围技术实施的促进者和障碍:应用实施研究综合框架的范围审查
Yixuan Guo1, Jing Huang2, Zhifen Yang3
1School of Nursing, Hebei Medical University, Shijiazhuang, China.
Journal of advanced nursing
|October 28, 2024
概括
实施周周技术的障碍包括缺乏时间和教育不足. 解决诸如助产士的理论教育等可修改因素,可以改善临床实践.
科学领域:
- 产科和妇科 产科和妇科
- 医疗保健 实施 科学 科学
背景情况:
- 临床实施周周技术对于母亲的护理至关重要.
- 识别障碍物和促进者是成功采用的关键.
研究的目的:
- 总结围技术临床实施的障碍和促进因素.
- 为决策提供基于证据的见解.
主要方法:
- 根据乔安娜·布里格斯研究所的方法进行了范围审查.
- 对9个电子数据库进行系统搜索.
- 将确定因素映射到实施研究综合框架 (CFIR) 中.
主要成果:
- 分析了18项研究,确定了关键的促进者和障碍者.
- 助产士的理论教育是一个重要的促进者.
- 障碍包括缺乏时间,患者的理解,OASIS的风险因素,以及对医疗纠纷的担忧.
结论:
- 许多影响围技术实施的已识别的因素是可修改的.
- 制定有针对性的策略可以提高临床采用.
- 需要对干预特征和实施过程进行进一步的研究.
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