Facilitating and Inhibiting Factors of Clinical Knowledge Sharing among Medical Specialists in University Hospitals.

IF 1.7 Q2 MEDICINE, GENERAL & INTERNAL
International Journal of Preventive Medicine Pub Date : 2024-01-30 eCollection Date: 2023-01-01 DOI:10.4103/ijpvm.ijpvm_143_23
Elaheh Mazaheri, Mousa Alavi, Rahele Samouei, Hasan Ashrafi-Rizi
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引用次数: 0

Abstract

Background: 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.

Methods: 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.

Results: 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.

Conclusions: 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.

大学医院专科医生临床知识共享的促进因素和抑制因素。
背景: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。它还为参与临床过程的医院、教育和治疗中心提供了一个高效的系统,以便做出最佳的临床决策。本研究的目的是确定促进和抑制伊朗教育治疗医院医学专家CKS的因素:这是一项应用性定性研究,采用传统的内容分析法,于 2022 年进行。数据收集工具为半结构式访谈。通过有目的的 "滚雪球 "式抽样,选取了 13 名在伊朗教育治疗医院工作的医学专家和亚专家作为研究对象。数据分析方法采用了 Graneheim 和 Lundman 的五步法,即编码、子类别、主类别和分类:经过访谈和内容评估,最终提取了 193 个代码,并将其分为促进因素和抑制因素两大类,分别有 92 个和 101 个概念。促进因素分为 "文化、社会和大学背景下的教育"、"规划和实施管理"、"行为-动机因素 "三大类,抑制因素分为 "基础设施、决策和文化挑战"、"技术和科学基础设施挑战"、"个性-行为挑战"、"经济和非经济动机 "四大类:参与研究的人员指出,中肯的知识共享在使他们掌握最新的诊断、治疗甚至药物处方方法方面发挥了有效作用。他们认为,临床环境中的知识共享(KS)将减少诊断错误,从根本上预防疾病,并增加社会成员的知识和意识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
International Journal of Preventive Medicine
International Journal of Preventive Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
3.20
自引率
4.80%
发文量
107
期刊介绍: International Journal of Preventive Medicine, a publication of Isfahan University of Medical Sciences, is a peer-reviewed online journal with Continuous print on demand compilation of issues published. The journal’s full text is available online at http://www.ijpvmjournal.net. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository. The journal will cover technical and clinical studies related to health, ethical and social issues in field of Preventive Medicine. Articles with clinical interest and implications will be given preference.
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