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解析行动研究与实施科学:对护理的启示。

Unpacking action research and implementation science: Implications for nursing.

机构信息

UCD School of Nursing, Midwifery & Health Systems, University College Dublin, Belfield, Ireland.

School of Hospitality Management and Tourism, Dublin Institute of Technology, Dublin, Ireland.

出版信息

J Adv Nurs. 2018 May;74(5):1051-1058. doi: 10.1111/jan.13494. Epub 2017 Nov 29.

DOI:10.1111/jan.13494
PMID:29098709
Abstract

AIM

The aim of this study was to unpack the key concepts of action research and implementation science thereby enabling appropriate use of these methods in nursing.

BACKGROUND

A key issue in action research is not so much the methodology employed to gather data/evidence but who decides the research agenda and who benefits from it. Implementation science is a way to ensure that evidence is translated into practice. The question arises as to how action research and implementation may be understood in relation to one another in nursing.

DESIGN

Discussion Paper DATA SOURCES: This discussion paper is based on our own experiences and offers an exploration of action research and implementation science with the aim of clarifying what each involves and what synergies, if any, exist between them.

IMPLICATIONS FOR NURSING

Using action research to secure the voice of patients in their own care is essential to delivering quality nursing care. Using implementation science frameworks to get research evidence into practice is effective. Familiarity with both these concepts may enable their improved use and have a positive impact on quality of care.

CONCLUSION

There is a tension between action researchers and the protagonists of implementation science related to perceived "trade offs" between what constitutes "science" and the necessity of community participation. Nevertheless, the use of an implementation science framework in an action research approach can reduce the research practice time lag and action research provides sound theoretical and philosophical underpinnings that can be used by those in the implementation science field.

摘要

目的

本研究旨在剖析行动研究和实施科学的关键概念,从而使这些方法能够在护理中得到恰当应用。

背景

行动研究的一个关键问题不在于用于收集数据/证据的方法,而在于谁决定研究议程以及谁从中受益。实施科学是确保证据转化为实践的一种方式。问题是,在护理中,如何理解行动研究和实施科学之间的关系。

设计

讨论文件

资料来源

本讨论文件基于我们自己的经验,并对行动研究和实施科学进行了探讨,旨在阐明它们各自所涉及的内容,以及它们之间是否存在协同作用。

对护理的启示

利用行动研究确保患者在自身护理中的发言权,对于提供优质护理至关重要。利用实施科学框架将研究证据付诸实践是有效的。熟悉这两个概念可能会提高它们的使用效果,并对护理质量产生积极影响。

结论

行动研究人员与实施科学的倡导者之间存在一种紧张关系,这种紧张关系涉及到“科学”构成和社区参与的必要性之间的所谓“权衡”。然而,在行动研究方法中使用实施科学框架可以减少研究实践的时间滞后,而行动研究则提供了可以被实施科学领域的人员使用的可靠的理论和哲学基础。

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