School of Healthcare Sciences, Cardiff University, Cardiff, UK.
Int J Evid Based Healthc. 2019 Jun;17 Suppl 1:S22-S23. doi: 10.1097/XEB.0000000000000182.
The notion of context, while underpinning everything that we do in health care, remains something that is difficult to define; however, it determines the success or failure of everything that we do, particularly in the global healthcare arena. Whether we consider context as an objective or subjective construct, it should influence every evidence-based decision we make as healthcare professionals. Methods developed as part of the implementation science movement, including realist synthesis and 'mindlines', emphasize the important of addressing social, cultural and environmental context-specific influences when considering the implementation of complex interventions, particularly in diverse populations. The Joanna Briggs Institute evidence-based clinical fellowship program empowers practitioners, through education, to implement evidence into their own practice areas, taking into account the key variables that impact on successful adoption.
语境的概念,尽管是我们在医疗保健中所做的一切的基础,但仍然难以定义;然而,它决定了我们所做的一切的成败,尤其是在全球医疗保健领域。无论我们将语境视为客观还是主观的构建,它都应该影响我们作为医疗保健专业人员所做出的每一个基于证据的决策。实施科学运动中开发的方法,包括现实主义综合和“思维线”,强调在考虑复杂干预措施的实施时,特别是在不同人群中,解决社会、文化和环境特定背景影响的重要性。Joanna Briggs 研究所基于证据的临床研究员计划通过教育授权从业者,在考虑影响成功采用的关键变量的情况下,将证据应用于自己的实践领域。