影响骨科护理和康复的基于证据的实践的上下文因素:混合方法研究
Madeleine Winberg1, Erika Fjordkvist2,3, Eva Joelsson-Alm4,5
1Department of Health, Medicine and Caring Sciences, Linköping University, Linkoping, Sweden.
Journal of advanced nursing
|July 19, 2025
概括
骨科的基于证据的实践是通过合作和领导才能实现的,但患者参与是有限的. 改善以人为中心的护理和实施审计是获得更好的结果的关键.
科学领域:
- 医疗保健管理的管理
- 护理研究 护理研究
- 整形外科手术 整形外科手术
背景情况:
- 基于证据的实践 (EBP) 对于高质量的医疗保健至关重要.
- 了解背景因素是成功实施EBP的关键.
- 骨科护理为EBP带来了独特的挑战.
研究的目的:
- 调查允许基于证据的实践 (EBP) 的因素.
- 检查EBP与膀监测指南在骨科中的实施有关.
- 确定骨科护理中EBP的障碍和促进因素.
主要方法:
- 融合平行混合方法设计.
- 通过采访,患者调查和17个瑞典骨科站点 (2021-2023) 的员工调查收集的数据.
- 分析涉及演性内容分析,描述性统计和混合方法集成.
主要成果:
- 员工的协作,多专业的参与,积极的态度,领导力和足够的人员支持EBP.
- 骨科快速治疗程序限制了患者的参与,将他们定位为被动接受者.
- 评估不足和高员工流动阻碍了EBP的实施.
结论:
- 骨科护理具有EBP的促成因素,但以患者为中心和相互信息交换需要更多的关注.
- 缺乏审计和反机制,阻碍了改进.
- 精简护理过程需要注意患者参与EBP.
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