培训和支持促进者在卫生和社区保健创新实施中的作用：范围综述方案。

Training and support for the role of facilitator in implementation of innovations in health and community care: a scoping review protocol.

机构信息

School of Health and Welfare, Dalarna University, Falun, SE 791 88, Sweden.

Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.

出版信息

Syst Rev. 2023 Jan 31;12(1):15. doi: 10.1186/s13643-023-02172-x.

DOI:10.1186/s13643-023-02172-x

PMID:36721192

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9887841/

Abstract

BACKGROUND

Implementing and sustaining innovations in clinical practice, such as evidence-based practices, programmes, and policies, is frequently described as challenging. Facilitation as a strategy for supporting implementation requires a facilitator, i.e. an individual with a designated role to support the implementation process. A growing number of studies report that facilitation can help tackle the challenges in implementation efforts. To optimise the potential contribution of facilitation as a strategy to improve the implementation of new practices, there is a need to enhance understanding about what training and support is required for individuals in the facilitator role. The objective of this scoping review is to map how facilitators have been trained for, and supported in, the facilitator role in implementation studies in health and community care. Specifically, the review aims to examine what is reported on training and support of facilitators in terms of learning outcomes, content, dose, mode of delivery, learning activities, and qualifications of the trainers and how the facilitators perceive training and support.

METHODS

This scoping review will follow the guidance of the Joanna Briggs Institute and the PRISMA Extension for Scoping Review checklist. We will include articles in which (a) facilitation is deployed as an implementation strategy, with identified facilitator roles targeting staff and managers, to support the implementation of specified innovations in health or community care, and (b) training and/or support of facilitators is reported. We will exclude articles where facilitation is directed to education or training in specific clinical procedures or if facilitation supports the implementation of general quality improvement systems. All types of peer-reviewed studies and study protocols published in English will be included. A systematic search will be performed in MEDLINE (Ovid), Embase (embase.com), Web of Science Core Collection, and CINAHL (Ebsco).

DISCUSSION

The proposed scoping review will provide a systematic mapping of the literature on the training and support of implementation facilitators and contribute useful knowledge within the field of implementation science to inform future facilitation initiatives.

SYSTEMATIC REVIEW REGISTRATION

Registered at Open Science Framework (registration https://doi.org/10.17605/OSF.IO/M6NPQ ).

摘要

背景

在临床实践中实施和维持创新，如基于证据的实践、计划和政策，经常被描述为具有挑战性。促进作为支持实施的策略需要一个促进者，即一个具有指定角色来支持实施过程的个人。越来越多的研究报告表明，促进可以帮助解决实施工作中的挑战。为了优化促进作为一种策略的潜在贡献，以改善新实践的实施，需要增强对促进者角色所需培训和支持的理解。本范围综述的目的是绘制在健康和社区护理中的实施研究中，促进者是如何接受培训和支持的，以担任促进者角色。具体而言，本综述旨在研究在促进者的培训和支持方面，报告了哪些关于学习成果、内容、剂量、交付模式、学习活动以及培训师的资质，以及促进者如何看待培训和支持。

方法

本范围综述将遵循乔安娜·布里格斯研究所（Joanna Briggs Institute）和 PRISMA 扩展范围综述清单的指导。我们将纳入以下文章：（a）促进被用作实施策略，有明确的促进者角色针对员工和管理人员，以支持在健康或社区护理中指定创新的实施，以及（b）报告了促进者的培训和/或支持。我们将排除那些促进针对特定临床程序的教育或培训，或者促进支持一般质量改进系统的实施的文章。所有类型的同行评议研究和以英语发表的研究方案都将包括在内。将在 MEDLINE（Ovid）、Embase（embase.com）、Web of Science 核心合集和 CINAHL（Ebsco）中进行系统检索。