Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
Glen Taylor Nursing Institute for Family and Society, Minnesota State University Mankato, Mankato, Minnesota, USA.
J Clin Nurs. 2023 Oct;32(19-20):7086-7100. doi: 10.1111/jocn.16848. Epub 2023 Aug 13.
To provide an overview of the characteristics, variety and outcomes of knowledge translation (KT) strategies used in nursing care involving adult patients and their family members.
The gap in providing family nursing practice could be due to a lack of explicit KT frameworks and understanding of ways to translate evidence-based knowledge into clinical practice.
A scoping review conducted according to the Joanna Briggs Institute.
The review is reported according to PRISMA-ScR. Relevant studies were searched in MEDLINE, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, CINAHL Complete, ProQuest Nursing & Allied Health Premium, PsycINFO, Social Work Abstracts, Social Services Abstracts and Scopus. Grey literature was searched in ProQuest Dissertations & Theses Global. Search results were imported into the web-based programme Covidence. Studies describing concepts of KT, strategies of implementation, involvement of families and nurses/family caregivers in adult health care and conducted within the last 15 years were included.
Eight studies met the inclusion criteria. Three studies used the KTA Framework to guide the implementation process. The remaining five studies used different frameworks/guidelines to translate a variety of family focused interventions into their clinical practice. Translation strategies were often targeted towards nurse education. Reported outcomes included nurses' attitudes towards and acceptance of involving families in health care. The outcomes were conceptualized and measured differently, showing inconclusive results on effectiveness on family focused care and family health.
The application of KT frameworks to implement evidence-based family nursing into clinical practice is limited. The process of KT mainly targets at nurses' adoption of family focused interventions with limited information about short-, intermediate- and long-term efficacy on family health. Clinical leaders should consider time and resources needed to implement family focused care KT strategies before putting it into practice.
No Patient or Public Contribution. Data were obtained from other's literature.
概述涉及成年患者及其家属的护理中使用的知识转化（KT）策略的特点、多样性和结果。
提供家庭护理实践方面的差距可能是由于缺乏明确的 KT 框架以及对将循证知识转化为临床实践的方法的理解。
根据 Joanna Briggs 研究所进行的范围综述。
根据 PRISMA-ScR 报告综述。在 MEDLINE、Cochrane 系统评价数据库、Cochrane 对照试验中心注册、CINAHL 完整、ProQuest 护理与联合健康高级版、PsycINFO、社会工作摘要、社会服务摘要和 Scopus 中搜索相关研究。在 ProQuest 论文全球搜索灰色文献。将研究结果导入基于网络的 Covidence 程序。纳入描述 KT 概念、实施策略、家庭和护士/家庭照顾者在成人保健中的参与以及在过去 15 年内进行的研究。
有 8 项研究符合纳入标准。有 3 项研究使用 KTA 框架来指导实施过程。其余 5 项研究使用不同的框架/指南将各种以家庭为中心的干预措施转化为临床实践。转化策略通常针对护士教育。报告的结果包括护士对参与医疗保健的态度和接受程度。结果的概念化和衡量方式不同，表明在以家庭为中心的护理和家庭健康方面的有效性结果不一致。
将 KT 框架应用于将循证家庭护理实施到临床实践中的应用有限。KT 过程主要针对护士采用以家庭为中心的干预措施，关于对家庭健康的短期、中期和长期疗效的信息有限。临床领导者在实施以家庭为中心的护理 KT 策略之前，应考虑实施所需的时间和资源。
无患者或公众贡献。数据来自他人的文献。
