Dobbins Maureen, Jack Susan, Thomas Helen, Kothari Anita
School of Nursing, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
Worldviews Evid Based Nurs. 2007;4(3):156-63. doi: 10.1111/j.1741-6787.2007.00089.x.
The purpose of this study was to identify decision-makers' preferences for the transfer and exchange of research knowledge. This article is focused on how the participants define evidence-based decision-making and their preferences for receiving research evidence to integrate into the decision-making process.
Semistructured interviews were conducted with a purposive sample of 16 Ontario public health decision-makers from six Ontario public health units in this fundamental qualitative descriptive study. The sample included nine program managers, six directors, and one Medical Officer of Health. Participants were asked to define the term evidence-based decision-making and identify preferred research dissemination strategies. The interviews were audio-taped, transcribed verbatim, and coded for emerging concepts.
Participants defined evidence-based decision-making as a process whereby multiple sources of information were consulted before making a decision concerning the provision of services. To facilitate integration of research evidence into the decision-making process, public health administrators appreciate receiving, in both electronic and hard copy, systematic reviews, executive summaries of research, and clear statements of implications for practice from health service researchers.
Although consensus exists among participants concerning the definition of evidence based public health decision-making, ongoing efforts are required to continue to promote the use of research evidence in program planning and public health policy. It is also important to continue to improve the ease with which public health decision-makers access systematic reviews, as well as to ensure the relevance and applicability of the results to the practice setting.
本研究的目的是确定决策者对研究知识转移和交流的偏好。本文重点关注参与者如何定义循证决策以及他们对接收研究证据以纳入决策过程的偏好。
在这项基本的定性描述性研究中，对来自安大略省六个公共卫生单位的16名安大略省公共卫生决策者进行了有目的抽样的半结构化访谈。样本包括九名项目经理、六名主任和一名卫生医疗官。参与者被要求定义循证决策这一术语，并确定首选的研究传播策略。访谈进行了录音，逐字转录，并对新出现的概念进行编码。
参与者将循证决策定义为一个在就服务提供做出决策之前咨询多种信息来源的过程。为了促进将研究证据纳入决策过程，公共卫生管理人员希望以电子和纸质形式收到系统评价、研究执行摘要以及卫生服务研究人员对实践影响的明确陈述。
尽管参与者在循证公共卫生决策的定义上存在共识，但仍需要持续努力，以继续促进在项目规划和公共卫生政策中使用研究证据。继续提高公共卫生决策者获取系统评价的便利性，以及确保结果与实践环境的相关性和适用性也很重要。
