将实施完成阶段调整为基于证据的实施战略:NIATx实施完成阶段的发展
James H Ford1, Mark E Zehner2, Holle Schaper3
1School of Pharmacy, Social and Administrative Sciences Division, University of Wisconsin-Madison, Madison, WI, USA.
Implementation research and practice
|October 4, 2023
概括
在实施战略方面取得能力的机构完成了更多的活动,并且在这个过程中参与了更长时间. 这表明,能力来自于应用战略,而不是固有的组织特征,改善基于证据的实践采用.
科学领域:
- 实施科学 实施科学
- 医疗保健管理的管理
- 药物成治疗 药物成治疗
背景情况:
- 传播和实施框架指导研究基于证据的实践 (EBP) 和组织成果.
- 现有的工具,如实施完成阶段 (SIC),评估EBP忠实性和组织实施方法.
- 需要工具来衡量组织在使用实施策略方面的能力.
研究的目的:
- 调整实施完成阶段 (SIC) 工具,以便与NIATx实施策略一起使用.
- 评估NIATx-SIC在实现EBP和不实现EBP能力的机构之间区分能力.
- 检查组织能力与NIATx策略在成治疗中的应用之间的关系.
主要方法:
- 实施完成阶段 (SIC) 被代调整为NIATx实施策略,创建了NIATx-SIC工具.
- 一项随机对照试验涉及53个成治疗机构进行,以提高同时发生的能力.
- 从国家工作人员,外部助理和机构文档中收集NIATx-SIC数据;使用NIATx忠诚度工具评估能力.
主要成果:
- NIATx-SIC成功地区分了取得能力 (n=23) 和未取得能力 (n=26) 的机构.
- 获得能力的机构完成了更高比例的实施阶段活动,并且7阶段的持续时间更长.
- 有权机构参与了更多的指导电话,面对面的会议,并实施了更多的变革项目,在NIATx活动上花费了更多的时间.
结论:
- 在利用实施策略方面的组织能力不是固有的属性,而是应用这些策略的结果.
- NIATx-SIC提供了有价值的数据,以了解和改进EBP在成治疗环境中的实施.
- 根据NIATx-SIC的测量,实施战略的有效应用对于知识的制度化和改善未来的变革努力至关重要.
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