Kyle Cohen, Grant Gregory, James Nolin, Alexandra Sappington, Jonathan Hardy, Julia Alexander, Dianne Walker, John Giannini
Bacterial Meningitis With Cerebral Edema in a Young Adult: A Simulation Case for Medical Students
MedEdPORTAL : the journal of teaching and learning resources
low resource settings lrs utilization computed tomography scan cts mild traumatic brain injuries mtbis presents unique challenges considerations given limited infrastructure financial resources trained personnel theoretical domains framework tdf offers comprehensive theoretical lens explore factors influencing decisionmaking order cts mtbi imaging referrers irs primary objective explore irs beliefs factors influencing ct utilization mtbis using tdf ugandadifferences factors influencing cts ordering behavior across specialties levels experience hospital category also explored indepth semistructured interviews guided tdf conducted among purposively selected irs 6 tertiary public private hospitals functional cts services thematic analysis performed codes emerging themes developed based tdf eleven irs including medical officers nonneurosurgeon specialists neurosurgeons aged average 42 years sd123 years participatedidentified factors within skills domain involved irs clinical assessment decisionmaking abilities beliefs capabilities consequences encompassed confidence diagnostic abilities perceptions cts risks benefits environmental context resources domain addressed availability ct scanners financial constraints knowledge domain elicited irs understanding clinical guidelines evidencebased practices social influences considered peer influence institutional culture memory attention decision processes domain irs adherence guidelines intentions order ct scans cited using tdf irs identified several factors believed influence decision making order cts mtbi lrs findings inform stakeholders develop targeted strategies evidencebased interventions optimize ct utilization mtbi educational programs workflow modifications decision support tools infrastructure improvements among others