Community Health Systems Resource Group, The Hospital for Sick Children, Toronto ON, Canada.
Implement Sci. 2008 Apr 9;3:19. doi: 10.1186/1748-5908-3-19.
Children with emotional and behavioural disorders should be able to count on receiving care that meets their needs and is based on the best scientific evidence available, however, many do not receive these services. Implementation of evidence-based practice (EBP) relies, in part, on the research utilization practices of mental health care providers. This study reports on a survey of research utilization practices among 80 children's mental health (CMH) service provider organizations in Ontario, Canada.
A web-based survey was distributed to 80 CMH service provider organizations, to which 51 executive directors and 483 children's mental health practitioners responded. Research utilization was assessed using questions with Likert-type responses based on the Canadian Health Services Research Foundation's Four-A's approach: access, assess, adapt, apply.
There was general agreement among executive directors and practitioners regarding the capacity of their organizations to use - access, assess, adapt, and apply - research evidence. Overall, both groups rated their organizations as using research information 'somewhat well.' The low response rate to the practitioner survey should be noted.
These findings provide a useful benchmark from which changes in reported research utilization in the Ontario CMH sector can be tracked over time, as a function of EBP training and implementation initiatives, for instance. The need to improve access to research evidence should be addressed because it relates to the eventual implementation and uptake of evidence-based practices. Communities of practice are recommended as a strategy that would enable practitioners to build capacity in their adaptation and application of research evidence.
患有情绪和行为障碍的儿童应该能够获得满足其需求并基于现有最佳科学证据的护理,但许多儿童并未获得这些服务。实施基于证据的实践(EBP)部分依赖于心理健康护理提供者的研究利用实践。本研究报告了对加拿大安大略省 80 个儿童心理健康(CMH)服务提供组织的研究利用实践的调查。
向 80 个 CMH 服务提供组织分发了基于加拿大卫生服务研究基金会的四 A 方法(即获取、评估、适应和应用)的基于网络的调查,有 51 名执行主任和 483 名儿童心理健康从业者做出了回应。使用李克特式回答的问题评估研究利用情况。
执行主任和从业者普遍同意其组织有能力使用研究证据-获取、评估、适应和应用。总体而言,两组都将其组织评价为“相当好”地使用研究信息。应注意到从业者调查的低响应率。
这些发现提供了一个有用的基准,可以根据 EBP 培训和实施计划等因素,跟踪安大略省 CMH 部门报告的研究利用情况的变化。需要改善对研究证据的获取,因为这涉及到证据的最终实施和采用。建议使用实践社区策略,使从业者能够在适应和应用研究证据方面增强能力。