Getting evidence into practice: the role and function of facilitation
Getting evidence into practice: the role and function of facilitation
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DOI：
10.1046/j.1365-2648.2002.02126.x
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发表时间：
2002-03-01
影响因子：
3.8
通讯作者：
Seers, K
中科院分区：
文献类型：
--
作者：
Harvey, G;Loftus-Hills, A;Seers, K
纸张的目的。本文介绍了与将证据成功实施到实践相关的促进概念分析的结果。背景。 1998 年，我们提出了一个概念框架，该框架代表了影响证据应用于实践的许多因素的相互作用和相互依赖。该框架的三个要素之一是便利，以及证据和背景的性质。有人提出，协调员在帮助个人和团队了解他们需要改变什么以及如何改变方面发挥着关键作用。作为框架持续发展和完善的一部分，其中的元素经过了概念分析，以提供理论和概念的清晰度。方法。概念分析方法被用作批判性审查研究文献和开创性文本的框架，以便建立与其在实施循证实践中的作用相关的促进概念的清晰度和成熟度。调查结果。便利化的概念尚未成熟，需要界定和比较。在这里，探讨了促进者的目的、角色、技能和属性，以便尝试区分该角色与其他变革推动者角色，如教育外展工作者、学术细节制定者和意见领袖。结论。我们建议，促进可以被表示为一组连续体，促进的目的范围从离散的以任务为中心的活动到使个人、团队和组织能够改变的更全面的过程。提出了一些促进的定义特征。然而，需要进一步研究来澄清和评估不同的促进模式。
Aim of paper. This paper presents the findings of a concept analysis of facilitation in relation to successful implementation of evidence into practice.Background. In 1998, we presented a conceptual framework that represented the interplay and interdependence of the many factors influencing the uptake of evidence into practice. One of the three elements of the framework was facilitation, alongside the nature of evidence and context. It was proposed that facilitators had a key role in helping individuals and teams understand what they needed to change and how they needed to change it. 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 theoretical and conceptual clarity.Methods. The concept analysis approach was used as a framework to review critically the research literature and seminal texts in order to establish the conceptual clarity and maturity of facilitation in relation to its role in the implementation of evidence-based practice.Findings. The concept of facilitation is partially developed and in need of delineation and comparison. Here, the purpose, role and skills and attributes of facilitators are explored in order to try and make distinctions between this role and other change agent roles such as educational outreach workers, academic detailers and opinion leaders.Conclusions. We propose that facilitation can be represented as a set of continua, with the purpose of facilitation ranging from a discrete task-focused activity to a more holistic process of enabling individuals, teams and organizations to change. A number of defining characteristics of facilitation are proposed. However, further research to clarify and evaluate different models of facilitation is required.