提供关于在儿科初级保健环境中实施基于证据的急性喘途径的观点
Jessica C Gregory1, Kayla C Jones2, Rachel Sagor1
1Department of Pediatrics, Boston Medical Center, Boston, MA, USA.
概括
小儿初级保健提供者发现急性喘护理途径有益,促进标准化,基于证据的治疗. 优化可用性和提供绩效反可以进一步提高其采用和对喘护理的影响.
科学领域:
- 儿科初级护理 儿科初级护理
- 医疗保健 实施 科学 科学
- 喘管理 喘管理
背景情况:
- 标准化急性护理喘途径改善了紧急情况和住院患者的治疗结果.
- 一个门诊急性喘护理途径在儿科初级保健诊所开发和实施.
研究的目的:
- 质量评估提供者对门诊急性喘护理途径的好处,缺点,促进者和障碍的看法.
- 了解儿科初级保健提供者如何参与并利用实施的喘护理途径.
主要方法:
- 与13名儿科初级保健临床医生进行了半结构化采访.
- 促进卫生服务实施行动研究 (PARiHS) 框架指导了采访,代码书和分析.
- 通过专题分析,从提供者采访中确定了关键主题和子主题.
主要成果:
- 提供者重视该途径所推广的标准化和基于证据的护理.
- 提供者对喘管理和电子订单集的经验影响了途径参与.
- 临床背景影响了途径的利用,并确定了成功和需要改进的领域.
结论:
- 小儿初级保健提供者报告了积极的经验,并认识到标准化喘护理途径的好处.
- 提高性能反和改进可用性是优化路径采用的关键机会.
- 未来的研究将专注于评估该途径对临床喘结果的影响.
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