Getting evidence into practice: the meaning of 'context'
Getting evidence into practice: the meaning of 'context'
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DOI：
10.1046/j.1365-2648.2002.02150.x
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发表时间：
2002-04-01
影响因子：
3.8
通讯作者：
Seers, K
中科院分区：
文献类型：
--
作者：
McCormack, B;Kitson, A;Seers, K
纸的目的。本文介绍了一个概念分析的结果“背景”的成功实施的证据付诸实践。背景。1998年，制定了一个概念框架，该框架体现了影响将证据纳入实践的许多因素的相互作用和相互依赖性[Kitson A.，哈维·G & McCormack B.（1998）医疗保健质量7，149。该框架的关键要素之一是“背景”，即实施证据的环境。有人提出，在卫生保健实践的背景下，关键因素对证据的实施和吸收有重大影响。作为正在进行的发展和完善框架的一部分，对框架内的要素进行了概念分析，以便对其内容提供一些理论和概念上的严谨性。莫尔斯氏[莫尔斯]（1995）护理科学进展17，31;莫尔斯J.M.，Hupcey J.E. & Mitcham C. 1996年，《护理实践学术调查》（Scholarly Inquiry for Nursing Practice）。一个国际期刊10，253]的概念分析方法被用来作为一个框架，以审查semi-nal文本批判性和支持的研究文献，以建立概念的清晰度和成熟度的“上下文”在其实施的重要性，以证据为基础的practice.Findings：组织文化，领导和测量方面的背景下的概念的特点Lire概述。一个主要的发现是，上下文具体指的是“实践发生的环境”，但这个词本身并没有反映概念的复杂性。虽然文化和领导力的主题是这个概念的中心特征，但“衡量”的主题通过更广泛的“评估”术语得到了更好的阐述。在使用该术语方面存在不一致的情况，这影响了对其重要性的主张。背景的概念缺乏明确性，因为有许多问题影响到它的特征。此外，对在不同背景下工作的后果的理解有限。因此，在探索研究实施的研究中使用上下文作为变量的影响在很大程度上是未知的。语境的概念已部分发展，但需要进一步界定和比较。
Aim of paper. This paper presents the findings of a concept analysis of 'context' in relation to the successful implementation of evidence into practice.Background. In 1998, a conceptual framework was developed that represented the interplay and interdependence of the many factors influencing the uptake of evidence into practice [Kitson A., Harvey G. & McCormack B. (1998) Quality in Health Care 7, 149]. One of the key elements of the framework was 'context', that is, the setting in which evidence is implemented. It was proposed that key factors in the context of health care practice had a significant impact on the implementation and uptake of evidence. As part of the on-going development and refinement of the framework, the elements within it have undergone a concept analysis in order to provide some theoretical and conceptual rigour to its content.Methods. Morse's [Morse J.M. (1995) Advances in Nursing Science 17, 31; Morse J.M., Hupcey J.E. & Mitcham C. (1996) Scholarly Inquiry for Nursing Practice. An International journal 10, 253] approach to concept analysis was used as a framework to review semi-nal texts critically and the Supporting research literature in order to establish the conceptual clarity and maturity of 'context' in relation to its importance in the implementation of evidence-based practice.Findings: Characteristics of the concept of context in terms of organizational culture, leadership and measurement Lire outlined. A main finding is that context specifically means 'the setting in which practice takes place', but that the term itself does little to reflect the complexity of the concept. Whilst the themes of culture and leadership are central characteristics of the concept, the theme of 'measurement' is better articulated through the broader term of 'evaluation'.Conclusions. There is inconsistency in the use of the term and this has an impact on claims of its importance. The concept of context lacks clarity because of the many issues that impact on the way it is characterized. Additionally, there is limited understanding of the consequences of working with different contexts. Thus, the implications of using context as a variable in research studies exploring research implementation are as yet largely unknown. The concept of context is partially developed but in need of further delineation and comparison.