知识翻译的方法描述:将临床实践指南实施到临床实践中
Elizabeth Campione1, Meredith Wampler2, Alaina Newell3
1Board Certified Clinical Specialist in Oncological Physical Therapy, LANA Certified Lymphedema Therapist, Midwestern University, Physical Therapy Program, Downers Grove, Illinois, USA.
PM & R : the journal of injury, function, and rehabilitation
|January 7, 2025
概括
实施基于证据的医学,特别是诊断上象限淋巴的临床实践指南 (CPG),面临挑战. 本文使用"知识转化为行动"框架,详细介绍了改善医疗保健工作流程和患者结果的实施策略.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 知识 翻译 翻译
- 基于证据的实践.
背景情况:
- 临床实践指南 (CPG) 对基于证据的医学至关重要,但在医疗保健中面临不一致的实施.
- 采用CPG的挑战阻碍了将最佳实践纳入常规临床护理.
- 这项研究重点关注美国物理治疗协会的CPG,用于诊断癌症继发的上象限淋巴.
研究的目的:
- 探索实施特定的临床实践指南 (CPG) 来诊断上方象限淋巴.
- 详细说明知识转化为行动框架的应用,以克服CPG实施障碍.
- 为调整临床实践与基于证据的建议提供一个框架.
主要方法:
- 利用知识转化为行动的框架来分析CPG的实施.
- 采用一个案例研究方法,专注于诊断上方象限淋巴瘤的CPG.
- 通过知识翻译原则确定了CPG实施的障碍和促进者.
主要成果:
- 知识转化为行动框架为CPG实施提供了一个结构化的方法.
- 利益相关者参与和干预调整是成功实施的关键策略.
- 有效的实施可以改善临床工作流程和患者的治疗结果.
结论:
- 知识翻译对于克服CPG实施障碍至关重要.
- 需要一个系统的框架,以有效地将证据转化为临床实践.
- 实施CPG,比如诊断淋巴的CPG,可以提高患者护理和医疗保健效率.
相关概念视频
Guidelines for Writing Outcome
2.6K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
2.6K
Nursing Clinical Information System
706
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
706
Nursing Implementation
4.7K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
4.7K
Clinical Trials
6.6K
Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
There are four phases in a clinical trial. A phase one...
6.6K
Improving Translational Accuracy
2.5K
2.5K
Role of Communication in the Nursing Process II: Planning and Implementation
1.7K
Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
1.7K


