Gifford Wendy A, Holyoke Paul, Squires Janet E, Angus Douglas, Brosseau Lucie, Egan Mary, Graham Ian D, Miller Carol, Wallin Lars
The University of Ottawa, 451 Smyth Road, K1H 8M5 Ottawa, ON, Canada.
Syst Rev. 2014 Jun 5;3:57. doi: 10.1186/2046-4053-3-57.
Nurses and allied health care professionals (physiotherapists, occupational therapists, speech and language pathologists, dietitians) form more than half of the clinical health care workforce and play a central role in health service delivery. There is a potential to improve the quality of health care if these professionals routinely use research evidence to guide their clinical practice. However, the use of research evidence remains unpredictable and inconsistent. Leadership is consistently described in implementation research as critical to enhancing research use by health care professionals. However, this important literature has not yet been synthesized and there is a lack of clarity on what constitutes effective leadership for research use, or what kinds of intervention effectively develop leadership for the purpose of enabling and enhancing research use in clinical practice. We propose to synthesize the evidence on leadership behaviours amongst front line and senior managers that are associated with research evidence by nurses and allied health care professionals, and then determine the effectiveness of interventions that promote these behaviours.
METHODS/DESIGN: Using an integrated knowledge translation approach that supports a partnership between researchers and knowledge users throughout the research process, we will follow principles of knowledge synthesis using a systematic method to synthesize different types of evidence involving: searching the literature, study selection, data extraction and quality assessment, and analysis. A narrative synthesis will be conducted to explore relationships within and across studies and meta-analysis will be performed if sufficient homogeneity exists across studies employing experimental randomized control trial designs.
With the engagement of knowledge users in leadership and practice, we will synthesize the research from a broad range of disciplines to understand the key elements of leadership that supports and enables research use by health care practitioners, and how to develop leadership for the purpose of enhancing research use in clinical practice.
PROSPERO CRD42014007660.
护士及相关医疗保健专业人员（物理治疗师、职业治疗师、言语和语言病理学家、营养师）构成了临床医疗保健劳动力的一半以上，在医疗服务提供中发挥着核心作用。如果这些专业人员经常使用研究证据来指导临床实践，就有可能提高医疗保健质量。然而，研究证据的使用仍然不可预测且不一致。在实施研究中，领导力一直被描述为提高医疗保健专业人员研究应用的关键。然而，这一重要文献尚未进行综合，对于什么构成促进研究应用的有效领导力，或者何种干预措施能有效地培养领导力以促进和加强临床实践中的研究应用，目前尚不清楚。我们建议综合一线和高级管理人员中与护士及相关医疗保健专业人员研究证据相关的领导行为证据，然后确定促进这些行为的干预措施的有效性。
方法/设计：采用一种综合知识转化方法，该方法在整个研究过程中支持研究人员与知识使用者之间的合作，我们将遵循知识综合原则，使用系统方法综合不同类型的证据，包括：文献检索、研究选择、数据提取和质量评估以及分析。将进行叙述性综合以探索研究内部和研究之间的关系，如果采用实验随机对照试验设计的研究之间存在足够的同质性，则将进行荟萃分析。
通过知识使用者参与领导力和实践，我们将综合广泛学科的研究，以了解支持和促进医疗保健从业者研究应用的领导力关键要素，以及如何培养领导力以加强临床实践中的研究应用。
PROSPERO CRD42014007660。
