在分娩室复苏中接受和实施基于证据的实践:一项定性研究
Cecelia L Corson1, Ingrid M Nembhard2, Christopher P Bonafide1,3,4
1Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, Philadelphia, PA, 19104, USA.
SSM. Qualitative research in health
|July 28, 2025
概括
产房复苏团队需要量身定制的策略来实施基于证据的实践 (EBP). 了解团队成员对促进者和障碍者的看法是改善护理质量和EBP采用的关键.
科学领域:
- 新生儿复苏新生儿的复苏
- 改善医疗保健质量 改善医疗保健质量
- 实施科学 实施科学
背景情况:
- 在基于证据的实践 (EBP) 实施分娩室复苏方面存在持久的变化.
- 之前的研究在很大程度上忽视了分娩室复苏小组成员的观点.
- 本研究重点关注团队成员对影响EBP接受和实施的促进者和障碍的洞察力.
研究的目的:
- 调查分娩室复苏团队成员对促进者和接受和实施EBP的障碍的观点.
- 从一线医疗保健提供者的角度来看,确定影响EBP采用的关键主题.
- 为优化EBP在新生儿复苏环境中的实施策略提供信息.
主要方法:
- 对16家医院322名分娩室复苏小组成员的开放式调查答案进行了定性分析.
- 内容分析有两个阶段:归纳式常规和演式定向内容分析.
- 绘图确定了PARIHS框架 (证据,促进,背景) 中促进卫生服务研究实施行动的主题.
主要成果:
- 出现了五个主要主题:证据,教育,过程特征,领导力和改变思维方式.
- 这些主题与PARIHS框架的证据,促进和上下文元素保持一致.
- 确定了12个子主题,其中最相关的是EBP的接受和实施.
结论:
- 在分娩室复苏中接受和实施EBP的促进者和障碍者有共同点,但也有不同的方面.
- 调整干预措施以解决特定的促进者和障碍对优化EBP接受和实施至关重要.
- 提高分娩室复苏质量需要关注团队成员的观点和有针对性的实施策略.
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