Van Hoof Thomas J, Miller Nicole E, Meehan Thomas P
1University of Connecticut School of Nursing, Storrs, CT.
Am J Med Qual. 2013 Nov-Dec;28(6):480-4. doi: 10.1177/1062860613476335. Epub 2013 Feb 11.
Educational outreach is a common intervention used to translate research findings into practice; however, the intervention has a mixed effect on changing clinician behavior and improving patient outcomes. Based on a published set of characteristics aimed at standardizing the approach to educational outreach, the authors undertook a careful review of the literature to determine the consistency and completeness of documentation. Using a 25-item abstraction tool, the authors reviewed 68 published studies of a recent Cochrane meta-analysis to determine the extent to which educational outreach studies provide recommended documentation of important characteristics. The results indicate that studies are generally inconsistent (documentation range of 0% to 100% across characteristics) and incomplete (documentation average of 43.1% across studies) in their descriptions. Documentation shortcomings of educational outreach studies make understanding the intervention and interpreting its findings particularly challenging. The authors recommend the creation of a guideline to help improve documentation of educational outreach efforts.
教育推广是一种将研究成果转化为实践的常用干预措施;然而,该干预措施在改变临床医生行为和改善患者结局方面的效果参差不齐。基于一组已发表的旨在规范教育推广方法的特征,作者对文献进行了仔细回顾,以确定文献记录的一致性和完整性。作者使用一个包含25个项目的摘要工具,对最近一项Cochrane荟萃分析中的68项已发表研究进行了回顾,以确定教育推广研究在何种程度上提供了重要特征的推荐文献记录。结果表明,这些研究在描述方面通常不一致(各特征的文献记录范围为0%至100%)且不完整(各项研究的文献记录平均为43.1%)。教育推广研究的文献记录缺陷使得理解该干预措施及其研究结果极具挑战性。作者建议制定一项指南,以帮助改善教育推广工作的文献记录。