避免"墙上的一张纸,每个人都忽略":对实施开放骨折指南的障碍进行定性研究
Juan Enrique Berner1, Adele Pope2, David Winston Hamilton3
1Kellogg College, University of Oxford. Oxford, United Kingdom; Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Texas Health Science Center at San Antonio. San Antonio, United States of America.
对下肢开放骨折的整形塑料指导方针的实施面临挑战. 关键障碍包括个人主义的决策和依赖现有关系,阻碍标准化护理.
科学领域:
- 整形外科手术 整形外科手术
- 整形外科 整形外科 整形外科
- 创伤护理 创伤护理
背景情况:
- 基于证据的开口骨折临床指南标准化了护理和改善了结果.
- 很少有国家对下肢创伤实施了整形塑料指南.
- 现有的护理模式依赖于个人决策和人际关系.
研究的目的:
- 探索对开发和实施下肢开放骨折的整形塑料指南的态度,障碍和局限性.
- 了解目前在没有确定的指导方针的情况下,在下肢开放骨折的当前管理.
主要方法:
- 与十二位着名的整形外科医生和整形外科医生进行了半结构面试.
- 使用反射主题分析方法的定性评估.
- 系统编码,以开发和完善与研究问题相关的主题.
主要成果:
- 出现了三个关键主题:个人主义的决策,依赖于多学科的人际关系,以及护理的不动决定因素.
- 准则可以通过基于证据的建议和多学科合作来改善护理.
- 实施障碍可以使指导方针变得无效,就像"挂在墙上的纸片".
结论:
- 这项研究是第一个探索引入开放四肢创伤的整形塑料指南的挑战.
- 确定的主题描述了在缺乏此类协议的环境中当前的现状.
- 为未来的举措提供基础,以开发和实施下肢开放骨折的临床指南.
更多相关视频
04:19Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
07:35Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
Published on: April 11, 2012
相关概念视频
Fractures: Bone Repair
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Barriers to Effective Communication II
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Flail Chest-II
Assessment:
1. Clinical Evaluation:
History:
