为证据实施项目提出"PICO":问题,实施/干预,评估,背景和参与 (PIECE) 方法
Zachary Munn1, Adam S Cooper2, Kylie Porritt3
1Health Evidence Synthesis, Recommendations and Impact (HESRI), School of Public Health, University of Adelaide, Adelaide, SA, Australia.
PIECE (实践/感兴趣的问题,干预/实施,评估,背景和参与) 框架有助于医疗保健团队规划证据实施项目. 它提供了一个结构化的路线图,用于将研究纳入实践并实现持续改进.
科学领域:
- 实施科学 实施科学
- 医疗保健管理的管理
- 基于证据的实践.
背景情况:
- 皮科模型是临床问题的标准,但不足以实现现实世界的证据.
- 证据实施项目需要一个框架来解决实际,上下文和参与因素.
研究的目的:
- 介绍和描述PIECE (实践/感兴趣的问题,干预/实施,评估,背景和参与) 框架.
- 证明PIECE对规划和执行证据实施项目的实用性.
- 为医疗保健团队提供结构化的方法,将证据嵌入实践中.
主要方法:
- PIECE框架是详细的,概述了每个组成部分:实践/问题,干预,评估,上下文和参与.
- 成功的JBI (Joanna Briggs Institute) 实施项目被用作说明性的例子.
- 探讨了框架在概念化和执行实施工作中的应用.
主要成果:
- PIECE为证据实施提供了一个结构化而又灵活的路线图.
- 该框架有助于与组织目标保持一致,并加强利益相关者的参与.
- PIECE 支持实施项目的关键规划阶段.
结论:
- PIECE框架为临床医生提供了一种实用的方法,可以将证据应用于日常实践中.
- 它涉及实施科学的关键组成部分,包括问题选择,干预选择,评估,上下文和参与.
- 通过系统的规划和执行,PIECE促进了医疗保健环境的有意义改进.
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