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沙特阿拉伯利雅得急诊医学住院医师在床旁超声使用方面的障碍

Barriers to Point-of-Care Ultrasound Utilization Among Emergency Medicine Residents in Riyadh, Saudi Arabia.

作者信息

Abuguyan Fahad, Almasry Naief W, Alzahrani Ali A

机构信息

Emergency Medicine, College of Medicine, King Saud University, Riyadh, SAU.

Emergency Medicine, King Khalid University Hospital, Riyadh, SAU.

出版信息

Cureus. 2024 Jul 30;16(7):e65765. doi: 10.7759/cureus.65765. eCollection 2024 Jul.

Abstract

BACKGROUND

Point-of-care ultrasound (POCUS) is increasingly recognized as a valuable diagnostic tool in emergency medicine (EM). This study aimed to identify barriers to POCUS utilization among EM residents in the Riyadh region.

MATERIALS AND METHODS

An observational cross-sectional study was conducted among 116 EM residents from various training centers in Riyadh. Data were collected through self-administered questionnaires assessing demographics, ultrasound (US) training, perceived barriers, and facilitators to POCUS usage. Statistical analysis included descriptive statistics, multiple response dichotomy analysis, and multivariable linear regression.

RESULTS

The majority of residents had completed US training and recognized the importance of POCUS in emergency settings. However, significant barriers were identified, including time constraints and logistical challenges. Multivariable regression analysis revealed associations between residents' training status, beliefs in incentives, anticipated POCUS use, and perceived barriers.

CONCLUSION

This study highlights the importance of addressing barriers to POCUS integration into residency programs. Efforts should focus on optimizing training, addressing workflow challenges, and enhancing residents' confidence in POCUS utilization. Targeted interventions tailored to specific clinical contexts may facilitate greater acceptance and integration of POCUS into routine practice.

摘要

背景

即时超声检查(POCUS)在急诊医学(EM)中越来越被视为一种有价值的诊断工具。本研究旨在确定利雅得地区急诊医学住院医师在使用POCUS方面的障碍。

材料与方法

对来自利雅得各培训中心的116名急诊医学住院医师进行了一项观察性横断面研究。通过自我填写问卷收集数据,问卷内容包括人口统计学信息、超声(US)培训情况、感知到的障碍以及POCUS使用的促进因素。统计分析包括描述性统计、多响应二分法分析和多变量线性回归。

结果

大多数住院医师已完成超声培训,并认识到POCUS在急诊环境中的重要性。然而,也发现了一些重大障碍,包括时间限制和后勤挑战。多变量回归分析揭示了住院医师的培训状况、对激励措施的看法、预期的POCUS使用情况与感知到的障碍之间的关联。

结论

本研究强调了克服POCUS融入住院医师培训项目障碍的重要性。应努力优化培训、解决工作流程挑战,并增强住院医师对POCUS使用的信心。针对特定临床背景的有针对性干预措施可能有助于POCUS更广泛地被接受并融入常规实践。

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