在中国实施临床实践指南的障碍:使用理论领域框架的定性研究
Jiyuan Shi1, Hongshuang Chen2, Xuelian Wang3
1School of Nursing, Beijing University of Chinese Medicine, Beijing, China.
BMC nursing
|September 2, 2025
概括
在中国实施压力损伤临床实践指南面临重大障碍,包括知识差距和资源限制. 解决这些问题需要进行系统性干预,以改善患者护理和基于证据的伤口管理.
科学领域:
- 医疗管理
- 临床实践指南
- 伤口护理
背景情况:
- 压力损伤是一个全球性的医疗保健挑战,需要基于证据的实践来提供优质的患者护理.
- 医疗保健机构的各种困难往往阻碍了对PI的临床实践指南 (CPG) 的实施.
研究的目的:
- 探讨在中国三级医院中实施CPG治疗患者的障碍.
- 确定阻碍采用基于证据的伤口护理实践的因素.
主要方法:
- 使用理论领域框架进行定性研究.
- 与22名在IP管理方面有经验的医疗保健专业人员 (护士和医生) 进行半结构面试.
- 使用NVivo 11.0软件对采访数据进行内容分析.
主要成果:
- 主要障碍包括医疗保健工作者的知识和技能不足.
- 缺乏多学科合作,信息技术支持,激励系统,资源和领导力支持.
- 不良的报销政策也阻碍了CPG的实施.
结论:
- 在中国,将基于证据的CPG转化为实践仍然具有挑战性.
- 系统地确定了与医疗保健提供者的能力,机会和动机相关的障碍.
- 这些发现为改善发展中国家的IP管理和基于证据的实践提供了有针对性的干预措施的基础.
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