Zareivenovel Mojgan, Nemati-Anaraki Leila, Asadzandi Shadi
Department of Medical Library and Information Science, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Health Management and Economics Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran.
Iran J Public Health. 2024 Dec;53(12):2646-2658.
We aimed to identify and classify barriers and facilitators of implementation of research finding in healthcare.
A scoping review was conducted using Preferred Reporting Items for Systematic Reviews and Meta-analyses Extension for Scoping Reviews (PRISMA-ScR). Articles were extracted from online databases. The initial search was implemented on Jun, 2022, and updated until end of 2023. Two independent reviewers screened, selected, and extracted the data. Data were synthesized using thematic analysis.
Overall, 32 studies from 3,435 documents met the inclusion criteria. From which 60 barriers and 45 facilitators were identified. The main barriers and facilitators extracted were grouped into eight components: Organization, Collaboration to knowledge utilization, Researcher role, Methodology and technical aspect of research, Management, Cultural and social determinants, Training, and Government and community. Organizational barriers and facilitators were the most concerning with insufficient attention, methodology and technical aspects of research were salient barriers, and the other components had similar roles.
This study directly addresses a gap in implementing the research findings in organizations. The government would benefit from knowledge implementation with respect to evidence utilization. Additionally, implementation knowledge was not transferred to healthcare practice to a sufficient extent, thus restricting the systematic use of implementation knowledge in practice.
我们旨在识别和分类医疗保健领域研究成果实施的障碍和促进因素。
采用系统评价和Meta分析扩展的范围综述首选报告项目（PRISMA-ScR）进行范围综述。文章从在线数据库中提取。初始检索于2022年6月进行，并更新至2023年底。两名独立评审员筛选、选择并提取数据。使用主题分析对数据进行综合。
总体而言，从3435篇文献中筛选出32项研究符合纳入标准。从中识别出60个障碍和45个促进因素。提取的主要障碍和促进因素分为八个部分：组织、知识利用协作、研究人员角色、研究方法和技术方面、管理、文化和社会决定因素、培训以及政府和社区。组织方面的障碍和促进因素最受关注，研究的方法和技术方面是突出障碍，其他部分作用相似。
本研究直接解决了组织中实施研究成果方面的一个空白。政府在证据利用的知识实施方面将有所受益。此外，实施知识在很大程度上未转移到医疗实践中，从而限制了实施知识在实践中的系统应用。
