Kavanagh Tricia, Stevens Bonnie, Seers Kate, Sidani Souraya, Watt-Watson Judy
Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Ontario, Canada.
Can J Nurs Res. 2008 Jun;40(2):40-56.
Despite a solid evidence base for pain management, pain is not always well managed in practice. Interventions to implement pain management evidence need to be shifted from a focus on individual characteristics to knowledge translation strategies that are grounded in theory and attend to the organizational context and social dimension of translating evidence into practice. The authors examine Appreciative Inquiry (AI) as an innovative knowledge translation intervention in the area of pain management in nursing. Their aims are to advance the current state of knowledge translation interventions in pain management and to examine the usefulness of potential interventions based on their congruence with theory. The theory and practice of AI are compared to the concept of knowledge translation and the elements of the Promoting Action on Research Implementation in Health Services framework. Discussion is grounded in pain management in nursing.
尽管疼痛管理有坚实的证据基础,但在实际操作中疼痛并不总是得到很好的管理。将疼痛管理证据付诸实践的干预措施需要从关注个体特征转向基于理论且关注将证据转化为实践的组织背景和社会层面的知识转化策略。作者们研究了赞赏式探究(AI)作为护理领域疼痛管理中一种创新的知识转化干预措施。他们的目的是推进疼痛管理中知识转化干预措施的现状,并根据其与理论的契合度来检验潜在干预措施的实用性。将AI的理论与实践与知识转化的概念以及卫生服务研究实施促进行动框架的要素进行了比较。讨论以护理中的疼痛管理为基础。