医院临床路径应用体验：质量改进人员视角。
Experiences of using clinical pathways in hospitals: Perspectives of quality improvement personnel.
机构信息
Kyung Hee University College of Nursing Science, Seoul, South Korea.
National Evidence-Based Healthcare Collaborating Agency, Seoul, South Korea.
出版信息
Nurs Open. 2023 Jan;10(1):337-348. doi: 10.1002/nop2.1309. Epub 2022 Aug 19.
AIM
This study aimed to explore the experiences of quality improvement personnel in implementing clinical pathways (CPs) in Korean hospitals.
DESIGN
A qualitative study using focus-group interviews was conducted with healthcare professionals in charge of CP development and management in hospitals.
METHODS
Sixteen quality improvement personnel from eight tertiary and seven general hospitals were recruited using purposive sampling. The verbatim transcribed data were analysed using qualitative content analysis.
RESULTS
Three key themes emerged: (1) the primary focus of CP development on surgeries through concerted efforts between management and frontline healthcare professionals; (2) CP fidelity management using indicators and feedback to relevant staff or departments; and (3) positive outcomes, despite concerns about system safety. The factors affecting CP use included availability of clinical evidence, flexibility of CPs, top management and clinical leadership, physicians' perceptions of CPs, computerized support systems, and external policies and regulations.
目的
本研究旨在探讨韩国医院质量改进人员实施临床路径（CPs）的经验。
设计
采用焦点小组访谈法，对负责医院 CPs 开发和管理的医疗保健专业人员进行定性研究。
方法
通过目的性抽样，从 8 家三级医院和 7 家普通医院招募了 16 名质量改进人员。对逐字记录的转录数据进行定性内容分析。
结果
出现了三个主要主题：（1）管理部门与一线医疗保健专业人员共同努力，将 CPs 开发的重点放在手术上；（2）使用指标和反馈对相关人员或部门进行 CPs 保真度管理；（3）尽管对系统安全性存在担忧，但仍取得了积极成果。影响 CPs 使用的因素包括临床证据的可用性、CPs 的灵活性、高层管理和临床领导力、医生对 CPs 的看法、计算机支持系统以及外部政策和法规。
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