临床医生认为TREAT期刊俱乐部的有效实施策略是什么? 一个定性研究研究
Rachel Wenke1,2,3, Jodie Wiseman4,5, Paulina Stehlik4,6
1Gold Coast Health, Southport, Australia. rachel.wenke@health.qld.gov.au.
临床医生主导的主题选择和保护时间是维持期刊俱乐部的关键策略. 这些方法提高了医疗保健机构的出席率,满意度和基于证据的实践 (EBP) 文化.
科学领域:
- 医疗保健的专业发展
- 临床教育 临床教育
- 实施基于证据的实践实践.
背景情况:
- 期刊俱乐部是促进基于证据的实践 (EBP) 技能和文化的公认工具.
- 在临床环境中实施和维持期刊俱乐部存在挑战.
- TREAT期刊俱乐部的形式旨在应对这些挑战,但有效的可持续性战略需要进一步研究.
研究的目的:
- 确定临床医生对有效实施战略的观点,以实现可持续的TREAT期刊俱乐部出席率,文化和满意度.
主要方法:
- 用TREAT格式进行了焦点小组,其中包括来自六家盟友健康期刊俱乐部的临床医生,辅导员和导师.
- 数据是在参与后10个月和16个月收集的.
- 分析涉及归纳和演方法,形成上下文-机制-结果配置.
主要成果:
- 有效的策略包括主题的临床相关性,小组参与 (主题优先级,讨论),一致性,结构 (受保护的时间,评估工具) 和指导.
- 较小,单一专业的期刊俱乐部在讨论文章应用时提高了出席率,文化和实践变化.
结论:
- 临床医生确定了提高期刊俱乐部出席率,满意度,EBP文化和技能的策略,长达16个月.
- 作为一个小组,优先考虑主题最大限度地提高了临床相关性和临床医生的参与度.
- 在实施期刊俱乐部策略时,考虑特定的环境至关重要.
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