可重复使用的托卡的推动因素和障碍:对外科医生和住院医生的观点进行定性研究
Myrthe M M Eussen1,2, Merijn de Kort3, Carys Batcup4
1Department of Surgery, Maastricht University Medical Center, P. Debyelaan 25, 6229, Maastricht, The Netherlands. myrthe.eussen@mumc.nl.
Surgical endoscopy
|January 26, 2026
概括
可重复使用的手术仪器,如托卡,可以显著减少手术室的排放. 了解行为因素和实施多层次策略是增加在微创手术中增加可重复使用的托卡的关键.
科学领域:
- 医疗保健的可持续性 医疗保健的可持续性
- 手术创新 在外科创新.
- 环境健康 环境健康
背景情况:
- 手术室 (OR) 是医疗保健碳足迹的主要贡献者,在最少侵入性手术 (MIS) 中的一次性仪器加剧了这一问题.
- 对于MIS至关重要的Trocar,可提供一次性和可重复使用的形式,但可重复使用的采用是有限的.
- 了解行为决定因素对于促进可重复使用仪器的使用和减少外科手术排放至关重要.
研究的目的:
- 确定影响在微创手术中采用可重复使用的托卡的推动因素和障碍因素.
- 为增加可持续手术仪器使用的战略提供信息.
主要方法:
- 质量面试研究涉及20名外科医生和住院医生在七家荷兰医院.
- 使用理论领域框架 (TDF) 进行半结构面试和数据分析.
- 使用演TDF编码,感应编码和主题分组进行综合分析.
主要成果:
- 在9个主题中确定了36个推动者/障碍者,包括可用性,工作流程,培训,制度系统和感知效益.
- 结果映射到TDF领域,如关于后果的信念,环境背景和资源,技能以及社会/专业角色和身份.
- 可用性和工作流的问题往往是可以管理的;培训和机构因素显著影响了采用.
结论:
- 对可重复使用的托卡使用的感知障碍在很大程度上是上下文和环境的,而不是设备固有的.
- 技术开发基金为制定有针对性的实施战略提供了一个框架.
- 协调,多层次的干预是必要的,以扩大可重复使用的托卡采用和减少外科手术排放.
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