Measuring organizational readiness for knowledge translation in chronic care.
Measuring organizational readiness for knowledge translation in chronic care.
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DOI：
10.1186/1748-5908-6-72
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发表时间：
2011-07-13
期刊：
影响因子：
--
通讯作者：
Grimshaw J
中科院分区：
文献类型：
--
作者：
Gagnon MP;Labarthe J;Légaré F;Ouimet M;Estabrooks CA;Roch G;Ghandour el K;Grimshaw J
知识翻译（KT）是必要的，以便实施基于研究和情境化的做法，以应对复杂卫生问题的众多挑战。慢性护理模型（CCM）提供了一个概念性框架来指导慢性护理的实施过程。然而，旨在改善慢性护理的组织需要为KT提供足够水平的组织准备（OR）。关于组织变革准备（ORC）的现有工具显示出有限的有效性，并且不适合或适应知识到行动（KTA）过程的特定阶段。我们的目标是开发一种基于证据的、全面的、有效的工具来衡量医疗保健中KT的OR。KT仪器的OR将基于从现有文献中检索的核心概念，并通过德尔菲研究进行验证。我们将专门在对卫生系统日益重要的慢性护理中测试该仪器。第一阶段：我们将对医疗保健中评估ORC的理论和工具进行系统回顾。保留的理论资料将综合成概念图。根据教育和心理测试标准对ORC仪器的心理测量特性进行评估后，编制ORC仪器的参考书目和数据库。一项在线德尔菲研究将在加拿大各地的决策者和知识使用者中进行，以评估这些概念和措施在慢性护理KTA过程中不同步骤的重要性。第二阶段：将以法语和英语开发和验证KT仪器的最终OR，并在慢性疾病管理中进行测试，以衡量采用全面、以患者为中心和基于系统的ccm时KT的OR。本研究提供了一个综合的解释模型和评估KT OR的工具的现有知识。此外，本项目旨在就慢性护理中KT的理论基础和方法建立更多的共识。最终产品——全面有效的KT OR工具——将为慢性护理机构提供一种工具，以评估其实施循证慢性护理的准备情况。
Knowledge translation (KT) is an imperative in order to implement research-based and contextualized practices that can answer the numerous challenges of complex health problems. The Chronic Care Model (CCM) provides a conceptual framework to guide the implementation process in chronic care. Yet, organizations aiming to improve chronic care require an adequate level of organizational readiness (OR) for KT. Available instruments on organizational readiness for change (ORC) have shown limited validity, and are not tailored or adapted to specific phases of the knowledge-to-action (KTA) process. We aim to develop an evidence-based, comprehensive, and valid instrument to measure OR for KT in healthcare. The OR for KT instrument will be based on core concepts retrieved from existing literature and validated by a Delphi study. We will specifically test the instrument in chronic care that is of an increasing importance for the health system. Phase one: We will conduct a systematic review of the theories and instruments assessing ORC in healthcare. The retained theoretical information will be synthesized in a conceptual map. A bibliography and database of ORC instruments will be prepared after appraisal of their psychometric properties according to the standards for educational and psychological testing. An online Delphi study will be carried out among decision makers and knowledge users across Canada to assess the importance of these concepts and measures at different steps in the KTA process in chronic care. Phase two: A final OR for KT instrument will be developed and validated both in French and in English and tested in chronic disease management to measure OR for KT regarding the adoption of comprehensive, patient-centered, and system-based CCMs. This study provides a comprehensive synthesis of current knowledge on explanatory models and instruments assessing OR for KT. Moreover, this project aims to create more consensus on the theoretical underpinnings and the instrumentation of OR for KT in chronic care. The final product--a comprehensive and valid OR for KT instrument--will provide the chronic care settings with an instrument to assess their readiness to implement evidence-based chronic care.
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影响因子：
3.4
作者：
Bonomi, AE;Wagner, EH;VonKorff, M
通讯作者：
VonKorff, M
影响因子：
5.4
作者：
Bonetti, Debbie;Pitts, Nigel B.;Walker, Anne
通讯作者：
Walker, Anne
影响因子：
9.7
作者：
Coleman, Katie;Austin, Brian T.;Wagner, Edward H.
通讯作者：
Wagner, Edward H.
DOI：
10.1016/s1386-5056(03)00094-7
发表时间：
2003-09-01
影响因子：
4.9
作者：
Gagnon, MP;Godin, G;Cloutier, A
通讯作者：
Cloutier, A
影响因子：
5.7
作者：
Holt, Daniel T.;Helfrich, Christian D.;Weiner, Bryan J.
通讯作者：
Weiner, Bryan J.