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[护士为何飞行而外科医生为何轮岗。外科研究网络CHIR-Net]

[Why nurses fly and surgeons rotate. The surgical study network CHIR-Net].

作者信息

Wyen H, Jakob V, Neudecker J, Tenckhoff S, Seidel D, Affüpper-Fink M, Knöll P, Neugebauer E A M

机构信息

Institut für Forschung in der Operativen Medizin, Fakultät für Gesundheit, Chirurgisches Regionalzentrum des CHIR-Net Witten/Herdecke-Köln, Universität Witten/Herdecke, Standort Köln, Ostmerheimer Str. 200, Haus 38, 51109, Köln, Deutschland.

出版信息

Chirurg. 2013 Jul;84(7):580-6. doi: 10.1007/s00104-013-2500-5.

DOI:10.1007/s00104-013-2500-5
PMID:23619764
Abstract

BACKGROUND

The German National Surgical Trial Network (CHIR-Net) which has been funded since 2006 by the Federal Ministry of Education and Research (BMBF, funding code 01GH1001A-01GH1001F, 01GH0702) is made up of eight regional surgical centers. The aim of the CHIR-Net is the design, implementation and publication of prospective, randomized, multicenter trials to support evidence-based medicine in surgery. Two main pillars of the CHIR-Net are the surgeon on rotation program and the flying study nurse program. With these two programs the surgical hospitals are supported in their trial working by educating competent investigators and the infrastructural support of flexible and mobile study nurses.

METHODS

The surgeon on rotation program and the concept of the flying study nurse are presented descriptively. Furthermore, this paper provides reports of experiences of a surgeon on rotation and a flying study nurse of the CHIR-Net. Additionally, the results of an on-line evaluation of the regional surgical hospitals (belonging to the regional surgical center of the universities Witten/Herdecke and Cologne) regarding the needs and requirements of the regional surgical hospitals are presented.

RESULTS

The surgeon on rotation program of the CHIR-Net offers investigators the possibility to acquire the basics of designing, developing and implementation of high quality clinical trials. In addition, their own study projects could be intensively driven forward. The flying study nurse program enables in particular non-university surgical hospitals to be supported competitively in performing their own study projects and participating in muliticenter clinical trials. The success of these two programs has been confirmed by the conducted evaluations and the presented field reports.

CONCLUSION

The CHIR-Net is able to develop a high quality study culture in Germany with its surgeon on rotation and flying study nurse program. In addition to the funding period by the BMBF, the continuance of the CHIR-Net should be a primary aim of further measures.

摘要

背景

德国国家外科试验网络(CHIR-Net)自2006年起由联邦教育与研究部(BMBF,资助代码01GH1001A - 01GH1001F,01GH0702)资助,由八个地区性外科中心组成。CHIR-Net的目标是设计、实施和发表前瞻性、随机、多中心试验,以支持外科领域的循证医学。CHIR-Net的两大主要支柱是轮转外科医生项目和流动研究护士项目。通过这两个项目,通过培养有能力的研究者以及为灵活且可移动的研究护士提供基础设施支持,来协助外科医院开展试验工作。

方法

对轮转外科医生项目和流动研究护士的概念进行了描述性介绍。此外,本文还提供了CHIR-Net的一名轮转外科医生和一名流动研究护士的经验报告。另外,还展示了对地区性外科医院(隶属于维滕/黑尔德克大学和科隆大学的地区性外科中心)关于地区性外科医院的需求和要求的在线评估结果。

结果

CHIR-Net的轮转外科医生项目为研究者提供了获取设计、开展和实施高质量临床试验基础知识的机会。此外,他们自己的研究项目能够得到大力推进。流动研究护士项目尤其使非大学附属医院 program enables in particular non-university surgical hospitals to be supported competitively in performing their own study projects and participating in muliticenter clinical trials. 这两个项目的成功已通过所进行的评估和所展示的实地报告得到证实。

结论

CHIR-Net通过其轮转外科医生和流动研究护士项目能够在德国培育出高质量的研究文化。除了BMBF的资助期外,CHIR-Net的延续应是进一步措施的首要目标。

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A critical reappraisal of the ATLS classification of hypovolaemic shock: does it really reflect clinical reality?
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