临床医生对实施手术后增强恢复的看法:一项描述性的定性研究
Georgia Tobiano1,2, Rhea Liang3,4, Wendy Chaboyer1,5
1NHMRC Centre of Research Excellence in Wiser Wound Care, Griffith University, Gold Coast Campus, 1 Parklands Dr, Southport, Queensland, Australia.
ANZ journal of surgery
|December 6, 2024
概括
实施手术后增强恢复 (ERAS) 需要临床医生和专门资源的激励策略. 医院领导层的支持对于成功采用ERAS协议和改善患者治疗结果至关重要.
科学领域:
- 手术方案 手术方案
- 医疗保健管理的管理
- 患者的康复 患者的康复
背景情况:
- 手术后增强恢复 (ERAS) 协议旨在改善患者的治疗结果并降低医疗保健成本.
- 尽管存在了几十年,但ERAS的实施面临着挑战,关于促进其使用的研究有限.
- 了解障碍物和推动因素是成功集成ERAS的关键.
研究的目的:
- 识别和描述在ERAS实施过程中遇到的具体障碍和推动因素.
- 提供对影响ERAS协议在临床实践中的采用因素的见解.
主要方法:
- 采用了定性描述性研究设计.
- 与外科医生,麻醉师和护士进行了半结构化采访,以理论领域框架为指导.
- 数据分析涉及诱导性和演性内容分析.
主要成果:
- 三个主要类别出现,与理论领域框架的12个领域保持一致.
- 临床医生通常将ERAS视为基于证据的,但意识和动机各不相同.
- 确定了为ERAS建立动力和资源 (人员,时间,工具) 的必要性的战略.
结论:
- 激励策略对于鼓励个人临床医生采用ERAS至关重要.
- 为了支持ERAS的实施,需要足够的资源,包括人员和时间.
- 强有力的医院领导层支持对于ERAS协议的成功整合至关重要.
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