基于证据的多学科术术后下肢截肢协议 (LEAP) 的实施:障碍,促进者和策略
Akin Akitola Beckley1, Christopher Kevin Wong2
1Department of Rehabilitation & Regenerative Medicine, Columbia University Irving Medical Center, New York, NY, 10032, USA.
Implementation science communications
|November 19, 2025
概括
在大型医院实施多学科的下肢截肢协议 (LEAP) 需要解决临床医生的知识和技能障碍. 策略包括教育,培训,指导和自动订单集,以改善术后康复.
科学领域:
- 康复医学 康复医学 康复医学
- 医疗保健 实施 科学 科学
- 临床实践指南 临床实践指南
背景情况:
- 下肢截肢是一个重要的医疗保健问题,经常被忽视.
- 临床医生的知识和技能有限,阻碍了基于证据的实践指南的实施.
- 多学科下肢截肢协议 (LEAP) 是有前途的,但需要在大型环境中进行测试.
研究的目的:
- 确定实施基于证据的LEAP的障碍,促进者和策略.
- 专注于在大型城市四级医疗中心的术后康复.
- 改善接受下肢截肢的患者的护理.
主要方法:
- 使用理论领域框架 (TDF) 和COM-B模型进行调查开发和分析.
- 对238名多学科专业人士进行了匿名调查.
- 从定性评论中获得的障碍,促进者和策略的描述性分析.
主要成果:
- 在知识,技能,能力,专业角色和环境背景领域中确定了关键障碍.
- 促进者包括教育,实践培训,导师支持和自动订单集.
- 临床医生的反应代表了各种学科,包括物理治疗,职业治疗,医学和护理.
结论:
- 基于已识别的障碍和促进者,开发了提供商和组织层面的战略.
- 能力培养策略包括教学教育,临床培训和指导.
- 一套自动化的多学科订单被确定为改善跨学科协调和沟通的关键策略.
相关概念视频
Peripheral Artery Disease V: Postoperative Nursing Management
356
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
356
Peripheral Artery Disease III: Interprofessional Care
229
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
229
Peripheral Artery Disease IV: Nursing Management
325
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
325
Methods of Documentation VI: Case Management Model
839
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
839


