整个EPIS的核心功能和形式范式:设计和实施基于证据的实践,具有功能忠实性
Alec Terrana1, Clare Viglione2, Kyung Rhee1
1School of Medicine, University of California San Diego, San Diego, CA, United States.
Frontiers in health services
|January 31, 2024
概括
核心功能和形式范式有助于调整基于证据的实践 (EBP),重点关注基本功能,而不是严格遵守原始形式. 这种方法支持在实施和维持期间更好的忠实性.
科学领域:
- 实施科学 实施科学
- 公共卫生 公共卫生
- 心理学 心理学 心理学
背景情况:
- 在新环境中实施基于证据的实践 (EBP) 往往面临着保持忠诚的挑战.
- 现有的框架很难确定适应过程中忠实性的适当目标.
研究的目的:
- 在探索,准备,实施和维持 (EPIS) 框架内引入和应用核心功能和形式范式,以指导适应决策.
- 展示这种范式如何支持从优先考虑形式忠实性到考虑功能忠实性的转变.
主要方法:
- 在两个EBP的EPIS框架的探索和准备阶段应用了核心功能-形式范式.
- 开发的函数-形式矩阵将干预组件 (形式) 映射到它们的基本过程 (函数).
- 对比的适应决策优先考虑形式或功能忠实性.
主要成果:
- 核心功能-形式范式为EPIS框架内的适应决策提供了一个结构化的方法.
- 函数-形式矩阵以视觉形式表示干预组件及其预期影响之间的关系.
- 这项研究突出了概念上的转变,将功能忠实优先考虑在形式忠实之外.
结论:
- 核心功能-形式范式可以指导所有EPIS阶段的适应,促进更强大的功能忠实性.
- 这一框架使干预者能够选择合适的忠实参考人,而不仅仅是遵守协议.
- 利用这种范式可以在不同的环境中带来更有效和更适应的EBP.
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