The relationship between characteristics of context and research utilization in a pediatric setting
The relationship between characteristics of context and research utilization in a pediatric setting
复制标题
DOI：
10.1186/1472-6963-10-168
复制
发表时间：
2010-06-16
影响因子：
2.8
通讯作者：
Estabrooks, Carole A.
中科院分区：
文献类型：
--
作者：
Cummings, Greta G.;Hutchinson, Alison M.;Estabrooks, Carole A.
背景：研究利用研究者呼吁更集中地检查背景对研究利用行为的影响。然而，直到最近，缺乏识别和量化研究使用中不可或缺的组织环境方面的工具，严重阻碍了这些努力。艾伯塔背景工具 (ACT) 旨在评估组织因素与各种医疗保健专业团体的研究利用之间的关系。本文的目的是展示一项试点研究的结果，该研究使用 ACT 来引发儿科和新生儿保健专业人员对其工作组织环境的看法以及他们利用研究来指导实践的看法。具体来说，我们报告了基于促进卫生服务研究实施行动 (PARIHS) 框架的背景维度与自我报告的研究使用行为之间的关系。方法：采用横断面调查方法，使用专门针对儿科环境进行修改的 ACT 版本。该调查针对在加拿大艾伯塔省三个儿科病房工作的护士。环境三个维度（文化、领导力和评估）的分数用于将受访者数据分类为四个环境组之一（高、中高、中低和低）。然后我们检查了护士自我报告的研究使用与他们感知的背景之间的关系。结果：达到了 69% 的响应率。三个单位的护士对文化、领导力和评估以及自我报告的概念研究使用的看法存在统计学上的显着差异。三组护士按单位划分的仪器研究使用差异并不显着。样本中所有护士自我报告的工具和概念研究使用率越高，对其背景的看法越积极。结论：总体而言，本研究的结果支持了以下观点：更积极的背景与实践中较高的研究使用报告相关。这些发现对于组织努力促进循证实践和最大限度地提高护理质量具有重要意义。重要的是，这些发现可用于指导干预措施的制定，以针对对塑造研究使用行为有影响的组织环境的可修改特征。
Background: Research utilization investigators have called for more focused examination of the influence of context on research utilization behaviors. Yet, up until recently, lack of instrumentation to identify and quantify aspects of organizational context that are integral to research use has significantly hampered these efforts. The Alberta Context Tool (ACT) was developed to assess the relationships between organizational factors and research utilization by a variety of healthcare professional groups. The purpose of this paper is to present findings from a pilot study using the ACT to elicit pediatric and neonatal healthcare professionals' perceptions of the organizational context in which they work and their use of research to inform practice. Specifically, we report on the relationship between dimensions of context, founded on the Promoting Action on Research Implementation in Health Services (PARIHS) framework, and self-reported research use behavior.Methods: A cross-sectional survey approach was employed using a version of the ACT, modified specifically for pediatric settings. The survey was administered to nurses working in three pediatric units in Alberta, Canada. Scores for three dimensions of context (culture, leadership and evaluation) were used to categorize respondent data into one of four context groups (high, moderately high, moderately low and low). We then examined the relationships between nurses' self-reported research use and their perceived context.Results: A 69% response rate was achieved. Statistically significant differences in nurses' perceptions of culture, leadership and evaluation, and self-reported conceptual research use were found across the three units. Differences in instrumental research use across the three groups of nurses by unit were not significant. Higher self-reported instrumental and conceptual research use by all nurses in the sample was associated with more positive perceptions of their context.Conclusions: Overall, the results of this study lend support to the view that more positive contexts are associated with higher reports of research use in practice. These findings have implications for organizational endeavors to promote evidence-informed practice and maximize the quality of care. Importantly, these findings can be used to guide the development of interventions to target modifiable characteristics of organizational context that are influential in shaping research use behavior.