实施评估和研究的翻译框架:从规范化过程理论衍生出的实施策略
Carl R May1, Alyson Hillis2, Bianca Albers3
1Department of Health Services Research and Policy, London, School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK. carl.may@lshtm.ac.uk.
Implementation science : IS
|July 27, 2025
概括
这项研究开发了基于规范化过程理论 (NPT) 的实施策略的新分类. 这些基于经验的策略有助于嵌入和维持健康和社会护理创新.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
- 社会科学 社会科学 社会科学
背景情况:
- 现有的实施战略分类法 (例如,ERIC,EPOC) 往往缺乏理论基础和经验测试.
- 很少有实施策略是从理论中明确衍生出来的,或是经过严格的数据测试.
- 本研究通过开发基于规范化过程理论 (NPT) 的分类学来解决这一差距.
研究的目的:
- 开发一个从规范化过程理论 (NPT) 明确衍生出的实施策略的分类学.
- 为卫生和社会护理创新实施提供经验基础和可行的战略.
- 提高对新实践如何在实践中嵌入和持续的理解.
主要方法:
- 在实施项目中使用NPT的研究进行了定性证据综合.
- 从使用"不扩散核武器条约"编码手册的研究中确定了实施机制.
- 将已识别的机制转化为候选实施策略,通过代定性内容分析进行测试.
主要成果:
- 包括63篇论文,经过严格的选和质量评估,从9,147个初始引用中获得.
- 在四个领域 (领导,信息,赋权,服务用户参与) 确定了24个与NPT构造相关的一般战略和96个微型战略.
- 每个战略都明确与特定的NPT构造联系在一起.
结论:
- 开发的NPT分类学提供了一套基于理论的,经验基础的可操作的实施策略.
- 战略支持实施的规划,交付和维持阶段的实际决策.
- 这种分类学有助于量身定制干预措施,并了解在各种健康和社会护理背景下实施的动态性质.
更多相关视频
相关概念视频
01:15Nursing Implementation
5.3K
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.
5.3K
02:07Improving Translational Accuracy
2.7K
2.7K
01:25Role of Communication in the Nursing Process II: Planning and Implementation
1.9K
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...
1.9K
01:29Translational Regulation
98
Translational regulation in prokaryotes ensures efficient protein synthesis by controlling ribosome access to mRNA. This regulation is mediated by secondary RNA structures, including translational riboswitches, RNA thermometers, and small RNAs (sRNAs), which respond to intracellular and environmental signals to modulate gene expression.Translational RiboswitchesRiboswitches in the leader region of mRNAs can regulate translation by altering the accessibility of the Shine-Dalgarno (SD) sequence,...
98
01:24Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation
1.4K
Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about...
1.4K
01:52Regression Toward the Mean
6.5K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
6.5K