Prairie View A&M University, College of Nursing, Houston, Texas, USA.
JBI Evid Implement. 2023 Sep 1;21(3):301-306. doi: 10.1097/XEB.0000000000000376.
A gap exists between scientific discovery and implementation and adoption of research findings in healthcare and public health practice. This gap is due to the fact that research on treatment efficacy and safety in clinical trials ends prematurely with the publication of results, leaving a lack of knowledge of treatment effectiveness in real-world clinical and community settings. Comparative effectiveness research (CER) can facilitate the translation of research findings, reducing the gap between discovery and adoption into practice. Getting CER findings to patients and healthcare providers requires efforts to disseminate and train providers to successfully implement and sustain change in the healthcare setting. Advanced practice registered nurses (APRNs) are instrumental in the implementation of evidence-based research in primary care settings and an important group to target for the dissemination of research findings. There are numerous implementation training programs, but none focus specifically on APRNs.
The objective of this article is to describe the infrastructure established to develop a 3-day implementation training program for APRNs and an implementation support system.
A description of the processes and strategies is provided, including stakeholder engagement through focus groups and the formation of a multistakeholder program planning advisory team, which includes APRNs, organization leaders, and patients. The program also includes curriculum development and program planning as well as the development of an implementation toolkit.
Stakeholders were instrumental in shaping the implementation training program, including the content of the curriculum and the program agenda. In addition, the unique perspective of each stakeholder group contributed to the selection of the CER findings disseminated through the intensive training program.
It is important that strategies to address the lack of implementation training opportunities for APRNs be discussed and disseminated within the healthcare community. This article discusses the plan to address implementation training for APRNs through the development of an implementation curriculum and toolkit for APRNs.
在医疗保健和公共卫生实践中，科学发现与研究结果的实施和采用之间存在差距。造成这种差距的原因是，临床试验中关于治疗效果和安全性的研究在结果公布时过早结束，导致缺乏真实临床和社区环境中治疗效果的知识。比较效果研究（CER）可以促进研究结果的转化，缩小发现与采用之间的差距，使之转化为实践。要使 CER 研究结果惠及患者和医疗保健提供者，需要努力传播和培训提供者，以便在医疗保健环境中成功实施和维持变革。高级实践注册护士（APRNs）在基层医疗保健环境中实施基于证据的研究方面发挥着重要作用，是传播研究结果的重要目标群体。虽然有许多实施培训计划，但没有一个专门针对 APRNs。
本文旨在描述为 APRNs 开发为期 3 天的实施培训计划和实施支持系统所建立的基础设施。
提供了流程和策略的描述，包括通过焦点小组进行利益相关者参与以及组建一个多利益相关者计划规划咨询小组，其中包括 APRNs、组织领导和患者。该计划还包括课程开发和计划规划以及实施工具包的开发。
利益相关者在塑造实施培训计划方面发挥了重要作用，包括课程内容和议程。此外，每个利益相关者群体的独特视角有助于选择通过强化培训计划传播的 CER 研究结果。
在医疗保健界讨论和传播针对 APRNs 实施培训机会不足的策略非常重要。本文讨论了通过开发针对 APRNs 的实施课程和工具包来解决 APRNs 实施培训问题的计划。
