General practitioners' knowledge of leg ulcer treatment in primary healthcare: an interview study.
General practitioners' knowledge of leg ulcer treatment in primary healthcare: an interview study.
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DOI：
10.1017/s1463423620000274
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发表时间：
2020-09-24
影响因子：
1.6
通讯作者：
Edelbring S
中科院分区：
文献类型：
--
作者：
Friman A;Wiegleb Edström D;Ebbeskog B;Edelbring S
描述全科医生（GP）在初级医疗保健中心治疗腿部溃疡患者时对腿部溃疡治疗的知识及其知识发展。早期关于全科医生在初级卫生保健背景下腿部溃疡治疗知识的研究主要集中在伤口评估和伤口护理产品知识上。关于全科医生在日常临床背景下对自己的知识和知识发展的理解，我们所知甚少。因此，本研究从全科医生的角度出发，突出这些方面。半结构化的采访进行了16个人的全科医生在私人和县理事会运行的医疗中心工作。使用主题分析法对数据进行归纳分析。确定了四个主题。“教育和培训”描述了全科医生对腿部溃疡治疗相关知识和知识发展的看法。“经验”是指全科医生在治疗腿部溃疡时对临床经验重要性的看法。“优先级”描述了全科医生在临床工作中围绕管理不同知识领域提出的问题。“时间限制”探讨全科医生的时间压力感和他们参加专业发展课程的机会之间的关系。这项研究表明，在初级保健工作的全科医生都知道需要不断发展能力有关腿部溃疡。他们说，他们目前对腿部溃疡治疗的知识不足，并指出缺乏适合他们知识水平的相关课程，临床培训机会有限。
To describe general practitioners’ (GPs’) knowledge and the development of their knowledge regarding leg ulcer treatment when treating patients with leg ulceration at primary healthcare centers. Earlier research regarding GPs’ knowledge of leg ulcer treatment in a primary healthcare context has focused primarily on the assessment of wounds and knowledge of wound care products. Less is known about GPs’ understandings of their own knowledge and knowledge development regarding leg ulceration in the everyday clinical context. This study, therefore, sets out to highlight these aspects from the GPs’ perspective. Semi-structured interviews were conducted with 16 individual GPs working at both private and county council run healthcare centers. The data were analyzed inductively using a thematic analysis. Four themes were identified. ‘Education and training’ describe the GPs’ views regarding their knowledge and knowledge development in relation to leg ulcer treatment. ‘Experience’ refers to GPs’ thoughts about the importance of clinical experience when treating leg ulcers. ‘Prioritization’ describes the issues GPs raised around managing the different knowledge areas in their clinical work. ‘Time constraints’ explore the relationship between GPs’ sense of time pressure and their opportunities to participate in professional development courses. The study shows that the GPs working in primary healthcare are aware of the need for ongoing competence development concerning leg ulceration. They describe their current knowledge of leg ulcer treatment as insufficient and point to the lack of relevant courses that are adapted for their level of knowledge and the limited opportunities for clinical training.