Demystifying theory and its use in improvement.
Demystifying theory and its use in improvement.
复制标题
DOI：
10.1136/bmjqs-2014-003627
复制
发表时间：
2015-03
影响因子：
5.4
通讯作者：
Michie S
中科院分区：
文献类型：
--
作者：
Davidoff F;Dixon-Woods M;Leviton L;Michie S
理论在改善医疗保健工作中的作用和价值一直被严重低估。我们与其他人一起提出，更明智地使用理论可以加强改进方案，并促进其有效性的评估。不幸的是，许多专业人士，包括改进实践者，都对理论感到困惑和疏远，这阻碍了他们在工作中使用它。为了使理论非神秘化，我们在本文中指出，理论（“推理”），无论是非正式的还是正式的，都与几乎所有的人类努力密切相关，而不是随意的或多余的。我们探讨了大，中档和方案理论的特殊性;考虑误用理论或不使用它的后果;审查的过程中开发和应用程序理论;检查一些新兴的标准“好”的理论;并强调的价值，以及挑战，结合正式的，公开开发的理论，非正式的经验为基础的理论。我们的结论是，虽然非正式的理论总是在工作中的改进，从业者往往没有意识到它或不明确。因此，对于改进实践者来说，最重要的问题不是他们是否使用理论，而是他们是否明确了他们实际使用的特定理论，无论是正式的还是非正式的。
The role and value of theory in improvement work in healthcare has been seriously underrecognised. We join others in proposing that more informed use of theory can strengthen improvement programmes and facilitate the evaluation of their effectiveness. Many professionals, including improvement practitioners, are unfortunately mystified—and alienated—by theory, which discourages them from using it in their work. In an effort to demystify theory we make the point in this paper that, far from being discretionary or superfluous, theory (‘reason-giving’), both informal and formal, is intimately woven into virtually all human endeavour. We explore the special characteristics of grand, mid-range and programme theory; consider the consequences of misusing theory or failing to use it; review the process of developing and applying programme theory; examine some emerging criteria of ‘good’ theory; and emphasise the value, as well as the challenge, of combining informal experience-based theory with formal, publicly developed theory. We conclude that although informal theory is always at work in improvement, practitioners are often not aware of it or do not make it explicit. The germane issue for improvement practitioners, therefore, is not whether they use theory but whether they make explicit the particular theory or theories, informal and formal, they actually use.
登录
查看更多内容
DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
影响因子：
2.9
作者：
Aveling, Emma-Louise;McCulloch, Peter;Dixon-Woods, Mary
通讯作者：
Dixon-Woods, Mary
影响因子：
7.2
作者：
Dixon-Woods, Mary;Leslie, Myles;Bion, Julian
通讯作者：
Bion, Julian
影响因子：
7.2
作者：
Angus, Doug;Brouwers, Melissa;Tetroe, Jacqueline
通讯作者：
Tetroe, Jacqueline
DOI：
10.1186/1748-5908-5-14
发表时间：
2010-02-09
期刊：
Implementation science : IS
影响因子：
--
作者：
Davies P;Walker AE;Grimshaw JM
通讯作者：
Grimshaw JM