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儿科行为性睡眠护理中基于证据的实践的障碍和促进因素:健康专业人员观点的定性分析。

Barriers and facilitators of evidence-based practice in pediatric behavioral sleep care: qualitative analysis of the perspectives of health professionals.

机构信息

a Department of Psychology and Neuroscience Dalhousie University.

出版信息

Behav Sleep Med. 2015;13(1):36-51. doi: 10.1080/15402002.2013.838766. Epub 2013 Dec 23.

DOI:10.1080/15402002.2013.838766
PMID:24364693
Abstract

Behavioral sleep problems are highly prevalent among young and school-aged children. Despite strong evidence for effective interventions, few children receive evidence-based care. In this study, 124 Canadian health professionals answered open-ended questions regarding barriers and facilitators of their provision of evidence-based behavioral sleep-related care, and responses were analyzed for content. Responses represented issues at an individual practice level, as well as broader systemic issues. The most frequently reported barrier and facilitator related to knowledge, training, and education. Other barriers included lack of time and institutional support, and facilitators included supportive sleep attitudes and beliefs. This study may inform the design of education programs for health professionals, and provides support for broader systems-level initiatives targeted at increasing evidence-based practice.

摘要

行为性睡眠问题在儿童和学龄儿童中非常普遍。尽管有强有力的证据表明干预措施是有效的,但很少有儿童接受循证护理。在这项研究中,124 名加拿大卫生专业人员回答了关于他们提供循证行为性睡眠相关护理的障碍和促进因素的开放性问题,对回答内容进行了分析。这些回答代表了个人实践层面的问题,以及更广泛的系统性问题。报告最多的障碍和促进因素与知识、培训和教育有关。其他障碍包括缺乏时间和机构支持,而促进因素包括支持性的睡眠态度和信念。本研究可为卫生专业人员的教育计划设计提供信息,并为旨在提高循证实践的更广泛的系统层面举措提供支持。

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