Centre for Implementation Research, Ottawa Hospital Research Institute - General Campus, Ottawa, Ontario, Canada.
Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Psychol Health. 2023 Jun;38(6):766-794. doi: 10.1080/08870446.2022.2100887. Epub 2022 Jul 15.
Healthcare professional (HCP) behaviours are actions performed by individuals and teams for varying and often complex patient needs. However, gaps exist between evidence-informed care behaviours and the care provided. Implementation science seeks to develop generalizable principles and approaches to investigate and address care gaps, supporting HCP behaviour change while building a cumulative science. We highlight theory-informed approaches for defining HCP behaviour and investigating the prevalence of evidence-based care and known correlates and interventions to change professional practice. Behavioural sciences can be applied to develop implementation strategies to support HCP behaviour change and provide valid, reliable tools to evaluate these strategies. There are thousands of different behaviours performed by different HCPs across many contexts, requiring different implementation approaches. HCP behaviours can include activities related to promoting health and preventing illness, assessing and diagnosing illnesses, providing treatments, managing health conditions, managing the healthcare system and building therapeutic alliances. The key challenge is optimising behaviour change interventions that address barriers to and enablers of recommended practice. HCP behaviours may be determined by, but not limited to, Knowledge, Social influences, Intention, Emotions and Goals. Understanding HCP behaviour change is a critical to ensuring advances in health psychology are applied to maximize population health.
医疗保健专业人员(HCP)的行为是个人和团队为满足不同且往往复杂的患者需求而采取的行动。然而,在证据支持的护理行为与所提供的护理之间存在差距。实施科学旨在制定可推广的原则和方法,以调查和解决护理差距,支持 HCP 行为改变,同时建立累积科学。我们强调理论指导的方法,用于定义 HCP 行为,并调查基于证据的护理的普遍性以及已知的相关性和干预措施,以改变专业实践。行为科学可用于制定实施策略,以支持 HCP 行为改变,并提供有效、可靠的工具来评估这些策略。在许多不同的背景下,有数千种不同的 HCP 行为,需要不同的实施方法。HCP 行为可以包括与促进健康和预防疾病、评估和诊断疾病、提供治疗、管理健康状况、管理医疗保健系统和建立治疗联盟相关的活动。关键挑战是优化行为改变干预措施,以解决推荐实践的障碍和促进因素。HCP 行为可能取决于但不限于知识、社会影响、意图、情感和目标。了解 HCP 行为改变对于确保将健康心理学的进展应用于最大限度地提高人口健康至关重要。