Barriers and Solutions in Implementing Evidence-Based Recommendations to Prevent Intraoperative Inadvertent Hypothermia: A Qualitative Study.

IF 0.8 4区医学 Q4 CRITICAL CARE MEDICINE Therapeutic hypothermia and temperature management Pub Date : 2024-12-01 Epub Date: 2023-11-17 DOI:10.1089/ther.2023.0052

Ozlem Sahin Akboga, Yesım Dikmen Aydin

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Abstract

In this study, it was aimed to understand the barriers and solutions for operating room (OR) nurses and anesthesiologists to implement evidence-based recommendations to prevent intraoperative inadvertent hypothermia (IIH). A qualitative, inductive, and descriptive study was conducted. This qualitative interview study was conducted face-to-face with 19 participants working in OR units between February and March 2023. The interviews were analyzed using qualitative content analysis. The COREQ checklist was followed. Two main themes and five sub-themes were identified as a result of content analysis. According to the participants, barriers to IIH prevention interventions are caused by individual and organizational inefficiencies and personal opinions, and the main solution is education. Participants reported many factors that hinder IIH prevention practices. The individual characteristics of OR staff and the opinions and behavior of the institution are very important for IIH prevention.

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实施循证建议预防术中意外低温的障碍和解决方案:一项定性研究。

本研究旨在了解手术室(OR)护士和麻醉师实施以证据为基础的建议以预防术中意外性低温(IIH)的障碍和解决方案。进行了定性、归纳和描述性研究。这项定性访谈研究是在2023年2月至3月期间对19名在手术室工作的参与者进行面对面访谈。访谈采用定性内容分析进行分析。遵循COREQ检查表。通过内容分析，确定了两个主题和五个分主题。与会者认为，IIH预防干预的障碍是由个人和组织的效率低下和个人意见造成的，主要解决办法是教育。参与者报告了许多阻碍IIH预防实践的因素。手术室工作人员的个人特征以及机构的意见和行为对IIH的预防非常重要。

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来源期刊

Therapeutic hypothermia and temperature management CRITICAL CARE MEDICINE-

CiteScore

2.50

自引率

8.30%

发文量

期刊介绍： Therapeutic Hypothermia and Temperature Management is the first and only journal to cover all aspects of hypothermia and temperature considerations relevant to this exciting field, including its application in cardiac arrest, spinal cord and traumatic brain injury, stroke, burns, and much more. The Journal provides a strong multidisciplinary forum to ensure that research advances are well disseminated, and that therapeutic hypothermia is well understood and used effectively to enhance patient outcomes. Novel findings from translational preclinical investigations as well as clinical studies and trials are featured in original articles, state-of-the-art review articles, protocols and best practices. Therapeutic Hypothermia and Temperature Management coverage includes: Temperature mechanisms and cooling strategies Protocols, risk factors, and drug interventions Intraoperative considerations Post-resuscitation cooling ICU management.