在启发式思维和深思熟虑之间:对医生在感染预防实践中的决策进行多中心定性研究
Miriam Schutte1,2, Mireille Dekker3,4, Jonne Sikkens5,6
1Department of Medical Microbiology and Infection Prevention, Amsterdam UMC, University of Amsterdam, De Boelelaan 1118, 1081 HV, Amsterdam, The Netherlands. m.schutte3@amsterdamumc.nl.
Antimicrobial resistance and infection control
|May 15, 2025
概括
医生 医生 医生
科学领域:
- 医疗保健的质量和安全.
- 医学中的行为科学.
- 预防和控制感染.
背景情况:
- 标准的感染预防和控制 (IPC) 措施对于预防医院感染至关重要.
- 医生对IPC的遵守程度不够理想,需要改进干预措施.
- 了解IPC中的医生决策是制定有效的行为改变策略的关键.
研究的目的:
- 探索医生关于IPC应用的决策过程.
- 确定影响医生在IPC遵守中的行为因素.
主要方法:
- 使用半结构面试对荷兰五家医院的18名医生和7名护士进行定性研究.
- 反思性主题分析,包括使用理论领域框架的诱导编码和演分析.
主要成果:
- 医生表现出异质的决策方法,利用启发式或逻辑推理.
- 自主风险评估,个人信念和环境因素影响IPC应用.
- 关键的影响机制包括记忆,注意力,决策过程,行为线索,对后果的信念,价值观,规范,社会影响,社会学习和环境背景.
结论:
- 由于医生决策和风险评估的异质性,需要量身定制的干预措施.
- 干预措施应针对启发式决策,个人信念,社会规范和环境环境,以改善IPC遵守.
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