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一项横断面调查,通过向临床医生编写的、供临床医生阅读的教育材料的订阅者以电子方式分发问卷,来评估阅读《临床公报》是否导致了实践改变。

A cross-sectional survey using electronic distribution of a questionnaire to subscribers of educational material written by clinicians, for clinicians, to evaluate whether practice change resulted from reading the Clinical Communiqué.

作者信息

Cunningham Nicola, Pham Tony, Kennedy Briohny, Gillard Alexander, Ibrahim Joseph

机构信息

Department of Forensic Medicine, Monash University, Southbank, Victoria, Australia.

出版信息

BMJ Open. 2017 May 29;7(5):e014064. doi: 10.1136/bmjopen-2016-014064.

Abstract

OBJECTIVE

To explore whether subscribers reported clinical practice changes as a result of reading the Clinical Communiqué (CC). Secondarily, to compare the characteristics of subscribers who self-reported changes to clinical practice with those who did not, and to explore subscribers' perceptions of the educational value of the CC.

DESIGN, SETTING AND PARTICIPANTS: Online cross-sectional survey between 21 July 2015 and 18 August 2015 by subscribers of the CC (response rate=29.9%, 1008/3373), conducted by a team from Monash University, Australia.

MAIN OUTCOME MEASURES

Change in clinical practice as a result of reading the CC.

RESULTS

53.0% of respondents reported that their practice had changed after reading the CC. Respondents also found that the CC raised awareness (96.5%) and provided ideas about improving patient safety and care (94.1%) leading them to discuss cases with their colleagues (79.6%) and review their practice (75.7%). Multivariate analysis indicated that working in a residential aged care facility (p<0.05) and having taken part in an inquest (p<0.05) were significantly associated with practice change.

CONCLUSION

The design and content of the CC has generated a positive impact on the healthcare community. It is presented in a format that appears to be accessible and acceptable to readers and achieves its goals of promoting safer clinical care through greater awareness of the medico-legal context of practice.

摘要

目的

探讨订阅者是否报告称因阅读《临床公报》(CC)而改变了临床实践。其次,比较自我报告临床实践有变化的订阅者与未报告有变化的订阅者的特征,并探究订阅者对CC教育价值的看法。

设计、背景与参与者:2015年7月21日至8月18日,澳大利亚莫纳什大学的一个团队对CC的订阅者进行了在线横断面调查(回复率=29.9%,1008/3373)。

主要观察指标

阅读CC后临床实践的变化。

结果

53.0%的受访者报告称阅读CC后其临床实践发生了变化。受访者还发现CC提高了认识(96.5%),并提供了改善患者安全和护理的思路(94.1%),促使他们与同事讨论病例(79.6%)并审视自己的临床实践(75.7%)。多变量分析表明,在老年护理机构工作(p<0.05)和参与过死因调查(p<0.05)与临床实践变化显著相关。

结论

CC的设计和内容对医疗保健界产生了积极影响。它以一种读者似乎易于理解和接受的形式呈现,并通过提高对临床实践中医疗法律背景的认识,实现了促进更安全临床护理的目标。

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