭的障碍.
- 了解实践变化或停滞的原因.
主要方法:
- 与外科医生 (顾问和注册员) 进行半结构化采访.
- 使用了基于文学审查的主题指南,对采用障碍进行了审查.
- 对采访成绩单进行主题分析.
主要成果:
- 在整体外科和泌尿外科采访了9名外科医生.
- 确定了三个关键主题:"信任证据和批判性评估"",手术对风险的态度"和"在实践中采用证据".
- 这些主题突出了实施基于证据的实践的障碍.
结论:
- 确定的主题提供了潜在的干预点,以加快证据采用.
- 更新临床实践确保患者获得最好的基于证据的护理.
- 更快地采用证据可以改善患者的治疗结果.
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