了解外科医生如何使用理论领域框架提高乳腺癌手术的质量
Doris Goubran1, Iresha Ratnayake2,3, Pamela Hebbard4,5
1From the Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
概括
马尼托巴省的乳腺癌外科医生有动力提高手术质量,但面临系统障碍. 有限的机会和资源阻碍了他们持续改进的能力,尽管他们觉得自己能够监控自己的指标.
科学领域:
- 改善外科手术的质量
- 在瘤学瘤学.
- 医疗保健系统研究 医疗保健系统研究
背景情况:
- 国家举措旨在加强2007-2021年曼尼托巴省癌症手术的质量改善 (QI) 能力.
- 这些举措利用了审计和反报告以及实践社区.
- 自2021年以来,没有对外科医生参与乳腺癌手术的QI进行评估.
研究的目的:
- 了解外科医生如何提高乳腺癌手术的质量.
- 评估外科医生的参与以及对乳腺癌手术质量改善的感知促进者和障碍.
主要方法:
- 对12名在曼尼托巴州 (2021-2024) 进行乳腺癌手术的外科医生进行了定性半结构面试.
- 采访以理论领域框架为指导.
- 两位独立研究人员进行了主题分析.
主要成果:
- 外科医生受到及时护理,瘤学,手术和美学结果的激励.
- 外科医生通过自我监测,多学科合作和专业发展,感觉能够提高质量.
- 审计和反报告没有被认为是有效的;资源限制和领导支持被认为是主要障碍.
结论:
- 马尼托巴省的乳腺癌外科医生拥有提高手术质量的动力和能力.
- 系统性障碍和有限的机会阻碍了外科医生实施和维持质量改善策略的能力.
- 需要进一步的研究来探索影响乳腺癌手术质量改善的更广泛的上下文因素.
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