Mazaheri Elaheh, Alavi Mousa, Samouei Rahele, Ashrafi-Rizi Hasan
Student Research Committee, Health Information Technology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Int J Prev Med. 2024 Jan 30;14:132. doi: 10.4103/ijpvm.ijpvm_143_23. eCollection 2023.
Clinical knowledge sharing (CKS) is one of the key points of knowledge management in the field of health and significantly increases the quality of care and patient safety. It also provides the achievement of an efficient system in hospitals and educational and treatment centers involved in clinical processes in order to make the best clinical decisions. The purpose of this research is to identify the factors that facilitate and inhibit CKS among medical specialists in the educational-treatment hospitals in Iran.
This was an applied qualitative study with the conventional content analysis method conducted in 2022. The data collection tool was a semi-structured interview. The participants were 13 medical specialists and sub-specialists working in educational-treatment hospitals of the country, who were selected by purposeful and snowball sampling. The method of data analysis was based on Graneheim and Lundman's five-step method, which was followed by codes, sub-categories, main categories, and classifications.
After conducting the interviews and assessing their content, finally, 193 codes were extracted, which were identified in two general classification of facilitating and inhibiting factors with 92 and 101 concepts, respectively. Facilitating factors in the three main categories of "education in the context of culture, society and university", "planning and implementation management", and "behavioral-motivational factors" and inhibiting factors in the four main categories of "infrastructural, policy-making and cultural challenges", "technological and scientific infrastructural challenges", "personality-behavioral challenges", and "financial and non-financial motivations" were classified.
The participants of the research pointed out the effective role of CKS in keeping them up-to-date in the use of diagnostic, therapeutic, and even drug prescribing methods. According to their belief, knowledge sharing (KS) in the clinical setting will reduce diagnostic errors and cause the primordial prevention of diseases as well as increase the knowledge and awareness of the society members.
临床知识共享（CKS）是卫生领域知识管理的关键点之一，能显著提高医疗质量和患者安全。它还能在医院以及参与临床过程的教育和治疗中心实现高效系统，以便做出最佳临床决策。本研究的目的是确定伊朗教育治疗医院的医学专家中促进和抑制临床知识共享的因素。
这是一项于2022年采用传统内容分析法进行的应用定性研究。数据收集工具是半结构化访谈。参与者是该国教育治疗医院的13名医学专家和亚专科医生，通过目的抽样和滚雪球抽样选取。数据分析方法基于格兰海姆和伦德曼的五步方法，之后是编码、子类别、主要类别和分类。
在进行访谈并评估其内容后，最终提取了193个编码，分别在促进因素和抑制因素的两个总体分类中确定，促进因素有92个概念，抑制因素有101个概念。促进因素分为“文化、社会和大学背景下的教育”“规划与实施管理”“行为动机因素”这三个主要类别，抑制因素分为“基础设施、政策制定和文化挑战”“技术和科学基础设施挑战”“个性行为挑战”“财务和非财务动机”这四个主要类别。
研究参与者指出临床知识共享在使他们了解诊断、治疗甚至药物处方方法的最新情况方面发挥了有效作用。根据他们的信念，临床环境中的知识共享（KS）将减少诊断错误，实现疾病的一级预防，并提高社会成员的知识和意识。
