School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Montreal, Canada.
Institute of Health Sciences Education, Faculty of Medicine and Health Sciences, McGill University, Montreal, Canada.
Adv Health Sci Educ Theory Pract. 2021 Aug;26(3):1157-1171. doi: 10.1007/s10459-020-10021-y. Epub 2021 Mar 2.
Evidence informed approaches to health professions education can ensure accountability to learners and society in providing meaningful and effective education and helping resource strained systems via streamlined and cost-efficient practices. Knowledge translation and implementation science are two areas of study originally developed in clinical medicine in response to concerns that health care practices were incongruent with the scientific evidence. Two decades of research have led to important advances in our understanding of the nature and magnitude of research-practice gaps, the factors that support or impede adoption of evidence in clinical decision-making, and in the design and evaluation of theory driven interventions to reduce gaps. This paper borrows concepts from knowledge translation and implementation science to further our thinking about how health professions education can 'truly' be evidence informed. The article is organised in four sections: a discussion of the impetus for the evidence informed health professions education movement; a description of the origins of knowledge translation and implementation science; a discussion on how knowledge translation and implementation science can be leveraged to advance the evidence informed health professions education agenda; and suggestions for future discussion and research. An example is used to illustrate the application of the underpinning principles of knowledge translation and implementation science. The authors suggest a theory driven, staged and systematic approach that integrates knowledge translation principles and processes and involves key stakeholders interested in promoting the application of educational research of evidence.
循证方法应用于卫生专业教育，可以确保在提供有意义和有效的教育方面对学习者和社会负责，并通过精简和高效的实践帮助资源紧张的系统。知识转化和实施科学是最初在临床医学中发展起来的两个研究领域，旨在应对医疗实践与科学证据不一致的问题。二十年来的研究使我们对研究与实践差距的性质和程度、支持或阻碍临床决策中采用证据的因素，以及设计和评估减少差距的理论驱动干预措施有了更深入的了解。本文借鉴知识转化和实施科学的概念，进一步探讨如何使卫生专业教育真正做到循证。本文分为四部分：讨论循证卫生专业教育运动的动力；描述知识转化和实施科学的起源；讨论如何利用知识转化和实施科学来推进循证卫生专业教育议程；并为未来的讨论和研究提出建议。本文用一个例子来说明知识转化和实施科学的基本原则的应用。作者建议采用一种理论驱动、分阶段和系统的方法，将知识转化原则和过程整合起来，并让对促进教育研究证据应用感兴趣的主要利益相关者参与进来。
