在151个实施试验中报告了实施科学理论,模型和框架的使用:针对护理实践的系统审查的二次分析
Charlene Weight1,2, Rachael Laritz3, Simonne E Collins4,5,6,7
1Ingram School of Nursing, Faculty of Medicine and Health Sciences, McGill University, Montréal, Canada.
Translational behavioral medicine
|September 10, 2025
概括
理论,模型和框架 (TMF) 在实施试验中未得到充分利用,主要是为策略设计提供信息. 需要更多地强调测试和完善TMF,以推进实施科学.
科学领域:
- 实施科学 实施科学
- 护理研究 护理研究
- 基于证据的实践 (EBP)
背景情况:
- 理论,模型和框架 (TMF) 对于开发和评估基于证据的实践 (EBP) 的实施策略至关重要.
- 关于TMF在实施试验中的使用程度和性质的证据有限.
研究的目的:
- 检查在实施试验中使用TMF的情况.
- 识别经常使用的TMF并探索其应用中的时间趋势.
主要方法:
- 在护理中实施策略的151个随机试验的二次分析.
- 试验被编码使用一个框架分类理论使用 (获取信息,应用,测试,构建).
- 进行了描述性统计和时间趋势分析.
主要成果:
- 36%的试验报告使用TMF,主要用于指导策略设计 (28%) 或证明研究目标 (15%).
- 测试理论很少 (9%),没有任何试验报告过炼制或构建理论.
- 规划行为理论等经典理论被引用最多;没有明显的时间趋势被观察到.
结论:
- 在实施试验中,TMF的利用不足,除了为战略制定提供信息之外,其应用有限.
- 建议加强对TMF的测试和改进的关注,以加强实施科学.
- 进一步的研究应该探索TMF集成更强大的障碍和促进因素.
更多相关视频
相关概念视频
Nursing Implementation
5.9K
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.
5.9K
Theoretical Foundations of Nursing Practice
17.1K
Theories play an essential role in organizing patient care. Theories refer to a proposed or followed belief, policy, or procedure that is the basis for action. Nursing theories are knowledge-based concepts that guide nurses' actions, influence nursing education and practice, and allow nurses to care for their patients.
Theories provide a perspective to assess patients' conditions and organize data and methods. They also assist in analyzing and interpreting information. They represent a...
Theories provide a perspective to assess patients' conditions and organize data and methods. They also assist in analyzing and interpreting information. They represent a...
17.1K
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
3.1K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
3.1K
The Scientific Method in Nursing Process
16.8K
The scientific method provides the foundation for any research. It is the most reliable and objective of all forms of gaining knowledge and guides in applying research-based evidence in practice and conducting future research.
When using research findings to change practice, one must understand the process used to guide a study. The scientific method is a systematic, step-by-step process that supports the data's validity, reliability, and generalizability. As a result, findings can be...
When using research findings to change practice, one must understand the process used to guide a study. The scientific method is a systematic, step-by-step process that supports the data's validity, reliability, and generalizability. As a result, findings can be...
16.8K
Current Trends in Nursing II
3.3K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
3.3K
Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation
2.0K
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...
2.0K


