医生遵守感染预防措施的决定因素:一个范围审查
M Schutte1, R van Mansfeld2, R de Vries3
1Department of Medical Microbiology and Infection Prevention, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
The Journal of hospital infection
|August 30, 2024
概括
医生对感染预防措施的遵守率很低. 可持续干预需要采用多式联运方法,解决资源和社会影响等决定因素,仅限于应用科学理论.
科学领域:
- 预防与医疗保健相关的感染
- 医生行为 医生行为
- 实施科学 实施科学
背景情况:
- 医疗相关感染 (HAI) 通过感染预防措施减少,但医生遵守仍然很低.
- 改善医生遵守感染预防的干预措施的有效性往往无法持续.
- 需要全面了解影响医生感染预防行为的因素和有效的变革策略.
研究的目的:
- 确定医生感染预防行为的决定因素.
- 审查实施的战略,以改善医生遵守感染预防措施.
- 在这些研究中评估实施科学理论,模型和框架的使用情况.
主要方法:
- 在主要数据库 (PubMed,Embase,APA PsycInfo,Web of Science) 进行了系统的文献搜索,截至2023年6月2日.
- 包括专注于高收入国家医生感染预防行为的研究,涵盖所有研究类型.
- 使用理论领域框架 (TDF) 提取和分类决定因素;社会人口统计因素也被注意到.
主要成果:
- 包括56篇文章,突出TDF领域:环境背景,社会影响,对后果的信念,记忆/注意力/决策,知识和技能.
- 社会人口因素成为一个重要的决定因素,超越了TDF.
- 可持续干预是多式联通的,包括反,教育和倡导者;实施科学理论很少被使用.
结论:
- 医生感染预防干预研究往往未能指定目标决定因素或缺乏理论依据.
- 未来的干预措施应将行为决定因素的知识与实施科学原则相结合.
- 针对特定决定因素制定基于理论的干预措施对于医生感染预防实践的持续改进至关重要.
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