卫生保健工作者对常规非泌尿外科手术前尿液培养的态度:定性评估
Julia E Friberg Walhof1, Marin L Schweizer2,3, Kalpana Gupta4,5,6
1Center for Comprehensive Access and Delivery Research and Evaluation (CADRE), Iowa City VA Healthcare System, Iowa City, IA, USA.
Infection control and hospital epidemiology
|September 19, 2024
概括
许多外科医生担心缺失的感染,当不订购无症状细菌 (ASB) 的手术前尿液培养时,尽管证据很少. 同行证据和领导力支持可能有助于撤销实施.
科学领域:
- 医学实践 医学实践
- 传染性疾病 传染性疾病
- 手术护理 手术护理
背景情况:
- 对无症状细菌性尿病 (ASB) 的手术前尿液培养通常价值较低,并可能导致患者受到伤害.
- 了解当前的做法和阻碍退出实施的障碍至关重要.
研究的目的:
- 探索围绕手术前尿液培养的做法和决策过程.
- 为了确定障碍物和促进者,以消除常规的手术前尿液培养.
主要方法:
- 使用半结构面试进行的定性研究.
- 在5家退伍军人事务医院进行.
- 涉及35名参与者,包括外科医生,传染病医生,APP,药剂师和医院领导.
主要成果:
- 外科医生对遗漏尿液培养表示了焦虑和不确定性,因为他们担心遗漏的感染.
- 负面后果的感知风险与停止特定程序的培养相关.
- 参与者建议领导力支持和同行参与是促进接受撤销实施的关键.
结论:
- 对感知到的风险的担忧可能会覆盖针对ASB的例行手术前尿液培养的证据.
- 值得信赖的同行证据和支持的领导力对于提高对这些测试的开放性至关重要.
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