开发和实施开放性创伤指南的框架:德尔菲共识验证
Juan Enrique Berner1, Carl Heneghan2, Jagdeep Nanchahal3
1Kellogg College, University of Oxford, Oxford, United Kingdom; Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, United States of America.
概括
这项研究开发并验证了一个框架,以帮助在缺乏这些国家的下肢骨折中实施临床指南. 该框架由专家外科医生验证,有助于管理这些严重伤害并改善患者的治疗结果.
科学领域:
- 创伤学 创伤学 创伤学
- 实施科学 实施科学
- 临床指南开发 临床指南开发
背景情况:
- 下肢开口骨折是严重的伤害,可能会导致长期并发症.
- 临床指导方针加快了治疗速度,并改善了这些骨折的结果.
- 目前很少有国家制定了管理下肢开放骨折的指导方针.
研究的目的:
- 制定和验证一个框架,在没有现有指导方针的环境中引入下肢骨折的临床指导方针.
主要方法:
- 根据"开放性创伤指南实施局限性" (LINEAGE) 研究的定性分析设计了一个框架.
- 该框架包括4个集群:临床医生,团队,健康和文化因素.
- 一项经过修改的Delphi研究,由43名骨科和整形外科医生组成的国际小组通过3轮验证了该框架.
主要成果:
- 在德尔菲问卷中的12个陈述中,有11个达到了验证共识.
- 一个声明没有达成共识,因此从框架中删除.
- 经过验证的框架为指导方针的实施提供了一个结构化的方法.
结论:
- 框架是实施科学的有价值的工具,用于管理复杂性和制定改进战略.
- 本研究提出了第一个专门用于制定和实施开放骨折指南的验证框架.
相关概念视频
Post-traumatic Stress Disorder
124
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
124
Data Validation
5.4K
Data validation is an essential part of a comprehensive assessment. Validation is confirming or verifying and opening the door to gathering more assessment data as it clarifies vague or unclear data. The process of checking and verifying the collected information is called data validation. The primary purpose of data validation is to ensure data is as free from error, bias, and misinterpretation as possible.
Nursing assessment guides are generally based on holistic models rather than medical...
Nursing assessment guides are generally based on holistic models rather than medical...
5.4K
Treatment Strategies for Psychological Disorders
285
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
285


