METHODS: Semi-structured interviews were completed with surgical consultants and registrars at a single institution in South West England. The interview topic guide was informed by a review of the published literature, which identified barriers to adopting evidence into surgical practice. Interview transcripts underwent thematic analysis with themes identified following discussions within the research team, exploring views on published data and clinical practise.
RESULTS: Nine interviews with general surgical and urological consultants as well as registrars in training were performed. Three themes were identified; \'Trusting the Evidence & Critical Appraisal\', \'Surgical Attitude to Risk\' and \'Adopting Evidence in Practise\', that reflected barriers to the introduction of evidenced based practise to clinical work.
CONCLUSIONS: Identification of the themes highlights possible areas for intervention to decrease the adoption time for evidence, for example from randomised controlled trials. The continued updating of clinical practise allows clinicians to provide best evidenced based care for patients and improve their outcomes.
方法:在英格兰西南部的一个机构中与外科顾问和注册师进行了半结构化访谈。采访主题指南是通过对已发表文献的回顾得出的,确定了将证据应用于外科实践的障碍。访谈笔录进行了主题分析,主题是在研究团队内部讨论后确定的,探索对已发表数据和临床实践的看法。
结果:对普外科和泌尿外科顾问以及培训注册人员进行了9次访谈。确定了三个主题;“信任证据和关键评估”,\“对风险的手术态度\”和\“在实践中采用证据\”,这反映了将证据基础实践引入临床工作的障碍。
结论:主题的确定突出了干预的可能领域,以减少采用证据的时间,例如来自随机对照试验。临床实践的不断更新使临床医生能够为患者提供最佳的循证护理并改善其结果。