准备临床冠军,在大型医疗保健系统内可持续实施实践变革
Sophia M Bartels1, Zenith Rai2, Matthew Martel2
1US Department of Veteran Affairs, Center for Health Optimization and Implementation Research, VA Bedford Healthcare System, Bedford, USA. sophia.bartels@va.gov.
Implementation science communications
|January 31, 2026
概括
本研究介绍了一个概念模型,用于培训临床冠军实施基于证据的干预措施. 基于意识,愿望,知识,能力,强化 (ADKAR) 框架的定制培训,提高了冠军在医疗保健系统中的有效性.
科学领域:
- 医疗保健管理的管理
- 实施科学 实施科学
- 变更管理 变更管理
背景情况:
- 临床倡导者对于采用基于证据的干预措施至关重要.
- 有效准备临床冠军,特别是在大型医疗保健系统,需要进一步了解.
- 基于意识,欲望,知识,能力,强化 (ADKAR) 框架的概念模型被提议用于临床冠军培训.
研究的目的:
- 提出一个概念模型,准备临床冠军成为有影响力的变革推动者.
- 在大型医疗保健系统中指导临床冠军的培训.
- 通过有效的冠军支持,加强基于证据的干预措施的采用.
主要方法:
- 基于ADKAR变化管理框架的概念模型的开发.
- 循序渐进的团队讨论,以整个健康临床冠军实施的评估数据为依据.
- 通过采访临床冠军和与ADKAR一致的实践反思调查收集数据.
主要成果:
- 开发了一个支持临床冠军的两种过程概念模型.
- 冠军必须通过ADKAR阶段进步,以改变实践和他们的角色.
- 有效的冠军支持需要解决冠军的意识,愿望,知识,能力,并加强实践和他们的角色.
结论:
- 这个概念模型提供了一个数据驱动的方法来提高临床冠军的有效性.
- 在变革管理过程中,将培训定制为冠军阶段是关键.
- 这种模式可以提高临床冠军作为实施策略的影响.
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