在实施试验中为当地变革冠军提供培训和教育:快速系统审查
Laura Jolliffe1,2,3, Natasha A Lannin4,5, Stacy Larcombe6
1Department of Occupational Therapy, Peninsula Health, 2 Hastings Road, Frankston, VIC, 3199, Australia. laura.jolliffe@monash.edu.
Implementation science : IS
|February 5, 2025
概括
在医疗保健实施试验中,为变革冠军做准备的方法往往记录不完善,缺乏成人学习原则. 提高培训和支持对于有效的证据翻译至关重要.
科学领域:
- 医疗实施科学 医疗实施科学
- 知识翻译 翻译知识
- 组织行为组织行为.
背景情况:
- 将研究转化为临床实践是医疗保健中的一个重大挑战.
- 变革倡导者是支持证据采用的关键实施干预措施.
- 了解这些冠军的准备对于成功实施至关重要.
研究的目的:
- 系统地审查教育,培训和支持提供改变冠军在医疗保健实施试验.
- 识别变革冠军角色中服务的个人准备的差距.
主要方法:
- 进行了快速的系统审查.
- 在多个数据库 (Scopus,Medline,PsycINFO等) 进行了搜索. 对于相关的系统审查和随机对照试验.
- 包括15个集群随机对照试验,涉及医疗保健机构当地的变革冠军.
主要成果:
- 在80%的纳入研究中提供了专门的培训,但没有成人学习原则.
- 在73%的研究中报告了培训后的支持.
- 培训内容很少包括行为或组织变化,程序往往不是个性化或报道很差.
结论:
- 在实施试验中,对变革冠军的培训和教育成果的报道不足.
- 当前的培训方法往往与成人学习原则不一致.
- 建议对变革冠军准备计划进行更严格的开发和报告,以加强在医疗保健中的证据实施.
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