Seeber Christian, Popp Maria, Meerpohl Joerg J, Fichtner Falk, Werner Anne, Schmaderer Christoph, Holzmann-Littig Christopher, Dickel Steffen, Grimm Clemens, Moerer Onnen, Kranke Peter
Klinik und Poliklinik für Anästhesiologie und Intensivtherapie, Universitätsklinikum Leipzig AöR, Liebigstraße 20, 04103, Leipzig, Deutschland.
Klinik und Poliklinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie, Universitätsklinikum Würzburg, Würzburg, Deutschland.
Anaesthesist. 2022 Apr;71(4):281-290. doi: 10.1007/s00101-021-01037-z. Epub 2021 Sep 21.
In the context of COVID-19, the German CEOsys project (COVID-19 Evidenz Ökosystem, www.covid-evidenz.de ) identifies, evaluates and summarizes the results of scientific studies to obtain evidence on this disease. The evidence syntheses are used to derive specific recommendations for clinical practice and to contribute to national guidelines. Besides the necessity of conducting good quality evidence syntheses during a pandemic, just as important is that the dissemination of evidence needs to be quick and efficient, especially in a health crisis. The CEOsys project has set itself this challenge.
Preparing the most suitable distribution of evidence syntheses as part of the CEOsys project tasks.
Intensive care unit (ICU) personnel in Germany were surveyed via categorical and free text questions. The survey focused on the following topics: evidence syntheses, channels and strategies of distribution, possibility of feedback, structure and barriers of dissemination and trustworthiness of various organizations. Profession, qualification, setting and size of the facility were recorded. Questionnaires were pretested throughout the queried professions (physician, nurse, others). The survey was anonymously carried out online through SosciSurvey® and an e‑mail was sent directly to 940 addresses. The survey was launched on 3 December, a reminder was sent after 14 days and it ended on 31 December. The survey was also announced via e‑mail through DIVI.
Of 317 respondents 200 completed the questionnaire. All information was analyzed including the responses from incomplete questionnaires. The most stated barriers were lack of time and access. Especially residents and nurses without specialization in intensive care mentioned uncertainty or insufficient experience in dealing with evidence syntheses as a barrier. Active distribution of evidence syntheses was clearly preferred. More than half of the participants chose websites of public institutions, medical journals, professional societies and e‑mail newsletters for drawing attention to new evidence syntheses. Short versions, algorithms and webinars were the most preferred strategies for dissemination. Trust in organizations supplying information on the COVID-19 pandemic was given to professional societies and the Robert Koch Institute (RKI) as the German governmental institute for infections and public health. The respondents' prioritized topics are long-term consequences of the disease, protection of medical personnel against infection and possibilities of ventilation treatment.
Even though universally valid, evidence syntheses should be actively brought to the target audience, especially during a health crisis such as the COVID-19 pandemic with its exceptional challenges including lack of time and uncertainties in patient care. The contents should be clear, short (short versions, algorithms) and with free access. E‑mail newsletters, websites or medical journals should continuously report on new evidence syntheses. Professional societies and the governmental institute for infections and public health should be involved in dissemination due to their obvious trustworthiness.
在新冠疫情背景下，德国CEOsys项目（COVID-19证据生态系统，www.covid-evidenz.de ）识别、评估并总结科学研究结果，以获取关于该疾病的证据。证据综合分析用于得出临床实践的具体建议，并为国家指南提供参考。除了在疫情期间进行高质量证据综合分析的必要性外，同样重要的是证据的传播需要快速且高效，尤其是在健康危机期间。CEOsys项目给自己设定了这一挑战。
作为CEOsys项目任务的一部分，准备最合适的证据综合分析传播方式。
通过分类和自由文本问题对德国重症监护病房（ICU）人员进行调查。调查聚焦于以下主题：证据综合分析、传播渠道和策略、反馈可能性、传播的结构和障碍以及各组织的可信度。记录了职业、资质、机构设置和规模。问卷在所有被调查职业（医生、护士、其他人员）中进行了预测试。调查通过SosciSurvey®在线匿名进行，并直接向940个地址发送了电子邮件。调查于12月3日启动，14天后发送了提醒，于12月31日结束。调查也通过DIVI以电子邮件形式进行了通知。
317名受访者中有200人完成了问卷。所有信息都进行了分析，包括不完整问卷的回复。最常提到的障碍是时间不足和获取困难。特别是没有重症监护专业的住院医生和护士提到，在处理证据综合分析方面存在不确定性或经验不足是一个障碍。显然更倾向于积极传播证据综合分析。超过一半的参与者选择公共机构网站、医学期刊、专业协会和电子邮件时事通讯来关注新的证据综合分析。简短版本、算法和网络研讨会是最受欢迎的传播策略。在提供关于新冠疫情信息的组织中，专业协会和德国负责感染与公共卫生的政府机构罗伯特·科赫研究所（RKI）获得了受访者的信任。受访者优先关注的主题是该疾病的长期后果、医护人员的感染防护以及通气治疗的可能性。
即使证据综合分析具有普遍有效性，但也应积极向目标受众传播，尤其是在像新冠疫情这样的健康危机期间，它带来了诸如时间不足和患者护理存在不确定性等特殊挑战。内容应清晰、简短（简短版本、算法）且可免费获取。电子邮件时事通讯、网站或医学期刊应持续报道新的证据综合分析。由于专业协会和负责感染与公共卫生的政府机构具有明显的可信度，应让它们参与传播。
