关于在英国急诊室实施选择性血液病毒检测的员工观点:一种定性研究
Siobhán Allison1, Tom May2, Jonathan Roberts3
1NIHR Health Protection Research Unit, University of Bristol, Bristol, UK siobhan.allison@bristol.ac.uk.
Emergency medicine journal : EMJ
|February 3, 2026
概括
在英国急诊室 (EDs) 进行血液传播病毒 (BBV) 测试的选择表明,工作人员的接受度很高. 自动化,培训和冠军促进了测试,而高工作负载带来了挑战.
科学领域:
- 公共卫生 公共卫生
- 传染病控制和控制传染病
- 医疗保健管理的管理
背景情况:
- 全球2030年血液传播病毒 (BBV) 消除目标在识别未被诊断的个体方面面临挑战.
- 英国急救部门 (ED) 实施了HIV,乙型肝炎和C型肝炎的选择性BBV测试,以增加高流行地区的访问.
研究的目的:
- 确定在英国ED中实施选择退出BBV测试的障碍和促进者.
- 为未来推广这项公共卫生干预提供建议.
主要方法:
- 对五个ED站点的23名员工进行的半结构面试的专题分析.
- 根据规范化过程理论进行的研究.
主要成果:
- 工作人员对选择退出测试方法的接受度很高,尽管理解程度有所不同.
- 自动化,专注的BBV冠军和有效的培训促进了测试的普及.
- 高的ED工作负载和竞争的优先事项给测试实施带来了重大障碍.
结论:
- 在紧急护理中嵌入选择退出测试需要自动化测试订单,全面的员工培训和清晰的沟通.
- 专注的倡导者和流程调整的灵活性对于持续实施和改善患者结果至关重要.
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