在证据与实践之间架起桥梁的地点在哪里？：一场国际研讨会的结果，该研讨会旨在确定创伤性脑损伤护理中知识转化活动的优先顺序。

Where to build the bridge between evidence and practice?: results of an international workshop to prioritize knowledge translation activities in traumatic brain injury care.

作者信息

Bayley Mark Theodore, Teasell Robert William, Wolfe Dalton Louis, Gruen Russell Lindsay, Eng Janice Jennifer, Ghajar Jamshid, Tavender Emma, Kua Ailene, Bragge Peter

机构信息

Brain and Spinal Cord Rehabilitation Program (Dr Bayley), Toronto Rehabilitation Institute/University Health Network, Toronto, Ontario, Canada (Ms Kua); Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada (Dr Bayley); Department of Physical Medicine & Rehabilitation, Schulich School of Medicine and Dentistry, University of Western Ontario and Lawson Health Research Institute, London, Ontario, Canada (Dr Teasell); Aging, Rehabilitation and Geriatric Care, Lawson Health Research Institute, London, Ontario, Canada (Dr Wolfe); Surgery and Public Health, Monash University, Melbourne, Victoria, Australia (Dr Gruen); Alfred Health (Dr Gruen); Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada (Dr Eng); Brain Trauma Foundation, New York (Dr Ghajar); Neurological Surgery, Weill Cornell Medical College, New York (Dr Ghajar); National Trauma Research Institute & Monash University, Melbourne, Victoria, Australia (Drs Tavender and Bragge); and Australian Satellite, Cochrane Effective Practice and Organization of Care, Ottawa, Ontario, Canada (Dr Tavender).

出版信息

J Head Trauma Rehabil. 2014 Jul-Aug;29(4):268-76. doi: 10.1097/HTR.0000000000000053.

DOI:10.1097/HTR.0000000000000053

PMID:24984091

Abstract

INTRODUCTION

Treatment of patients with traumatic brain injury (TBI) should be based upon the strongest evidence to achieve optimal patient outcomes. Given the challenges, efforts involved, and delays in uptake of evidence into practice, priorities for knowledge translation (KT) should be chosen carefully. An international workshop was convened to identify KT priorities for acute and rehabilitation care of TBI and develop KT projects addressing these priorities.

METHODS

An expert panel of 25 neurotrauma clinicians, researchers, and KT scientists representing 4 countries examined 66 neurotrauma research topics synthesized from 2 neurotrauma evidence resources: Evidence Based Review of Acquired Brain Injury and Global Evidence Mapping projects. The 2-day workshop combined KT theory presentations with small group activities to prioritize topics using a modified Delphi method.

RESULTS

Four acute care topics and 3 topics in the field of rehabilitation were identified. These were focused into 3 KT project proposals: optimization of intracranial pressure and nutrition in the first week following TBI; cognitive rehabilitation following TBI; and vocational rehabilitation following TBI.

CONCLUSION

Three high-priority KT projects were developed: the first combined 2 important topics in acute TBI management of intracranial pressure management and nutrition, and the other projects focused on cognitive rehabilitation and vocational rehabilitation.

摘要