Study protocol for the translating research in elder care (TREC): building context through case studies in long-term care project (project two)
Study protocol for the translating research in elder care (TREC): building context through case studies in long-term care project (project two)
复制标题
DOI：
10.1186/1748-5908-4-53
复制
发表时间：
2009-08-11
影响因子：
7.2
通讯作者：
Estabrooks, Carole A.
中科院分区：
文献类型：
--
作者：
Rycroft-Malone, Jo;Dopson, Sue;Estabrooks, Carole A.
背景：医疗保健提供的组织环境被认为在调解知识在实践中的使用方面发挥着重要作用。此外，一些潜在的可修改的背景因素已被证明使组织背景更容易改变。然而，对这些因素如何影响组织背景和知识使用的了解仍然有限。特别是，在长期护理环境中理解知识转化的研究很少。因此，需要进一步的研究来提供与知识利用相关的组织情境特征的强有力的解释。目的：对组织情境如何在长期护理机构的实践中调节知识的使用做出强有力的解释。设计：这是一项纵向的、深入的定性案例研究，采用探索性和解释性的方法来探索组织情境在影响知识转化中的作用。研究将分两个阶段进行。在第一阶段，将在三个设施中进行全面的案例研究。在数据分析和命题发展之后，第二阶段将继续进行重点案例研究，以阐述新出现的主题和理论。学习地点将被有目的地选择。在这两个阶段，将使用各种方法收集数据，包括非参与者观察、主要线人访谈、家庭视角、焦点小组和书面证据(包括但不限于政策、通知和实物资源的照片)。数据分析将包括一个迭代过程，即确定每个案例研究中的趋同证据，然后检查和比较多个案例研究中的证据，以便从整个研究中得出结论。此外，通过这个项目出现的结果将与项目一出现的结果进行比较和考虑。通过这种方式，基于解释构建的模式匹配将被用来框架分析和开发对组织背景和随时间推移的知识使用的解释。对中介知识使用的背景因素的更好的理解将为未来促进知识使用的干预措施的发展和测试提供信息，最终目的是改善长期护理环境中的居民的结果。
Background: The organizational context in which healthcare is delivered is thought to play an important role in mediating the use of knowledge in practice. Additionally, a number of potentially modifiable contextual factors have been shown to make an organizational context more amenable to change. However, understanding of how these factors operate to influence organizational context and knowledge use remains limited. In particular, research to understand knowledge translation in the long-term care setting is scarce. Further research is therefore required to provide robust explanations of the characteristics of organizational context in relation to knowledge use.Aim: To develop a robust explanation of the way organizational context mediates the use of knowledge in practice in long-term care facilities.Design: This is longitudinal, in-depth qualitative case study research using exploratory and interpretive methods to explore the role of organizational context in influencing knowledge translation. The study will be conducted in two phases. In phase one, comprehensive case studies will be conducted in three facilities. Following data analysis and proposition development, phase two will continue with focused case studies to elaborate emerging themes and theory. Study sites will be purposively selected. In both phases, data will be collected using a variety of approaches, including non-participant observation, key informant interviews, family perspectives, focus groups, and documentary evidence ( including, but not limited to, policies, notices, and photographs of physical resources). Data analysis will comprise an iterative process of identifying convergent evidence within each case study and then examining and comparing the evidence across multiple case studies to draw conclusions from the study as a whole. Additionally, findings that emerge through this project will be compared and considered alongside those that are emerging from project one. In this way, pattern matching based on explanation building will be used to frame the analysis and develop an explanation of organizational context and knowledge use over time.An improved understanding of the contextual factors that mediate knowledge use will inform future development and testing of interventions to enhance knowledge use, with the ultimate aim of improving the outcomes for residents in long-term care settings.