临床结构如何塑造瑞典难以治愈的的诊断实践:一个有基础的理论研究研究
Jenny Roxenius1, Hanna Linnea Wickstrom1,2, Lisa Skär3
1Blekinge Centre of Competence, Blekinge County Council, Karlskrona, Sweden.
BMJ open
|October 23, 2025
概括
患有难以治愈的的患者往往缺乏病因诊断,这是由于医疗保健中的传统任务划分. 临床治理影响了从传统实践向基于证据的伤口管理的转变.
科学领域:
- 医疗保健研究的研究.
- 伤口管理 伤口管理
- 临床实践中的临床实践
背景情况:
- 难以治愈的经常在没有明确的病因诊断的情况下接受治疗.
- 了解这种诊断差距背后的原因对于改善患者护理至关重要.
研究的目的:
- 探索为什么难治愈的病患者在没有病因诊断的情况下接受治疗的原因.
- 为创伤护理中的诊断实践开发一个解释模型.
主要方法:
- 使用半结构面试对23名医疗保健专业人员 (护士,助理护士,医生) 进行定性研究.
- 基于理论的方法应用于从瑞典的初级,社区和专业护理单位收集的数据.
- 有目的的抽样确保了跨职业角色和医疗保健水平的代表性.
主要成果:
- 一个理论模型将"医疗保健传统和临床实践"和"临床治理"确定为关键类别.
- 缺少病因诊断与传统的任务划分有关,护士经常在没有医生参与的情况下管理治疗.
- 诊断的障碍和促进因素存在于患者和结构层面,单位从传统到基于证据的实践各不相同.
结论:
- 临床治理可以支持或阻碍从传统的工作分配到基于证据的伤口管理的过渡.
- 这些发现为质量改善讨论提供了基础,以确保为难治愈的患者提供公平有效的护理.
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