Lockwood Craig, Munn Zachary, Jordan Zoe, Pilla Bianca, Püschel Vilanice Alves de Araújo, Dos Santos Kelli Borges, Albornos-Muñoz Laura, Kent Bridie, Mu Pei-Fan, Khalil Hanan, McArthur Alexa, Porritt Kylie, Cooper Adam, Sfetcu Raluca, Lizarondo Lucylynn
JBI, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia 5005, Australia.
JBI, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia 5005, Australia.
J Clin Epidemiol. 2022 Oct;150:203-209. doi: 10.1016/j.jclinepi.2022.04.007. Epub 2022 Apr 22.
In this paper, we describe and discuss evidence implementation as a venture in global human collaboration within the framework of "people, process, evidence, and technology" as a roadmap for navigating implementation. At its core implementation is not a technological, or theoretical process, it is a human process. That health professionals central to implementation activities may not have had formal training in implementation, highlights the need for processes and programs that can be integrated within healthcare organization structures. Audit with feedback is an accessible implementation approach that includes the capacity to embed theory, frameworks, and bottom-up change processes to improve the quality of care. In this third paper in the JBI series, we discuss how four overarching principals necessary for sustainability (Culture, Capacity, Communication, and Collaboration) are combined with evidence, technology, and resources for evidence-based practice change. This approach has been successfully used across hundreds of evidence implementation projects around the globe for over 15 years. We present healthcare practitioner-led evidence-based practice improvement as sustainable and achievable in collaborative environments such as the global JBI network as a primary interest of the practicing professions and provide an overview of the JBI approach to evidence implementation.
在本文中，我们将描述并讨论证据实施，它是在“人员、流程、证据和技术”框架内进行的一项全球人类协作活动，以此作为指导实施的路线图。实施的核心并非技术或理论过程，而是一个人类过程。从事实施活动的核心卫生专业人员可能未曾接受过实施方面的正规培训，这凸显了需要有能够融入医疗机构结构的流程和项目。带反馈的审核是一种易于采用的实施方法，它具备融入理论、框架和自下而上的变革过程以提高护理质量的能力。在JBI系列的第三篇论文中，我们讨论了可持续性所需的四个总体原则（文化、能力、沟通和协作）如何与证据、技术及资源相结合以实现基于证据的实践变革。在过去15年多的时间里，这种方法已在全球数百个证据实施项目中成功应用。我们将以全球JBI网络这样的协作环境为例，阐述由医疗从业者主导的基于证据的实践改进是可持续且可实现的，这是从业专业人员的主要关注点，并概述JBI的证据实施方法。
