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紧急创伤研究中的推迟同意:评估医疗保健专业人员意见的定性研究
Zynab Noori1, Niek J Vianen1, Esther M M Van Lieshout1
1Trauma Research Unit Department of Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Injury
|September 14, 2024
概括
医疗保健专业人员 医疗保健专业人员
科学领域:
- 紧急医疗 紧急医疗
- 临床研究伦理学
背景情况:
- 严重受伤的患者往往无法为临床研究提供知情同意.
- 推迟同意为在重症监护研究中公正招生提供了一个潜在的解决方案.
- 了解医疗保健专业人员对延迟同意的看法对于患者招募至关重要.
研究的目的:
- 确定影响医疗保健专业人员 (HCP) 在招募患者进行紧急创伤研究时使用推迟同意的决策的因素.
- 探索医院前和医院内医生和护士对延迟同意的看法.
主要方法:
- 使用与医生和护士进行半结构面试的定性研究.
- 用专题分析来分析采访数据.
- 专注于医院前和医院内急救创伤研究的干预研究.
主要成果:
- 出现了8个关键主题,影响了医疗保健人员关于延迟同意的决定.
- 确定的因素包括医疗保健工作者知识,患者/代理人能力,实用性,干预性质,个人信仰,研究重要性,法律信任和沟通.
- 医疗保健工作人员的知识缺乏对延迟同意的态度产生了重大影响.
结论:
- 几个与同意相关的因素影响医疗保健工作者在紧急创伤研究招聘中的决策.
- 关于同意程序的知识不足是采用推迟同意的主要障碍.
- 解决知识差距对于改善HCP接受和实施推迟同意至关重要.
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