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评估医疗保健专业人员关于减药的知识、态度和实践的工具:一项范围综述方案。

Instruments for assessing healthcare professionals' knowledge, attitudes and practices regarding deprescribing: a scoping review protocol.

作者信息

Modesto Ana Carolina Figueiredo, Lopes Luis Phillipe Nagem, Neiva Pantuzza Laís Lessa, Moura Mariana Del Grossi, de Oliveira Jardel Corrêa, Lopes Luciane Cruz

机构信息

Department of Pharmaceutical Sciences, University of Sorocaba, Sorocaba, Brazil.

Hospital das Clínicas - Universidade Federal de Goiás, Goiania, Brazil.

出版信息

BMJ Open. 2025 Jan 20;15(1):e095584. doi: 10.1136/bmjopen-2024-095584.

Abstract

OBJECTIVE

To map instruments for assessing healthcare professionals' knowledge, attitudes and practices regarding deprescribing.

INTRODUCTION

Deprescribing is essential for improving patient outcomes by managing polypharmacy, reducing fall risks and decreasing medication costs. However, there is a limited exploration of healthcare professionals' perspectives about deprescribing.

METHODS AND ANALYSIS

Studies involving healthcare professionals directly involved in the medication use process (nurses, pharmacists and physicians) will be included, while those in which it is not possible to identify the professional will be excluded. Any definition of deprescribing, as well as any stage of the deprescribing process, will be included, and those without a clear definition of deprescribing will be excluded. Studies employing instruments for assessing the knowledge, attitudes and practices of healthcare professionals regarding deprescribing, whether validated or not, will be included. Studies focusing on deprescribing algorithms will be excluded. Studies in any healthcare setting will be included. Data will be presented as absolute and relative frequencies, a world heatmap, heatmaps, bar plots or as a word cloud when appropriate.

ETHICS AND DISSEMINATION

The findings from this review will be discussed with stakeholders and healthcare professionals directly involved in deprescribing processes. Additionally, the results will be disseminated through publications and conference presentations.

PROTOCOL REGISTRATION

https://osf.io/tgjyc/.

摘要

目的

绘制用于评估医疗保健专业人员关于减药的知识、态度和实践的工具。

引言

减药对于通过管理多重用药、降低跌倒风险和降低药物成本来改善患者结局至关重要。然而,对医疗保健专业人员关于减药的观点的探索有限。

方法与分析

将纳入涉及直接参与用药过程的医疗保健专业人员(护士、药剂师和医生)的研究,而无法确定专业人员的研究将被排除。减药的任何定义以及减药过程的任何阶段都将被纳入,而没有明确减药定义的研究将被排除。将纳入采用评估医疗保健专业人员关于减药的知识、态度和实践的工具的研究,无论其是否经过验证。专注于减药算法的研究将被排除。将纳入任何医疗保健环境中的研究。数据将视情况以绝对和相对频率、世界热图、热图、柱状图或词云的形式呈现。

伦理与传播

本综述的结果将与利益相关者以及直接参与减药过程的医疗保健专业人员进行讨论。此外,结果将通过出版物和会议报告进行传播。

方案注册

https://osf.io/tgjyc/。

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