Iota, Assistant Professor, Vanderbilt University School of Nursing, Nashville, TN, USA.
Iota & Nu Lambda, Medical Informatics Fellow, U.S. Department of Veterans Affairs, Nashville, TN, USA.
J Nurs Scholarsh. 2020 Jan;52(1):47-54. doi: 10.1111/jnu.12510. Epub 2019 Sep 9.
The purpose of this article is to describe the differences between quality improvement and implementation science, the urgency for nurses and nurse scientists to engage in implementation science, and international educational opportunities and resources for implementation science.
There is a push for providing safe, effective, patient-centered, timely, efficient, and equitable health care. Implementation science plays a key role in adoption and integration of evidence-based practices to improve quality of care.
We reviewed implementation science programs, organizations, and literature to analyze the roles of nurses and nurse scientists in translating evidence into routine practice.
Implementation-trained nurses and nurse scientists are needed as part of multidisciplinary teams to advance implementation science because of their unique understanding of contextual barriers within nursing practice. Likewise, nurses are uniquely qualified for recognizing what implementation strategies are needed to improve nursing care across practice settings.
Many international clinical and training resources exist and are supplied to aid interested readers in learning more about implementation science.
Half of research evidence never reaches the clinical setting, and the other half takes 20 years to translate into clinical practice. Implementation science-trained nurses are in a position to be excellent improvers for meaningful change in practice.
本文旨在描述质量改进和实施科学之间的差异，护士和护理科学家参与实施科学的紧迫性，以及实施科学的国际教育机会和资源。
人们迫切需要提供安全、有效、以患者为中心、及时、高效和公平的医疗保健。实施科学在采用和整合基于证据的实践以改善护理质量方面发挥着关键作用。
我们回顾了实施科学计划、组织和文献，以分析护士和护理科学家在将证据转化为常规实践中的作用。
由于他们对护理实践中存在的背景障碍有独特的理解，因此需要接受过实施培训的护士和护理科学家作为多学科团队的一部分，以推进实施科学。同样，护士有独特的资格来确定需要哪些实施策略来改善各个实践环境中的护理。
许多国际临床和培训资源存在，并提供给有兴趣的读者，以帮助他们更多地了解实施科学。
一半的研究证据从未到达临床环境，另一半需要 20 年时间才能转化为临床实践。接受过实施科学培训的护士能够成为实践中进行有意义变革的优秀改进者。
