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通过知识转化挑战推进循证实践:护士在研究、实施科学和实践变革中的重要作用。

Advancing evidence-based practice through the Knowledge Translation Challenge: Nurses' important roles in research, implementation science and practice change.

作者信息

Chisholm Amanda, Russolillo Angela, Carter Michelle, Steinberg Marla, Lambert Leah, Knox Andrea, Black Agnes

机构信息

Vancouver Coastal Health Research Institute, Vancouver, British Columbia, Canada.

Providence Health Care, Vancouver, British Columbia, Canada.

出版信息

J Adv Nurs. 2024 Aug 1. doi: 10.1111/jan.16362.

DOI:10.1111/jan.16362
PMID:39087775
Abstract

AIM

To describe a knowledge translation capacity-building initiative and illustrate the roles of nurses in practice change using an exemplar case study.

DESIGN

The report uses observational methods and reflection.

METHODS

The Knowledge Translation Challenge program involves a multi-component intervention across several sites. The advisory committee invited eligible teams to attend capacity-building workshops. Implementation plans were developed, and successful teams receive funding for a 2 year period. Evaluation involved collecting data on program uptake and impact on practice change. Data has been collected from five cohorts. The exemplar case study employed an action-research framework.

RESULTS

Four nurse-led teams have demonstrated successful implementation of their practice change. The case study on implementing a clinical toolkit for clozapine management further illustrates a thoughtful planning process, and implementation journey and learnings by a team of nurses.

CONCLUSION

The Knowledge Translation Challenge program empowers nurses to use implementation science practices to enhance the quality and effectiveness of healthcare services. Success of this initiative serves as a model for addressing the persistent gap between knowledge and practice in clinical settings and the value of activating nurses to help close this gap.

IMPLICATIONS

As the most trusted and numerous profession, it is vital that nurses contribute to efforts to translate research evidence into clinical practice. The Knowledge Translation Challenge program supports nurses to lead practice change.

IMPACT

The Knowledge Translation Challenge program successfully equips nurses and other health care providers with the knowledge, skills and resources to implement practice improvements which enhance the quality and effectiveness of healthcare services and nursing practice.

PATIENT OR PUBLIC CONTRIBUTION

The Knowledge Translation Challenge advisory committee has three patient-public partners that support teams to develop a patient-oriented approach for their projects by providing feedback on the implementation plans. Each team was also supported to include patient-public partners on their project.

摘要

目的

描述一项知识转化能力建设倡议,并通过一个典型案例研究来说明护士在实践变革中的作用。

设计

本报告采用观察法和反思法。

方法

知识转化挑战计划涉及多个地点的多组件干预。咨询委员会邀请符合条件的团队参加能力建设研讨会。制定了实施计划,成功的团队将获得为期两年的资金。评估包括收集有关项目采用情况及其对实践变革影响的数据。已从五个队列中收集了数据。典型案例研究采用了行动研究框架。

结果

四个由护士主导的团队已成功实施了实践变革。关于实施氯氮平管理临床工具包的案例研究进一步说明了一个深思熟虑的规划过程、实施过程以及一组护士的经验教训。

结论

知识转化挑战计划使护士能够运用实施科学实践来提高医疗服务的质量和有效性。该倡议的成功为解决临床环境中知识与实践之间持续存在的差距提供了一个模式,并体现了激发护士帮助弥合这一差距的价值。

启示

作为最受信任且人数众多的职业,护士为将研究证据转化为临床实践做出贡献至关重要。知识转化挑战计划支持护士引领实践变革。

影响

知识转化挑战计划成功地为护士和其他医疗服务提供者提供了知识、技能和资源,以实施实践改进,从而提高医疗服务和护理实践的质量和有效性。

患者或公众贡献

知识转化挑战咨询委员会有三名患者-公众合作伙伴,他们通过对实施计划提供反馈,支持各团队为其项目制定以患者为导向的方法。每个团队还获得支持,将患者-公众合作伙伴纳入其项目。

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