澳大利亚新南威尔士州农村和地区使用儿科临床实践指南的障碍。
Barriers to the use of paediatric clinical practice guidelines in rural and regional New South Wales Australia.
作者信息
Cohn Sarah L, Gautam Bijender, Preddy John S, Connors John R, Kennedy Sean E
机构信息
Rural Medical School, University of New South Wales, Wagga Wagga, Australia.
School of Women's & Children's Health, University of New South Wales, Sydney, Australia.
出版信息
Aust J Rural Health. 2016 Feb;24(1):23-8. doi: 10.1111/ajr.12190. Epub 2015 May 6.
OBJECTIVE
To identify barriers to compliance with paediatric clinical practice guidelines (CPGs) in emergency departments in rural and regional New South Wales (NSW), Australia, and to propose strategies to increase their use.
DESIGN
Cross-sectional survey.
SETTING
Ten emergency departments in rural and regional NSW.
PARTICIPANTS
Fifty medical officers.
MAIN OUTCOME MEASURES
Use of clinical practice guidelines and perceived barriers to their usage.
RESULTS
Only 22% of medical officers reported that they used the CPGs frequently when managing sick children. Major barriers to the use of CPGs were a lack of awareness of their existence, a lack of training in their use and poor access to the guidelines in printed or electronic format.
CONCLUSION
In order to increase compliance with the paediatric CPGs, medical officers in rural and regional NSW require further training and education. The CPGs need to be readily available in either printed or electronic format.
目的
确定澳大利亚新南威尔士州（NSW）农村和地区急诊科在遵循儿科临床实践指南（CPGs）方面的障碍，并提出增加指南使用的策略。
设计
横断面调查。
地点
新南威尔士州农村和地区的10个急诊科。
参与者
50名医务人员。
主要观察指标
临床实践指南的使用情况及其使用中感知到的障碍。
结果
只有22%的医务人员报告称，在诊治患病儿童时他们经常使用CPGs。使用CPGs的主要障碍包括对其存在缺乏认识、缺乏使用培训以及难以获取印刷版或电子版指南。
结论
为了提高对儿科CPGs的遵循程度，新南威尔士州农村和地区的医务人员需要进一步培训和教育。CPGs应以印刷版或电子版形式随时可供获取。
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