1. Do Checklist-Induced Behavioral Changes Improve Self-Confidence in Fundoscopic Examination? A Mixed-Methods Study
- Author
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Akiko Ikegami, Tomoko Tsukamoto, Yoshiyuki Ohira, Kazutaka Noda, Masatomi Ikusaka, Daiki Yokokawa, Takanori Uehara, and Kiyoshi Shikino
- Subjects
medicine.medical_specialty ,business.industry ,Visual analogue scale ,media_common.quotation_subject ,education ,General Medicine ,030204 cardiovascular system & hematology ,University hospital ,Grounded theory ,Confidence interval ,Checklist ,03 medical and health sciences ,0302 clinical medicine ,Self-confidence ,030220 oncology & carcinogenesis ,Physical therapy ,medicine ,business ,media_common ,Healthcare system - Abstract
Purpose Fundoscopic exams are conducted during outpatient consultations to assess intracranial disease and complications from chronic diseases. Low level of confidence in these skills which physicians have is one of the causes that implementation frequency is low. Research has not yet identified specific measures through which the healthcare system may increase the implementation of fundoscopic exams nor a qualitative process that enables physicians to gain confidence in their fundoscopic exam skills. We introduced a checklist and conducted a mixed-methods study. Methods This study is a before-and-after study, within an embedded-experimental mixed-methods design. We sampled 15 physicians in the department of general medicine at a university hospital assigned to initial consultation. We introduced a checklist to verify whether the fundoscopic exam was implemented. Measures are implementation ratio of the fundoscopic exam to the total number of indication cases, and Visual Analog Scale (VAS) values for the confidence in procedure are measured before and after the intervention. We obtained qualitative data from interviews and used the Modified Grounded Theory Approach. Results We observed significant increases in the implementation ratio (19.2% (29/151 cases) vs 64.8% (105/162 cases), p and , which is prevented by the checklist. The leads to a . Repeated executions result in . Conclusion The intervention increased the implementation ratio, thereby increasing successful experiences and confidence among physicians. The growth of confidence boosted motivations to implement fundoscopic exams. more...
- Published
- 2020
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