Kitson A, Harvey G, McCormack B
Royal College of Nursing Institute, Royal College of Nursing, London, UK.
Qual Health Care. 1998 Sep;7(3):149-58. doi: 10.1136/qshc.7.3.149.
The argument put forward in this paper is that successful implementation of research into practice is a function of the interplay of three core elements--the level and nature of the evidence, the context or environment into which the research is to be placed, and the method or way in which the process is facilitated. It also proposes that because current research is inconclusive as to which of these elements is most important in successful implementation they all should have equal standing. This is contrary to the often implicit assumptions currently being generated within the clinical effectiveness agenda where the level and rigour of the evidence seems to be the most important factor for consideration. The paper offers a conceptual framework that considers this imbalance, showing how it might work in clarifying some of the theoretical positions and as a checklist for staff to assess what they need to do to successfully implement research into practice.
本文提出的观点是，研究成果成功转化为实践是三个核心要素相互作用的结果——证据的水平和性质、研究成果应用的背景或环境，以及促进这一过程的方法或途径。本文还提出，由于目前的研究对于这些要素中哪一个在成功转化中最为重要尚无定论，因此它们应具有同等地位。这与当前临床疗效议程中常常隐含的假设相反，在该议程中，证据的水平和严谨性似乎是最重要的考虑因素。本文提供了一个概念框架来考量这种失衡，展示了它如何有助于阐明一些理论立场，并作为一份清单供工作人员评估他们为成功将研究成果转化为实践需要做些什么。
