Researchers-in-Residence: a solution to the challenge of evidence-informed improvement?
Researchers-in-Residence: a solution to the challenge of evidence-informed improvement?
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DOI：
10.1017/s1463423614000310
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发表时间：
2014-08
期刊：
影响因子：
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通讯作者：
M. Marshall
中科院分区：
文献类型：
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作者：
M. Marshall
长期以来，临床医生和医疗服务管理者不仅要为患者提供高质量的医疗服务，还要不断改进医疗服务。当后者被证明具有挑战性时（大多数情况下都是如此），人们很容易将问题归结为专业主义或管理主义的失败。但是，在组织和提供护理的方式以及患者的临床和经验结果方面，纠正根深蒂固的缺陷并不是一件容易的事情。改善护理的努力往往不起作用或只取得部分成功，资源被浪费，改善干预措施的意外后果被忽视，从业人员的热情被驱散。近几十年来，应对这些挑战的努力使人们对研究在指导改进活动中所发挥的作用以及循证改进的概念越来越感兴趣[1]。
Clinicians and health service managers have long been held responsible not only for delivering high quality care but also for continuously improving it. When the latter proves to be challenging which is the case for most of the time – it is tempting to frame the problem as one of a failure of professionalism or managerialism. But rectifying deeply embedded deficiencies in the ways that care is organised and delivered, and in clinical and experiential outcomes for patients, is not an easy task. Too often efforts to improve care do not work or are only partially successful, resources are wasted, the unintended consequences of improvement interventions are ignored and the enthusiasm of practitioners is dissipated. In recent decades attempts to meet these challenges have led to a growing interest in the role that research can play in guiding improvement activities, and in the concept of Evidence Informed Improvement [1].