Dissemination and implementation research in dementia care: a systematic scoping review and evidence map.
Dissemination and implementation research in dementia care: a systematic scoping review and evidence map.
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DOI：
10.1186/s12877-017-0528-y
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发表时间：
2017-07-14
期刊：
影响因子：
4.1
通讯作者：
Thompson Coon J
中科院分区：
文献类型：
--
作者：
Lourida I;Abbott RA;Rogers M;Lang IA;Stein K;Kent B;Thompson Coon J
需要更好地了解实施循证痴呆症护理已在多个优先事项设定伙伴关系中得到认可。本范围审查的目的是概述痴呆症护理实施和传播的证据状况，并创建一个系统的证据地图。我们寻求研究，解决传播和实施策略或描述的障碍和促进剂，以实施跨痴呆症阶段和护理环境。从开始到2015年10月检索了12个数据库，随后进行了正向引用和灰色文献检索。包括定量研究与比较研究设计和定性研究与公认的数据收集方法。标题、摘要和全文由两名评审员独立筛选，必要时由第三名评审员解决差异。数据提取由一名审查员进行，并由第二名审查员进行检查。根据ERIC汇编绘制策略。共纳入88项研究（30项定量研究，34项定性研究和24项混合方法研究）。大约60%的研究报告了改进实践的实施战略：培训和教育专业人员（94%），促进利益相关者的相互关系（69%）和评估战略（46%）是常见的;财务战略很少（15%）。近70%的研究报告的障碍或便利的护理做法主要是在住宅护理设置。组织因素，包括时间限制和工作量增加，是经常出现的障碍，而领导和管理支助往往被报告为促进执行。对初级保健和医院环境中的实施活动，或痴呆症患者及其家庭护理人员的观点和经验知之甚少。这种范围审查和证据映射揭示了缺乏强有力的证据，以告知成功传播和实施循证痴呆症护理。如果我们要在实践中做出改变，改善痴呆症护理，就必须进一步探索最适当的方法来评估和报告实现变革的举措以及实施战略的有效性。本文的在线版本（doi：10.1186/s12877-017-0528-y）包含补充材料，可供授权用户使用。
The need to better understand implementing evidence-informed dementia care has been recognised in multiple priority-setting partnerships. The aim of this scoping review was to give an overview of the state of the evidence on implementation and dissemination of dementia care, and create a systematic evidence map. We sought studies that addressed dissemination and implementation strategies or described barriers and facilitators to implementation across dementia stages and care settings. Twelve databases were searched from inception to October 2015 followed by forward citation and grey literature searches. Quantitative studies with a comparative research design and qualitative studies with recognised methods of data collection were included. Titles, abstracts and full texts were screened independently by two reviewers with discrepancies resolved by a third where necessary. Data extraction was performed by one reviewer and checked by a second. Strategies were mapped according to the ERIC compilation. Eighty-eight studies were included (30 quantitative, 34 qualitative and 24 mixed-methods studies). Approximately 60% of studies reported implementation strategies to improve practice: training and education of professionals (94%), promotion of stakeholder interrelationships (69%) and evaluative strategies (46%) were common; financial strategies were rare (15%). Nearly 70% of studies reported barriers or facilitators of care practices primarily within residential care settings. Organisational factors, including time constraints and increased workload, were recurrent barriers, whereas leadership and managerial support were often reported to promote implementation. Less is known about implementation activities in primary care and hospital settings, or the views and experiences of people with dementia and their family caregivers. This scoping review and mapping of the evidence reveals a paucity of robust evidence to inform the successful dissemination and implementation of evidence-based dementia care. Further exploration of the most appropriate methods to evaluate and report initiatives to bring about change and of the effectiveness of implementation strategies is necessary if we are to make changes in practice that improve dementia care. The online version of this article (doi:10.1186/s12877-017-0528-y) contains supplementary material, which is available to authorized users.
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影响因子：
12.7
作者：
Glasgow, RE;Vogt, TM;Boles, SM
通讯作者：
Boles, SM
影响因子：
3.8
作者：
Brodaty, H;Draper, B;Low, LF
通讯作者：
Low, LF
影响因子：
11.4
作者：
Grol, R;Wensing, M
通讯作者：
Wensing, M
影响因子：
3.4
作者：
Hubbard, G;Downs, MG;Tester, S
通讯作者：
Tester, S
DOI：
10.1186/1748-5908-5-69
发表时间：
2010-09-20
期刊：
Implementation science : IS
影响因子：
--
作者：
Levac D;Colquhoun H;O'Brien KK
通讯作者：
O'Brien KK