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探索影响护理质量的外科医生行为因素:范围审查协议
Bhavan Dhaliwal1, Doris Goubran1, Orest Fylyma1
1University of Manitoba Max Rady College of Medicine, Winnipeg, Manitoba, Canada.
BMJ open
|January 14, 2025
概括
这项研究确定了影响手术质量和患者结果的外科医生行为. 它旨在通过关注可修改的外科医生因素来寻找改善护理的干预措施.
科学领域:
- 改善外科手术的质量
- 健康 专业 教育 卫生 专业 教育
- 医学中的行为科学.
背景情况:
- 手术实践的变化会影响患者的结果和满意度.
- 确定可修改的外科医生行为因素对于提高护理质量至关重要.
- 目前的文献缺乏对这些因素和干预措施的全面理解.
研究的目的:
- 确定可修改的外科医生行为因素,影响手术护理的质量.
- 确定现有的干预措施和政策来改变这些外科医生行为.
- 弥合有关外科医生特定质量改善策略的文献上的差距.
主要方法:
- 根据系统性审查的首选报告项目和范围审查的元分析扩展 (PRISMA-ScR) 准则进行范围审查.
- 从2000年到2024年进行全面的数据库搜索 (OVID Medline,EMBASE,Cochrane,SCOPUS) 的时间.
- 使用COM-B框架 (能力,动机,机会) 进行定性分析,以了解行为.
主要成果:
- 编制针对外科医生的行为进行干预的清单.
- 分析当前干预措施在改善患者治疗结果方面的有效性.
- 鉴定缺乏有针对性的干预措施的可修改的外科医生因素.
结论:
- 了解和修改外科医生的行为可以显著提高外科手术的质量.
- 针对特定的行为因素需要有针对性的干预,以优化患者护理.
- 本综述为开发基于证据的外科医生绩效提升策略提供了基础.
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