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护士学者对临床实践指南的理解和经验
1Senior Lecturer, College of Health, Psychology and Social Care, University of Derby.
概括
护士教育工作者通常将临床指南视为建议,而不是强制性规则. 这种看法可能会导致不一致的坚持和依赖个人直觉在临床决策.
科学领域:
- 护理教育 护理教育
- 临床实践指南 临床实践指南
- 医疗保健决策 - - 医疗保健决策
背景情况:
- 许多因素影响遵守临床实践指南.
- 关键的障碍可能是护士将指南视为可选指南而不是强制性指令.
研究的目的:
- 探索护士教育者对临床指南的理解和经验.
- 分析这些观念对临床实践和决策的影响.
主要方法:
- 使用焦点小组采访的定性方法.
- 收集数据的解释性现象学分析 (IPA).
主要成果:
- 确定了三个核心主题:缺乏对指南定义的共识,遵守障碍,以及对专业判断的影响.
- 护士学者对指南定义表示不确定性,影响了遵守.
结论:
- 将指导方针视为"建议"可能会导致依赖个人直觉而不是基于证据的实践.
- 在临床环境中不一致的指南使用需要进一步研究后果.
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