{"id":33237,"date":"2024-11-01T16:08:50","date_gmt":"2024-11-01T16:08:50","guid":{"rendered":"https:\/\/bnssghealthiertogether.org.uk\/?page_id=33237"},"modified":"2025-01-16T21:58:58","modified_gmt":"2025-01-16T21:58:58","slug":"increasing-awareness-training-in-and-use-of-the-left-lateral-cervical-screening-position-in-primary-care-increasing-choice-and-supporting-implementation-of-clinical-guidelines","status":"publish","type":"page","link":"https:\/\/bnssghealthiertogether.org.uk\/ro\/integrated-care-board\/research-and-evidence\/our-research-portfolio\/nihr-funded-projects\/increasing-awareness-training-in-and-use-of-the-left-lateral-cervical-screening-position-in-primary-care-increasing-choice-and-supporting-implementation-of-clinical-guidelines\/","title":{"rendered":"Cre\u0219terea con\u0219tientiz\u0103rii, instruirii \u0219i utiliz\u0103rii pozi\u021biei de screening cervicale laterale st\u00e2ngi \u00een asisten\u021ba medical\u0103 primar\u0103: Cre\u0219terea op\u021biunilor \u0219i sprijinirea implement\u0103rii ghidurilor clinice"},"content":{"rendered":"<div class=\"assembler_default-group assembler_module_group assembler_default-group_1 assembler_module_group_1\"><div class=\"assembler_module_area assembler_module_area_1\"><div class=\"assembler_text-module assembler_module assembler_text-module_1 assembler_module_1  transparent\"><a tabindex=\"-1\" title=\"Sec\u021biunea intitulat\u0103 modul-1\" id=\"module-1\" href=\"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages\/33237\/#module-1\" class=\"anchor\"><span class=\"hidden\">Sec\u021biunea intitulat\u0103 modul-1<\/span><\/a><!-- Template found for text-module - Template: template-text - Matched: _only --><section class=\"w-full mx-auto max-w-content pt-12 sm:pt-24 pb-12 sm:pb-24\">\r\n  <div class=\"entry-content w-full !px-0 max-w-small\">\r\n        <h1>Cre\u0219terea con\u0219tientiz\u0103rii, instruirii \u0219i utiliz\u0103rii pozi\u021biei de screening cervicale laterale st\u00e2ngi \u00een asisten\u021ba medical\u0103 primar\u0103: Cre\u0219terea op\u021biunilor \u0219i sprijinirea implement\u0103rii ghidurilor clinice<\/h1>\n<p>&nbsp;<\/p>\n<h2>Finan\u021bare<\/h2>\n<p>Institutul Na\u021bional pentru Cercetare \u00een S\u0103n\u0103tate \u0219i \u00cengrijire (NIHR) Cercetare \u00een Beneficiul Pacientului (RfPB) Ref. NIHR 204301<\/p>\n<h2>Care este \u00eentrebarea de cercetare?<\/h2>\n<p>Furnizarea de informa\u021bii despre op\u021biunile lor de screening persoanelor eligibile pentru screening \u0219i sprijinirea practicilor pentru implementarea noii pozi\u021bii va \u00eembun\u0103t\u0103\u021bi rata de acceptare \u0219i experien\u021ba \u00een domeniul screeningului cervical?<\/p>\n<h2>Care este problema?<\/h2>\n<p>Screeningul cervical sau testele frotiu sunt importante pentru detectarea unui virus sau a unor modific\u0103ri celulare care pot duce la cancer. Persoanele cu col uterin sunt invitate la testare \u00eentre 25 \u0219i 64 de ani \u0219i ulterior, c\u00e2nd se constat\u0103 rezultate anormale anterioare.<\/p>\n<p>Testarea tradi\u021bional\u0103 necesit\u0103 ca pacientul s\u0103 stea \u00eentins pe spate cu genunchii \u00eendoi\u021bi \u0219i dep\u0103rta\u021bi, astfel \u00eenc\u00e2t medicul s\u0103 poat\u0103 preleva o mostr\u0103. Unele persoane raporteaz\u0103 c\u0103 testul este degradant, jenant, anxiogen \u0219i inconfortabil.<\/p>\n<p>De asemenea, persoanele care au suferit traume sexuale declar\u0103 c\u0103 testul le face s\u0103 se simt\u0103 vulnerabile, iar la femeile care, din motive culturale, \u00ee\u0219i fac circumcizia genital\u0103, expunerea p\u0103r\u021bilor corpului duce la jen\u0103 \u0219i anxietate. Aceste probleme contribuie la reducerea constant\u0103 a num\u0103rului de persoane care particip\u0103 la screening.<\/p>\n<p>\u00cen 2020, ghidurile na\u021bionale au inclus noua pozi\u021bie de testare lateral\u0103 st\u00e2ng\u0103 (LLTP), iar tuturor persoanelor care se prezint\u0103 pentru screening cervical ar trebui s\u0103 li se ofere acum ambele pozi\u021bii.<\/p>\n<p>\u00cen noua pozi\u021bie, pacientul se afl\u0103 pe partea st\u00e2ng\u0103, similar cu \u2018pozi\u021bia de recuperare\u2019, cu picioarele u\u0219or dep\u0103rtate. Pozi\u021bia LLTP este la fel de eficient\u0103, expune mai pu\u021bin \u0219i poate fi mai confortabil\u0103, \u00eencuraj\u00e2nd mai multe persoane s\u0103 participe la screening. Cu toate acestea, cercet\u0103rile noastre au ar\u0103tat c\u0103 pacien\u021bii nu sunt con\u0219tien\u021bi de aceast\u0103 pozi\u021bie, iar medicii nu o ofer\u0103.<\/p>\n<h2>Care este scopul cercet\u0103rii?