Athletic Training Programs, A.T. Still University, Mesa.
School of Osteopathic Medicine in Arizona, A.T. Still University, Mesa.
J Athl Train. 2019 Feb;54(2):192-197. doi: 10.4085/1062-6050-242-17.
Health care providers are encouraged to provide care according to practice recommendations because these suggestions should improve patient care and promote optimal patient outcomes. The goals of these practice recommendations are to improve patient care and promote optimal patient outcomes. However, without integration into clinical practice, the value of practice recommendations in supporting patient care is lost. Unfortunately, little is known about the success of integrating practice recommendations into clinical practice, and targeted efforts to promote integration are likely needed. Implementation research is a broad area of study that focuses on how guidelines, programs, or interventions are put into practice and delivered. The Translating Research Into Injury Prevention Practice (TRIPP) framework consists of 6 stages that support implementation science, and the framework has been used to assist in integrating injury-prevention programs into patient care. The structure of the TRIPP framework makes it applicable to other programs that would benefit from implementation science, including practice recommendations. Stages 5 and 6 of the TRIPP framework emphasize the need to explore the implementation context and factors related to uptake of a program by end users. This commentary highlights our efforts to use methods for implementation research to evaluate stage 5 of the TRIPP framework as it relates to acute care for patients with suspected spine injuries and provides 6 lessons learned that may assist in future efforts to better implement practice recommendations in patient care. Targeted efforts to assist clinicians in implementing practice recommendations may promote their use and ultimately enhance the care provided for patients with a variety of health conditions. An essential component of any implementation effort is understanding end users via stages 5 and 6 of the TRIPP framework, and this understanding may maximize knowledge translation and encourage practice change and advancement.
鼓励医疗保健提供者根据实践建议提供护理，因为这些建议应该能够改善患者的护理并促进最佳的患者结果。这些实践建议的目标是改善患者护理并促进最佳的患者结果。然而，如果这些建议不能融入临床实践，那么这些建议在支持患者护理方面的价值就会丧失。不幸的是，人们对将实践建议融入临床实践的成功知之甚少，可能需要有针对性地努力来促进整合。实施研究是一个广泛的研究领域，侧重于指南、计划或干预措施如何付诸实践和实施。转化研究促进伤害预防实践（TRIPP）框架包括 6 个阶段，这些阶段为实施科学提供支持，并且该框架已被用于协助将伤害预防计划融入患者护理中。TRIPP 框架的结构使其适用于其他受益于实施科学的计划，包括实践建议。TRIPP 框架的第 5 阶段和第 6 阶段强调需要探索实施背景以及最终用户对计划的接受程度相关的因素。这篇评论强调了我们使用实施研究方法来评估与疑似脊柱损伤患者的急性护理相关的 TRIPP 框架第 5 阶段的努力，并提供了 6 个经验教训，这些经验教训可能有助于未来在患者护理中更好地实施实践建议。有针对性地努力帮助临床医生实施实践建议可能会促进它们的使用，并最终增强对各种健康状况患者的护理。任何实施工作的一个重要组成部分是通过 TRIPP 框架的第 5 阶段和第 6 阶段了解最终用户，这种理解可以最大限度地实现知识转化，并鼓励实践的改变和进步。
