Implementation support practitioners - a proposal for consolidating a diverse evidence base
Implementation support practitioners - a proposal for consolidating a diverse evidence base
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DOI：
10.1186/s12913-020-05145-1
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发表时间：
2020-05-01
影响因子：
2.8
通讯作者：
Burke, Katie
中科院分区：
文献类型：
--
作者：
Albers, Bianca;Metz, Allison;Burke, Katie
背景实施实践中的劳动力发展已被确定为卫生服务中的一项重大挑战。这是由于这一领域的现有研究还处于萌芽阶段，现有的培训方案很少，而且受过培训和准备在实地实践执行工作的前线服务人员普遍短缺。因此，人们对“执行支助”作为有效建设人类服务部门执行能力的一种方式的作用的兴趣有所增加。然而，虽然经常使用，但人们对有效提供这种支持所需的技能和能力知之甚少。为了使关于执行支助能力的辩论和研究议程取得进展，我们建议将“执行支助实践者”的作用作为一个概念，将侧重于协商、促进或知识中介等方面的多个研究流统一起来。实施支持从业者是支持其他人实施循证实践、政策和方案，以及维持和扩大人口影响证据的专业人员。他们不参与直接服务的提供或管理，并与领导和工作人员密切合作，以有效地向个人、家庭和社区提供直接的临床、治疗或教育服务。他们可能是专家或多面手，位于他们所服务的交付系统内和/或外部。为了有效地支持其他人的执行做法，执行支助从业人员需要有能力激活与执行有关的知识、技能和态度，并在其支助活动中运用和应用这些知识、技能和态度。在这样做的过程中，他们的目标是触发关系和行为结果。这一思想反映在本文概述的总体逻辑中。结论执行支助从业者作为一种职业的发展需要改进对他们的作用和工作的概念性思考，以及他们如何能够在现实世界环境中吸收和整合证据。这篇文章介绍了一个初步的逻辑，对执行支助从业者的作用进行概念化，为正在进行的研究提供信息，目的是增加我们对执行支助的了解和提供这种支助所需的能力。
Background Workforce development for implementation practice has been identified as a grand challenge in health services. This is due to the embryonic nature of the existing research in this area, few available training programs and a general shortage of frontline service staff trained and prepared for practicing implementation in the field. The interest in the role of "implementation support" as a way to effectively build the implementation capacities of the human service sector has therefore increased. However, while frequently used, little is known about the skills and competencies required to effectively provide such support. Main body To progress the debate and the research agenda on implementation support competencies, we propose the role of the "implementation support practitioner" as a concept unifying the multiple streams of research focused on e.g. consultation, facilitation, or knowledge brokering. Implementation support practitioners are professionals supporting others in implementing evidence-informed practices, policies and programs, and in sustaining and scaling evidence for population impact. They are not involved in direct service delivery or management and work closely with the leadership and staff needed to effectively deliver direct clinical, therapeutic or educational services to individuals, families and communities. They may be specialists or generalists and be located within and/or outside the delivery system they serve. To effectively support the implementation practice of others, implementation support practitioners require an ability to activate implementation-relevant knowledge, skills and attitudes, and to operationalize and apply these in the context of their support activities. In doing so, they aim to trigger both relational and behavioral outcomes. This thinking is reflected in an overarching logic outlined in this article. Conclusion The development of implementation support practitioners as a profession necessitates improved conceptual thinking about their role and work and how they enable the uptake and integration of evidence in real world settings. This article introduces a preliminary logic conceptualizing the role of implementation support practitioners informing research in progress aimed at increasing our knowledge about implementation support and the competencies needed to provide this support.