JBI, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, Australia.
The George Institute for Global Health, Hyderabad, Telangana, India.
JBI Evid Implement. 2022 Sep 1;20(3):180-188. doi: 10.1097/XEB.0000000000000321.
Facilitation is a key component of JBI's approach to evidence implementation along with context analysis and evaluation of process and outcomes. Although the role of facilitation is recognized as a critical component of evidence implementation, what constitutes effective facilitation is poorly understood.
This article presents a descriptive exploration of facilitation as it occurs in evidence implementation initiatives conducted in various healthcare and geographical contexts. All projects used the JBI approach to evidence implementation.
To provide a multinational perspective on how facilitation was operationalized to promote positive changes in clinical practice and health outcomes, five case studies of evidence implementation projects are presented.
The cases highlighted that facilitation is a multifaceted process that can be met through a variety of roles that address aspects of education and capacity building, partnerships, action planning, problem solving and evaluation. Facilitation in all cases appeared to be collaborative, with multiple 'players' within and outside of the health organization being involved in the process. Although there are similarities in activities, facilitation involved some level of local contextualization where there were unique or additional activities performed to accommodate the local needs and requirements of the health organization involved in each case. Numerous contextual factors influenced the success of the implementation initiative.
The cases emphasized the complex nature of facilitation as a strategy for evidence implementation, indicating that contextual attributes and features define the range of knowledge, skills, and activities that should take place in order for facilitation to be effective. Although there appears to be some core components, tailoring and adaptation of the facilitation process (or roles) is required.
促进是 JBI 循证实施方法的关键组成部分，同时还包括对背景的分析以及对过程和结果的评估。尽管促进的作用被认为是证据实施的关键组成部分，但有效的促进方法仍知之甚少。
本文描述了在各种医疗保健和地理背景下进行的证据实施计划中促进的发生情况，探讨了促进在证据实施中的作用。所有项目都使用了 JBI 循证实施方法。
为了从多国的角度了解促进是如何运作的，以促进临床实践和健康结果的积极变化，呈现了五个证据实施项目的案例研究。
这些案例突出表明，促进是一个多方面的过程，可以通过多种角色来实现，这些角色涉及教育和能力建设、伙伴关系、行动计划、解决问题和评估等方面。在所有案例中，促进似乎都是协作的，卫生组织内部和外部的多个“参与者”都参与了这个过程。虽然活动有相似之处，但促进涉及一定程度的本地化，需要根据每个案例所涉及的卫生组织的当地需求和要求，开展一些独特的或额外的活动。许多背景因素影响了实施计划的成功。
这些案例强调了促进作为证据实施策略的复杂性，表明背景属性和特征定义了促进有效实施所需的知识、技能和活动的范围。虽然似乎有一些核心组成部分，但需要对促进过程（或角色）进行定制和调整。
