PDF(Pubmed)
Abstract：
BACKGROUND: A growing body of evidence has demonstrated that a gender-sensitive approach to healthcare is needed in all areas of medicine. Although medical and nursing guidelines include gender-sensitive care (GSC+) recommendations, the level of implementation in health care practice is unknown. This study aims to examine the current level of implementation and acceptance of GSC+ among physicians and nurses and to identify potential gaps between guidelines and practice and barriers and facilitators of GSC+ implementation, taking the perceptions of all relevant stakeholders into account. The overarching aim is to develop holistic recommended actions to strengthen GSC+.
METHODS: This study has a mixed methods triangulation design. The preparation phase consisting of a literature review and a two-part (qualitative and quantitative) data analysis will be conducted in the cardiology department of 9 pilot hospitals in Berlin, North Rhine-Westphalia, Lower Saxony, Rhineland-Palatinate, Germany. 18 focus groups with clinicians and nurses as well as interviews with experts in other relevant fields will be performed. In the national roll-out phase, a questionnaire survey will be conducted with hospital clinicians (n = 382), nurses (n = 386) and patients (n = 388).
CONCLUSIONS: This study will provide comprehensive insights into the implementation and acceptance of GSC+ in cardiology from the perspective of doctors, nurses, patients, stakeholders and experts in relevant fields, such as policy and education. A focus will also be on the extent to which age or gender of health professionals, region and hospital type influence the implementation of GSC+. The identification of GSC+ implementation barriers and facilitators should help to improve the standard of care for cardiology patients of all genders. The outcomes from this study can be used to develop measures and recommended actions for the successful and sustainable implementation of gender-sensitive care.
BACKGROUND: The study is registered in the German Register of Clinical Studies (DRKS) under study number DRKS00031317.
METHODS: This study has a mixed methods triangulation design. The preparation phase consisting of a literature review and a two-part (qualitative and quantitative) data analysis will be conducted in the cardiology department of 9 pilot hospitals in Berlin, North Rhine-Westphalia, Lower Saxony, Rhineland-Palatinate, Germany. 18 focus groups with clinicians and nurses as well as interviews with experts in other relevant fields will be performed. In the national roll-out phase, a questionnaire survey will be conducted with hospital clinicians (n = 382), nurses (n = 386) and patients (n = 388).
CONCLUSIONS: This study will provide comprehensive insights into the implementation and acceptance of GSC+ in cardiology from the perspective of doctors, nurses, patients, stakeholders and experts in relevant fields, such as policy and education. A focus will also be on the extent to which age or gender of health professionals, region and hospital type influence the implementation of GSC+. The identification of GSC+ implementation barriers and facilitators should help to improve the standard of care for cardiology patients of all genders. The outcomes from this study can be used to develop measures and recommended actions for the successful and sustainable implementation of gender-sensitive care.
BACKGROUND: The study is registered in the German Register of Clinical Studies (DRKS) under study number DRKS00031317.
摘要：
背景：越来越多的证据表明，在所有医学领域都需要对性别敏感的医疗保健方法。尽管医疗和护理指南包括对性别问题敏感的护理(GSC+)建议，医疗保健实践中的实施水平未知.本研究旨在检查医生和护士对GSC+的实施和接受程度，并确定指南和实践之间的潜在差距以及GSC+实施的障碍和促进者。考虑到所有相关利益相关者的看法。总体目标是制定整体建议行动，以加强GSC+。
方法：本研究采用混合方法三角测量设计。由文献综述和两部分（定性和定量）数据分析组成的准备阶段将在柏林9家试点医院的心脏病学部门进行，北莱茵-威斯特法伦州,下萨克森州,莱茵兰-普法尔茨,德国。将与临床医生和护士进行18个焦点小组，并与其他相关领域的专家进行访谈。在全国推广阶段,将与医院临床医生进行问卷调查(n=382)，护士（n=386）和患者（n=388）。
结论：这项研究将从医生的角度为GSC+在心脏病学中的实施和接受提供全面的见解，护士,病人,相关领域的利益相关者和专家，比如政策和教育。还将重点关注卫生专业人员的年龄或性别，地区和医院类型影响GSC+的实施。确定GSC+实施障碍和促进者应有助于提高所有性别心脏病患者的护理标准。这项研究的结果可用于制定措施和建议行动，以成功和可持续地实施对性别问题有敏感认识的护理。
背景：该研究在德国临床研究注册中心（DRKS）注册，研究号为DRKS00031317。
方法：本研究采用混合方法三角测量设计。由文献综述和两部分（定性和定量）数据分析组成的准备阶段将在柏林9家试点医院的心脏病学部门进行，北莱茵-威斯特法伦州,下萨克森州,莱茵兰-普法尔茨,德国。将与临床医生和护士进行18个焦点小组，并与其他相关领域的专家进行访谈。在全国推广阶段,将与医院临床医生进行问卷调查(n=382)，护士（n=386）和患者（n=388）。
结论：这项研究将从医生的角度为GSC+在心脏病学中的实施和接受提供全面的见解，护士,病人,相关领域的利益相关者和专家，比如政策和教育。还将重点关注卫生专业人员的年龄或性别，地区和医院类型影响GSC+的实施。确定GSC+实施障碍和促进者应有助于提高所有性别心脏病患者的护理标准。这项研究的结果可用于制定措施和建议行动，以成功和可持续地实施对性别问题有敏感认识的护理。
背景：该研究在德国临床研究注册中心（DRKS）注册，研究号为DRKS00031317。
