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医生在创伤环境中经历了临床不确定性:使需要的人能够获得临床指导
Anika Srinath1, Emma Lee2, Gianni Aragon3
1The University of Texas Southwestern Medical Center Medical School, Dallas, Texas, USA.
Trauma surgery & acute care open
|March 11, 2026
概括
支付墙和糟糕的互联网接入等障碍阻碍了秘鲁提供者的创伤护理指导. 开发移动应用程序和资源定制的指导可以改善获取并减少可预防的死亡.
科学领域:
- 全球健康 全球健康
- 创伤护理研究 创伤护理研究
- 临床指导方针的实施
背景情况:
- 在全球范围内,创伤患者的可预防死亡率很高,通常是由于对基于证据的临床指导的获取有限.
- 秘鲁的伤害提供者在访问和应用相关创伤护理协议方面面临挑战.
研究的目的:
- 评估秘鲁伤害提供者之间创伤指导的可访问性,清晰性,实用性和实施情况.
- 确定障碍物和促进者在创伤护理设置中有效使用临床指导.
主要方法:
- 一种混合方法的方法,将西班牙语的半结构性定性访谈 (n=38) 与定量自主管理的调查 (n=83) 结合起来.
- 在利马的三个医院进行了采访;在泛美创伤协会会议上分发了调查.
- 数据分析涉及定性编码和描述性统计数据.
主要成果:
- 主要障碍包括付费墙,语言,用户不友好,技术限制,设备维护不足和高患者数量.
- 提供商更喜欢移动应用程序和便携式物理指导;基于资源的,简洁的,标准化的指导可以增加实用性.
- 实施障碍包括有限的培训,依赖同事,低的执法和资金;行政支持和员工的意愿是促进者.
结论:
- 临床指导使用的障碍包括用户友好性,本地适用性和组织文化.
- 改进的优先事项包括移动应用程序,资源分层和行政参与.
- 将创伤指导适应当地环境对于降低死亡率和改善护理至关重要.
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