Diffusion of innovation theory for clinical change
Diffusion of innovation theory for clinical change
复制标题
临床变革创新理论的传播
DOI：
10.5694/j.1326-5377.2004.tb05947.x
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发表时间：
2004
影响因子：
11.4
通讯作者：
R. Sanson
中科院分区：
文献类型：
--
作者：
R. Sanson
最大限度地采用基于证据的实践被认为是决定医疗结果的主要因素。然而，基于证据的建议和目前的护理之间存在差距。仅仅通过向临床医生通报证据是无法弥合证据差距的。罗杰斯的扩散模型是理解如何实现变化的一种理论方法。他认为，创新本身的某些特征可能会促进其采用。影响接受程度的其他因素包括有影响力的榜样的促进、改变的复杂程度、与现有价值和需要的兼容性以及在采用新程序之前检验和修改新程序的能力。扩散模型可以提供有价值的见解，解释为什么一些实践会改变，而另一些则不会，并指导那些试图采用最佳证据实践的人。
Maximising the adoption of evidence‐based practice has been argued to be a major factor in determining healthcare outcomes. However, there are gaps between evidence‐based recommendations and current care. Bridging the evidence gap will not be achieved simply by informing clinicians about the evidence. One theoretical approach to understanding how change may be achieved is Rogers’ diffusion model. He argues that certain characteristics of the innovation itself may facilitate its adoption. Other factors infuencing acceptance include promotion by influential role models, the degree of complexity of the change, compatibility with existing values and needs, and the ability to test and modify the new procedure before adopting it. The diffusion model may provide valuable insights into why some practices change and others do not, as well as guiding those who try to effect adoption of best‐evidence practice.
解决初级保健患者的饮酒问题：家庭医学和内科住院医师之间的差异。
影响因子：
5.7
作者：
Schorling,JB;Klas,PT;Willems,JP;Everett,AS
通讯作者：
Everett,AS
前列腺筛查的争议。
DOI：
10.1067/mgn.2000.110829
发表时间：
2000
期刊：
Geriatric nursing (New York, N.Y.)
影响因子：
--
作者：
McDougallJr,GJ;Weber,BA;Dziuk,TW;Heneghan,R
通讯作者：
Heneghan,R