Outcomes-focused knowledge translation: A framework for knowledge translation and patient outcomes improvement
Outcomes-focused knowledge translation: A framework for knowledge translation and patient outcomes improvement
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DOI：
10.1111/j.1741-6787.2007.00073.x
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发表时间：
2007-01-01
影响因子：
4.3
通讯作者：
Sidani, Souraya
中科院分区：
文献类型：
--
作者：
Doran, Diane M.;Sidani, Souraya
背景：定期获取最新和可靠的信息仍然是一线工作人员护士面临的挑战。重新定义护士获取信息的方式，并设计适当的决策支持系统以促进及时获取信息，可能对提高研究利用率很重要。策略描述：开发了一个以结果为中心的知识转化框架，通过吸收有关患者结果的研究证据和反馈数据，指导患者护理的持续改进。该框架在医疗点实施了parhis框架的三个要素。以结果为中心的知识转化包括四个组成部分：(a)患者结果测量和结果实现的实时反馈；(b)最佳实践指南，嵌入决策支持工具，根据患者评估数据提供关键信息；(c)澄清患者对护理的偏好；(d)高级执业护士和执业领导的促进。本文描述了该框架，并提供了证据来支持框架中概念之间的理论化关系。意义：该框架指导了旨在持续改善患者护理和循证实践的知识转化干预的设计，这些干预通过患者结果的实时反馈数据、护理点循证资源的电子访问以及高级执业护士的促进来促进。框架中的命题需要通过未来的研究进行实证检验。
Background: Regularly accessing information that is current and reliable continues to be a challenge for front-line staff nurses. Reconceptualizing how nurses access information, and designing appropriate decision support systems to facilitate timely access to information may be important for increasing research utilization.Description of Strategy: An outcomes-focused knowledge translation framework was developed to guide the continuous improvement of patient care through the uptake of research evidence and feedback data about patient outcomes. The framework operationalizes the three elements of the PARIHS framework at the point of care.Outcomes-focused knowledge translation involves four components: (a) patient outcomes measurement and real-time feedback about outcomes achievement; (b) best-practice guidelines, embedded in decision support tools that deliver key messages in response to patient assessment data; (c) clarification of patients' preferences for care; and (d) facilitation by advanced practice nurses and practice leaders. In this paper the framework is described and evidence is provided to support theorized relationships among the concepts in the framework.Implications: The framework guided the design of a knowledge translation intervention aimed at continuous improvement of patient care and evidence-based practice, which are fostered through real-time feedback data about patient outcomes, electronic access to evidence-based resources at the point of care, and facilitation by advanced practice nurses. The propositions in the framework need to be empirically tested through future research.