Rib Fixation for Multiple Rib Fractures: Healthcare Professionals Perceived Barriers and Facilitators to Clinical Implementation.
Journal
World journal of surgery
ISSN: 1432-2323
Titre abrégé: World J Surg
Pays: United States
ID NLM: 7704052
Informations de publication
Date de publication:
07 2023
07 2023
Historique:
accepted:
24
02
2023
medline:
1
6
2023
pubmed:
5
4
2023
entrez:
4
4
2023
Statut:
ppublish
Résumé
Surgical stabilization of rib fractures (SSRF) is associated with improved respiratory symptoms and shorter intensive care admission in patients with flail chest. For multiple rib fractures, the benefit of SSRF remains a topic of debate. This study investigated barriers and facilitators of healthcare professionals to SSRF as treatment for multiple traumatic rib fractures. Dutch healthcare professionals were asked to complete an adapted version of the Measurement Instrument for Determinants of Innovations questionnaire to identify barriers and facilitators of SSRF. If ≥ 20% of participants responded negatively, the item was considered a barrier, and if ≥ 80% responded positively, the item was considered a facilitator. Sixty-one healthcare professionals participated; 32 surgeons, 19 non-surgical physicians, and 10 residents. The median experience was 10 years (P For adequate implementation of SSRF in patients with multiple rib fractures, implementation strategies should address the identified barriers. Especially, improved clinical experience and scientific knowledge of healthcare professionals, and high-level evidence on the (cost-) effectiveness of SSRF potentially increase its use and acceptance.
Sections du résumé
BACKGROUND
Surgical stabilization of rib fractures (SSRF) is associated with improved respiratory symptoms and shorter intensive care admission in patients with flail chest. For multiple rib fractures, the benefit of SSRF remains a topic of debate. This study investigated barriers and facilitators of healthcare professionals to SSRF as treatment for multiple traumatic rib fractures.
METHODS
Dutch healthcare professionals were asked to complete an adapted version of the Measurement Instrument for Determinants of Innovations questionnaire to identify barriers and facilitators of SSRF. If ≥ 20% of participants responded negatively, the item was considered a barrier, and if ≥ 80% responded positively, the item was considered a facilitator.
RESULTS
Sixty-one healthcare professionals participated; 32 surgeons, 19 non-surgical physicians, and 10 residents. The median experience was 10 years (P
CONCLUSION
For adequate implementation of SSRF in patients with multiple rib fractures, implementation strategies should address the identified barriers. Especially, improved clinical experience and scientific knowledge of healthcare professionals, and high-level evidence on the (cost-) effectiveness of SSRF potentially increase its use and acceptance.
Identifiants
pubmed: 37014429
doi: 10.1007/s00268-023-06973-y
pii: 10.1007/s00268-023-06973-y
pmc: PMC10229739
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1692-1703Investigateurs
Taco J Blokhuis
(TJ)
Erik R De Loos
(ER)
Elvira R Flikweert
(ER)
Albert F Pull Ter Gunne
(AFP)
Akkie N Ringburg
(AN)
W Richard Spanjersberg
(WR)
Gerben Van der Bij
(G)
Floortje C Van Eijck
(FC)
Pieter J Van Huijstee
(PJ)
Gust Van Montfort
(G)
Jefrey Vermeulen
(J)
Dagmar I Vos
(DI)
Informations de copyright
© 2023. The Author(s).
Références
Eur J Trauma Emerg Surg. 2017 Apr;43(2):163-168
pubmed: 27572897
BMC Health Serv Res. 2019 Jul 8;19(1):461
pubmed: 31286954
Am Surg. 2014 Jun;80(6):527-35
pubmed: 24887787
Int J Qual Health Care. 2014 Oct;26(5):501-10
pubmed: 24951511
J Trauma Acute Care Surg. 2017 Mar;82(3):618-626
pubmed: 28030502
Aust N Z J Surg. 1996 Aug;66(8):530-4
pubmed: 8712986
Eur J Trauma Emerg Surg. 2019 Aug;45(4):655-663
pubmed: 30341561
J Bone Joint Surg Am. 2011 Jan 5;93(1):97-110
pubmed: 21209274
J Trauma Acute Care Surg. 2020 Feb;88(2):e40-e45
pubmed: 31590175
J Trauma. 1994 Dec;37(6):975-9
pubmed: 7996614
Am J Surg. 2019 Dec;218(6):1122-1127
pubmed: 31587807
World J Emerg Surg. 2019 Jul 30;14:38
pubmed: 31384292
Surgery. 2022 Jul;172(1):404-409
pubmed: 34969527
J Trauma Acute Care Surg. 2020 Feb;88(2):249-257
pubmed: 31804414
J Trauma Acute Care Surg. 2022 Mar 1;92(3):588-596
pubmed: 34882599
Cochrane Database Syst Rev. 2015 Apr 29;(4):CD005470
pubmed: 25923419
Ann Surg. 2013 Dec;258(6):914-21
pubmed: 23511840
Am J Surg. 2015 Dec;210(6):1112-6; discussion 1116-7
pubmed: 26454653
Injury. 2015 Jan;46(1):61-5
pubmed: 25069400
Psychiatry Res. 2020 Jan;283:112376
pubmed: 31036287
Int J Surg. 2011;9(6):478-81
pubmed: 21763475
J Gen Intern Med. 2021 Oct;36(10):3179-3187
pubmed: 33886027
Int J Clin Exp Med. 2015 May 15;8(5):7930-6
pubmed: 26221350
Age Ageing. 2022 Aug 2;51(8):
pubmed: 35930725
Implement Sci. 2013 Dec 01;8:139
pubmed: 24289295
Psychooncology. 2017 Jul;26(7):951-959
pubmed: 27502744
J Trauma Acute Care Surg. 2022 Jun 1;92(6):1047-1053
pubmed: 35081599
J Trauma. 2009 Mar;66(3):875-9
pubmed: 19276767
Eur J Trauma Emerg Surg. 2017 Aug;43(4):541-547
pubmed: 27272917
Am J Surg. 2022 Feb;223(2):410-416
pubmed: 33814108
Cochrane Database Syst Rev. 2015 Jul 29;(7):CD009919
pubmed: 26222250
BMJ Open. 2019 Aug 27;9(8):e023660
pubmed: 31462458
BMC Palliat Care. 2018 Feb 12;17(1):23
pubmed: 29433576