Stecksén Anna, Lundman Berit, Eriksson Marie, Glader Eva-Lotta, Asplund Kjell
1Umeå University, Umeå, Sweden.
Qual Health Res. 2014 Mar;24(3):412-9. doi: 10.1177/1049732313514137. Epub 2013 Nov 20.
We performed a qualitative study to identify facilitators of and barriers to the implementation of national guidelines on thrombolytic therapy for acute ischemic stroke. We interviewed physicians and nurses at nine Swedish hospitals using 16 explorative, semistructured interviews, and selected hospitals based on their implementation rate of new stroke care methods according to data from the Swedish Stroke Register, Riks-Stroke. Through content analysis, we identified facilitators and barriers to implementation, which we classified into three categories: (a) individuals, (b) social interactions and context, and (c) organizational and resource issues. Insights obtained from this study can be used to identify target areas for improving the implementation of thrombolytic therapy and other new methods in stroke care.
我们开展了一项定性研究，以确定急性缺血性脑卒中溶栓治疗国家指南实施过程中的促进因素和障碍。我们对瑞典九家医院的医生和护士进行了访谈，采用16次探索性半结构化访谈，并根据瑞典卒中登记处（Riks-Stroke）的数据，依据新卒中护理方法的实施率来选择医院。通过内容分析，我们确定了实施过程中的促进因素和障碍，并将其分为三类：（a）个人因素；（b）社会互动与背景因素；（c）组织与资源问题。本研究获得的见解可用于确定改善卒中护理中溶栓治疗及其他新方法实施情况的目标领域。