<\/h2>\n<p>S\u0103 investigheze dac\u0103 furnizarea persoanelor eligibile pentru screening a informa\u021biilor despre op\u021biunile lor de screening \u0219i a practicilor de sprijin pentru implementarea noii pozi\u021bii \u00eembun\u0103t\u0103\u021be\u0219te rata de acceptare \u0219i experien\u021ba \u00een domeniul screeningului cervical.<\/p>\n<h2>Cum se va realiza acest lucru?<\/h2>\n<p>Vom evalua cum func\u021bioneaz\u0103 introducerea noii pozi\u021bii \u00een practic\u0103, \u00eentreb\u00e2ndu-ne ce func\u021bioneaz\u0103, pentru cine, cum \u0219i de ce?<\/p>\n<p>Vor fi trei faze (P):<\/p>\n<ul>\n<li>P1: Vom organiza ateliere de co-proiectare pentru a crea informa\u021bii despre alegerea op\u021biunilor de screening, pentru a ne asigura c\u0103 limbajul este accesibil \u0219i acceptabil \u0219i pentru a determina modul \u00een care oamenii ar dori s\u0103 primeasc\u0103 informa\u021bii din practica lor. Vom investiga orice dificult\u0103\u021bi \u00een implementarea noii pozi\u021bii \u00een practic\u0103.<\/li>\n<li>P2: Analiza dovezilor \u0219i grupuri de discu\u021bii pentru a \u00een\u021belege cum ar putea func\u021biona noua pozi\u021bie \u00een practic\u0103<\/li>\n<li>P3: Lucr\u00e2nd cu 13 centre de medici generali\u0219ti pe o perioad\u0103 de aproximativ 9 luni, vom testa dac\u0103 \u00eei sprijinim \u00een informarea pacien\u021bilor cu privire la op\u021biunile lor de screening \u0219i dac\u0103 \u00eei ajut\u0103m pe medici s\u0103 ofere noul post, dac\u0103 \u00eencuraj\u0103m mai multe persoane s\u0103 fie examinate, s\u0103 \u00ee\u0219i aleag\u0103 postul \u0219i dac\u0103 \u00eembun\u0103t\u0103\u021bim experien\u021ba pacien\u021bilor. Vom colecta date din cabinet cu privire la rata de screening \u0219i pozi\u021bia \u00eenainte de a \u00eencepe studiul \u0219i apoi din nou la final pentru a vedea cum influen\u021beaz\u0103 cercetarea noastr\u0103 screeningul \u00een practic\u0103. De asemenea, vom chestiona participan\u021bii pentru a le \u00een\u021belege experien\u021ba \u0219i vom intervieva unii membri ai personalului \u0219i pacien\u021bi pentru a \u00een\u021belege dac\u0103\/cum\/de ce func\u021bioneaz\u0103 testul \u00een practic\u0103.<\/li>\n<\/ul>\n<h2>Cine conduce Cercetarea?<\/h2>\n<p>Profesor Nicola Walsh, profesor de mobilizare a cuno\u0219tin\u021belor \u0219i s\u0103n\u0103tate musculo-scheletic\u0103 la Universitatea din Vestul Angliei, Bristol<\/p>\n<h2>Informa\u021bii suplimentare:<\/h2>\n<p>E-mail CI:\u00a0<a href=\"mailto:Nicola.Walsh@uwe.ac.uk\">Nicola.Walsh@uwe.ac.uk<\/a><\/p>\n<p>Pentru mai multe informa\u021bii sau pentru a v\u0103 implica \u00een acest proiect, trimite\u021bi un e-mail la <a href=\"mailto:bnssg.research@nhs.net\">bnssg.research@nhs.net<\/a>.<\/p>\n<p>Opiniile exprimate sunt cele ale autorului (autorilor) \u0219i nu neap\u0103rat cele ale NIHR sau ale Departamentului de S\u0103n\u0103tate \u0219i Asisten\u021b\u0103 Social\u0103.<\/p>\n  <\/div>\r\n  <\/section><\/div><!-- .assembler_text-module.assembler_module.assembler_text-module_1.assembler_module_1..transparent --><\/div><!-- .assembler_module_area.assembler_module_area_1 --><\/div><!-- .assembler_default-group.assembler_module_group.assembler_default-group_1.assembler_module_group_1  -->","protected":false},"excerpt":{"rendered":"<p>Section titled module-1 Increasing awareness, training in and use of the left lateral cervical screening position in primary care: Increasing choice and supporting implementation of clinical guidelines &nbsp; Funding National Institute for Health and Care Research (NIHR) Research for Patient Benefit (RfPB) Ref. NIHR 204301 What is the Research Question? Will providing people eligible for [&hellip;]<\/p>\n","protected":false},"author":28,"featured_media":0,"parent":32881,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"tags":[],"class_list":["post-33237","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages\/33237","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/users\/28"}],"replies":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/comments?post=33237"}],"version-history":[{"count":2,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages\/33237\/revisions"}],"predecessor-version":[{"id":36162,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages\/33237\/revisions\/36162"}],"up":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages\/32881"}],"wp:attachment":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/media?parent=33237"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/tags?post=33237"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}