Melbourne School of Health Sciences, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, VIC, Australia.
Department of Health Services Research, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia.
Transl Behav Med. 2024 Oct 6;14(10):571-577. doi: 10.1093/tbm/ibae044.
Miscommunication between health care practitioners and implementation researchers can lead to a mismatch of expectations and understandings, resulting in wasted research and frustration. Conversely, combining the expertise and knowledge of those working in health care practice and implementation research can deliver context informed research questions and appropriate study designs. Achieving this ambition requires a shared language. We sought to develop a guide to identify a common language to constructively explore nascent implementation research concepts. We set up a working group, comprising of implementation researchers, health care practitioners and operational managers, to work through ideas generation, debate and a consensus process to generate and refine a discussion guide. The resultant guide steps health care practitioners and implementation researchers through a three-phase enquiry - Question 1: What is the implementation question? Question 2: What is the proposed implementation solution? And Question 3: How can the investigation of this idea be resourced? At each step, the health care practitioner and implementation researcher collaborate to include theory and practice and rigorously work through the question to build implementation on evidence and to promote diverse stakeholder engagement. The next steps for this study will be operationalising the discussion guide, as an interactive tool. Future evaluation, to test effectiveness, acceptability and feasibility will be designed with health care practitioners and implementation researchers.
医疗保健从业者和实施研究人员之间的沟通不畅可能导致期望和理解不匹配，从而浪费研究和造成挫折。相反，将医疗保健实践和实施研究人员的专业知识和知识结合起来，可以提供基于背景的研究问题和适当的研究设计。实现这一目标需要共同的语言。我们试图制定一份指南，以确定一种共同的语言，建设性地探讨新出现的实施研究概念。我们成立了一个工作组，由实施研究人员、医疗保健从业者和运营经理组成，共同开展创意生成、辩论和共识制定过程，以生成和完善讨论指南。该指南引导医疗保健从业者和实施研究人员完成三个阶段的探究：问题 1：实施问题是什么？问题 2：拟议的实施解决方案是什么？问题 3：如何为该想法的调查提供资源？在每个步骤中，医疗保健从业者和实施研究人员共同合作，纳入理论和实践，并通过严格的问题探究来构建基于证据的实施，并促进多方利益相关者的参与。这项研究的下一步将是将讨论指南作为一个互动工具付诸实施。未来的评估将与医疗保健从业者和实施研究人员一起设计，以测试有效性、可接受性和可行性。
