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首页> 外文期刊>BMC Medical Education >Implementing an initiative promote evidence-informed practice: part 2—healthcare professionals’ perspectives of the evidence rounds programme
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Implementing an initiative promote evidence-informed practice: part 2—healthcare professionals’ perspectives of the evidence rounds programme

机译：实施一项计划以促进循证的实践：第二部分-医护人员对循证计划的看法

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The translation of research into clinical practice is a key component of evidence-informed decision making. We implemented a multi-component dissemination and implementation strategy for healthcare professionals (HCPs) called Evidence Rounds. We report the findings of focus groups and interviews with HCPs to explore their perceptions of Evidence Rounds and help inform the implementation of future similar initiatives. This is the second paper in a two-part series. We employed total population, purposive sampling by targeting all of the health care professionals who attended or presented at group sessions exploring the evidence on clinical questions or topics chosen and presented by the HCPs. We conducted and audio-recorded in-person focus groups and one-to-one interviews, which were then transcribed verbatim. Two authors independently coded transcripts. NVivo software was used to collate the primary data and codes. We analysed data guided by the five steps involved in framework analysis; 1) familiarization 2) identifying a thematic framework 3) indexing 4) charting 5) mapping and interpretation. Thirteen HCPs participated, of which 6 were medical doctors an d 7 were nursing or midwifery staff. We identified the following key domains; organisational readiness for change, barriers and facilitators to attendance, barriers and facilitators to presenting, communication and dissemination of information, and sustainability. During focus groups and interviews HCPs reported that Evidence Rounds had a positive impact on their continuing education and clinical practice. They also provided insights into how future initiatives could be optimised to support and enable them to narrow the gap between research evidence and practice. Individual, departmental and organisational level contextual factors can play a major role in implementation within complex health services. HCPs highlighted how in combination with clinical guideline development, implementation of evidence could be increased. Further research after a longer period of implementation could investigate how initiatives might be optimised to promote the uptake of evidence, improve implementation and expedite behaviour change.
机译：将研究转化为临床实践是循证决策的关键组成部分。我们为医疗保健专业人员（HCP）实施了多要素传播和实施策略，称为“证据回合”。我们报告焦点小组的调查结果以及与HCP的访谈，以探讨他们对证据回合的看法，并有助于为未来类似计划的实施提供信息。这是分两部分的系列文章中的第二篇。我们通过针对参加小组会议或在小组会议上探讨由HCP选择和提出的临床问题或主题的证据的所有医疗保健专业人员，采用总人口的有目的抽样。我们进行了面对面的焦点小组讨论和一对一访谈并进行了音频记录，然后逐字抄录。两位作者独立编写成绩单。 NVivo软件用于整理主要数据和代码。我们根据框架分析中涉及的五个步骤来分析数据。 1）熟悉2）确定主题框架3）索引4）绘制图表5）映射和解释。参加了13位HCP，其中6位是医生，7位是护理或助产人员。我们确定了以下关键领域;组织准备好进行变革，出席会议的障碍和促进者，呈现，交流和传播信息的障碍和促进者以及可持续性。在焦点小组和访谈中，HCP报告说，证据回合对其继续教育和临床实践产生了积极影响。他们还提供了有关如何优化未来计划以支持和缩小研究证据与实践之间差距的见解。个人，部门和组织级别的环境因素可以在复杂卫生服务的实施中发挥主要作用。 HCP强调了如何结合临床指南制定来增加证据的实施。经过较长时间的实施之后的进一步研究可以调查如何优化计划以促进证据的获取，改进实施和加快行为改变。

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