Managerial leadership for research use in nursing and allied health care professions: a narrative synthesis protocol.
Managerial leadership for research use in nursing and allied health care professions: a narrative synthesis protocol.
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DOI：
10.1186/2046-4053-3-57
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发表时间：
2014-06-05
影响因子：
3.7
通讯作者：
Wallin L
中科院分区：
文献类型：
--
作者：
Gifford WA;Holyoke P;Squires JE;Angus D;Brosseau L;Egan M;Graham ID;Miller C;Wallin L
护士和专职医疗保健专业人员（物理治疗师、职业治疗师、言语和语言病理学家、营养师）占临床医疗保健工作人员的一半以上，在提供医疗服务方面发挥着核心作用。如果这些专业人员经常使用研究证据来指导他们的临床实践，就有可能提高医疗保健的质量。然而，研究证据的使用仍然不可预测和不一致。在实施研究中，领导力一直被描述为对提高医疗保健专业人员的研究利用率至关重要。然而，这一重要文献尚未得到综合，也没有明确什么是有效的领导研究使用，或什么样的干预有效地发展领导的目的，使和加强临床实践中的研究使用。我们建议综合一线和高级管理人员之间的领导行为的证据与护士和专职医疗保健专业人员的研究证据，然后确定促进这些行为的干预措施的有效性。使用一种综合的知识翻译方法，支持研究人员和知识用户之间的伙伴关系，在整个研究过程中，我们将遵循知识综合的原则，使用系统的方法来综合不同类型的证据，包括：文献检索，研究选择，数据提取和质量评估，以及分析。将进行叙述性综合，以探索研究内和研究间的关系，如果采用实验性随机对照试验设计的研究间存在足够的同质性，则将进行荟萃分析。随着知识使用者在领导和实践中的参与，我们将从广泛的学科中综合研究，以了解支持和使医疗保健从业者能够使用研究的领导力的关键要素，以及如何发展领导力，以提高临床实践中的研究使用。PROSPERO CRD 42014007660。
Nurses and allied health care professionals (physiotherapists, occupational therapists, speech and language pathologists, dietitians) form more than half of the clinical health care workforce and play a central role in health service delivery. There is a potential to improve the quality of health care if these professionals routinely use research evidence to guide their clinical practice. However, the use of research evidence remains unpredictable and inconsistent. Leadership is consistently described in implementation research as critical to enhancing research use by health care professionals. However, this important literature has not yet been synthesized and there is a lack of clarity on what constitutes effective leadership for research use, or what kinds of intervention effectively develop leadership for the purpose of enabling and enhancing research use in clinical practice. We propose to synthesize the evidence on leadership behaviours amongst front line and senior managers that are associated with research evidence by nurses and allied health care professionals, and then determine the effectiveness of interventions that promote these behaviours. Using an integrated knowledge translation approach that supports a partnership between researchers and knowledge users throughout the research process, we will follow principles of knowledge synthesis using a systematic method to synthesize different types of evidence involving: searching the literature, study selection, data extraction and quality assessment, and analysis. A narrative synthesis will be conducted to explore relationships within and across studies and meta-analysis will be performed if sufficient homogeneity exists across studies employing experimental randomized control trial designs. With the engagement of knowledge users in leadership and practice, we will synthesize the research from a broad range of disciplines to understand the key elements of leadership that supports and enables research use by health care practitioners, and how to develop leadership for the purpose of enhancing research use in clinical practice. PROSPERO CRD42014007660.