Lessons Learned from the Preimplementation Phase of an Oral Health Care Project
Lessons Learned from the Preimplementation Phase of an Oral Health Care Project
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口腔保健项目实施前阶段的经验教训
DOI：
10.1177/23800844221083966
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发表时间：
2022
影响因子：
--
通讯作者：
T. Conroy
中科院分区：
文献类型：
--
作者：
J. Murray;S. Hunter;Z. Splawinski;T. Conroy
实施研究的目的是改善卫生保健实践和政策对循证干预措施的吸收，但开展此类研究可能很复杂。这篇简短的报告讨论了研究小组的意图和在开展一个旨在提高医院老年科对最佳实践口腔卫生保健的依从性的项目实施前阶段所面临的现实。以我们的项目为例，我们的目的是为研究人员提供一个洞察他们可能面临的潜在障碍和可以用来克服这些障碍的策略。在预实现阶段，重要的是要花足够的时间来确保本地站点为提议的变更做好了准备，并受到激励，并致力于实现共同的目标。需要明确描述促进者的角色。上下文环境总是在变化，可能需要额外的支持或资源来驾驭它们。灵活的心态是必要的，因为目标和策略可能需要在此过程中重新协商。实施项目的成功和有效性通常建立在实施前阶段投入的时间和关系的建立上。知识转移声明：本评论强调，在急性老年病房有效实施最佳口腔卫生保健做法是建立在实施前阶段投入的时间和建立关系的基础上的。
Implementation research aims to improve uptake of evidence-based interventions into health care practice and policy, but conducting such research can be complex. This brief report discusses the intentions of the research team versus the reality faced when conducting the preimplementation phase of a project aiming to improve adherence to best-practice oral health care in a hospital geriatric unit. Using our project as an example, our aim is to provide researchers with an insight into potential hurdles they may also face and strategies that could be employed to overcome these. During the preimplementation stage, it is important to take sufficient time to ensure that the local site is ready and motivated for the proposed change and committed to the shared goal. Explicit delineation of roles of facilitators is needed. Contextual circumstances will always change, and additional support or resources might be required to navigate them. A flexible mind-set is required as goals and strategies may need to be renegotiated along the way. The success and effectiveness of implementation projects are often built from the time and relationship building invested in the preimplementation phase. Knowledge Transfer Statement: This commentary highlights that effective implementation of best-practice oral health care in acute geriatric units is built on the time and relationship building invested in the preimplementation phase.