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迈向促进卫生系统知识转化为行动的关系实践:以审议性对话为例。

Toward Relational Practices for Enabling Knowledge-to-Action in Health Systems: The Example of Deliberative Dialogue.

作者信息

Plamondon Katrina, Caxaj Susana

机构信息

Professional Practice Office, Interior Health, and Interdisciplinary Graduate Studies, University of British Columbia Okanagan, Canada (Ms Plamondon); and School of Nursing, University of British Columbia Okanagan, Canada (Dr Caxaj).

出版信息

ANS Adv Nurs Sci. 2018 Jan/Mar;41(1):18-29. doi: 10.1097/ANS.0000000000000168.

DOI:10.1097/ANS.0000000000000168
PMID:28169953
Abstract

Despite widespread emphasis on evidence-informed decision making in health care, there remain persistent challenges in actualizing this ideal. An integrated strategy to knowledge translation can help bridge perspectives across sectors, communities, and organizations, and bridge the "knowledge-to-action" gap. One such strategy is a deliberative dialogue method. Deliberative dialogue has unique potential to mobilize partnered changes and improvements across health care, and we believe, is most salient when enacted relationally through practices of relational engagement and relational accountability. Drawing from our own scholarship, we reflect on how these practices can help establish both processes and outcomes that can affect meaningful change.

摘要

尽管医疗保健领域广泛强调基于证据的决策,但在实现这一理想方面仍存在持续挑战。知识转化的综合策略有助于弥合不同部门、社区和组织之间的观点差异,缩小“知识到行动”的差距。其中一种策略是协商对话方法。协商对话在推动医疗保健领域的合作变革与改进方面具有独特潜力,我们认为,当通过关系参与和关系问责的实践以关系方式实施时,它最为显著。借鉴我们自己的学术研究,我们思考这些实践如何有助于建立能够影响有意义变革的过程和结果。

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