使用行为变化技术本体学来描述实施策略的内容:对151项针对基于证据的护理实践的试验进行二次分析
Charlene Weight1,2, Rachael Laritz3, Simonne E Collins4,5,6,7
1Ingram School of Nursing, Faculty of Medicine and Health Sciences, McGill University, Montréal, QC, Canada.
Translational behavioral medicine
|September 23, 2025
概括
护理实践的实施策略使用指导和信息行为改变技术 (BCT). 然而,以目标为导向或反为密集的BCT的使用是有限的,可能会减少其影响.
科学领域:
- 实施科学 实施科学
- 行为科学 行为科学
- 护理实践 护理实践
背景情况:
- 实施策略对于将证据转化为临床实践至关重要.
- 行为改变技术 (BCT) 是针对临床医生的行为的主要组成部分.
- 行为改变技术本体学 (BCTO) 标准化了BCT识别,但未得到充分利用.
研究的目的:
- 在针对基于证据的护理实践的试验中分析BCT的性质和频率.
- 评估BCTO在实施研究中的应用.
主要方法:
- 151个实施试验的二次分析.
- 使用BCTO衍生的手册编码BCT的手动编码.
- 编码可行性的评估,包括编码器确定性和需要补充规则.
主要成果:
- 281种BCTO技术中的100种 (35.6%) 在907个BCT实例中被确定.
- 常见的BCT包括指导如何执行行为,安排/提供信息支持,以及演示/实践行为.
- 编码显示编码器的确定性有限 (37%),需要17个补充规则.
结论:
- 护理的实施策略主要使用教学和信息的BCT.
- 目标导向的,反密集的或改变环境的BCT的应用有限.
- 提高实施策略的影响可能需要更广泛的BCT利用.
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