University of Queensland, Metro North Health, Herston, QLD, Australia; University of Queensland, Brisbane, QLD, Australia; Queensland University of Technology, Brisbane, QLD, Australia.
University of Queensland, Metro North Health, Herston, QLD, Australia; University of Queensland, Brisbane, QLD, Australia.
Semin Oncol Nurs. 2023 Apr;39(2):151399. doi: 10.1016/j.soncn.2023.151399. Epub 2023 Mar 7.
Clinical research continues to build knowledge that can potentially improve clinical and health service outcomes; however, integrating evidence into routine care is challenging, resulting in a knowledge practice gap. The field of implementation science is a resource available for nurses to translate evidence into their practice. This article aims to provide nurses with an overview of implementation science, illustrate its value integrating evidence into practice, and show how it can be applied with high rigor in nursing research practice.
A narrative synthesis of the implementation science literature was conducted. A series of case studies were purposively selected to demonstrate the application of commonly used implementation theories, models, and frameworks across health care settings relevant to nursing. These case studies demonstrate how the theoretical framework was applied and how the outcomes of the work reduced the knowledge practice gap.
Implementation science theoretical approaches have been used by nurses and multidisciplinary teams to better understand the gap between knowledge and practice for better informed implementation. These can be used to understand the processes involved, identify the determinants at play, and undertake an effective evaluation.
By using implementation science research practice, nurses can also build a strong foundation of evidence about nursing clinical practice. As an approach, implementation science is practical and can optimize the valuable nursing resource.
临床研究不断积累知识，这些知识有可能改善临床和卫生服务结果；然而，将证据融入常规护理具有挑战性，导致知识与实践之间存在差距。实施科学领域是为护士将证据转化为实践提供资源的领域。本文旨在为护士提供实施科学概述，说明其将证据融入实践的价值，并展示如何在护理研究实践中严格应用该科学。
对实施科学文献进行了叙述性综合分析。有针对性地选择了一系列案例研究，以展示在与护理相关的各种医疗保健环境中，常用实施理论、模型和框架的应用。这些案例研究展示了理论框架是如何应用的，以及这些工作的结果如何缩小知识与实践之间的差距。
护士和多学科团队已经使用实施科学理论方法来更好地了解知识与实践之间的差距，以便更有针对性地实施。这些方法可用于了解所涉及的过程，确定起作用的决定因素，并进行有效的评估。
通过使用实施科学研究实践，护士还可以为护理临床实践建立坚实的证据基础。作为一种方法，实施科学具有实用性，可以优化宝贵的护理资源。
