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首页> 外文期刊>Journal of athletic training >Implementation Science: Lessons Learned From Evaluating Practice Recommendations for the Care of Patients With Spine Injuries
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Implementation Science: Lessons Learned From Evaluating Practice Recommendations for the Care of Patients With Spine Injuries

机译：实施科学：从评估脊柱损伤患者的护理实践建议中吸取的教训

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Health care providers are encouraged to provide care according to practice recommendations because these suggestions should improve patient care and promote optimal patient outcomes. The goals of these practice recommendations are to improve patient care and promote optimal patient outcomes. However, without integration into clinical practice, the value of practice recommendations in supporting patient care is lost. Unfortunately, little is known about the success of integrating practice recommendations into clinical practice, and targeted efforts to promote integration are likely needed. Implementation research is a broad area of study that focuses on how guidelines, programs, or interventions are put into practice and delivered. The Translating Research Into Injury Prevention Practice (TRIPP) framework consists of 6 stages that support implementation science, and the framework has been used to assist in integrating injury-prevention programs into patient care. The structure of the TRIPP framework makes it applicable to other programs that would benefit from implementation science, including practice recommendations. Stages 5 and 6 of the TRIPP framework emphasize the need to explore the implementation context and factors related to uptake of a program by end users. This commentary highlights our efforts to use methods for implementation research to evaluate stage 5 of the TRIPP framework as it relates to acute care for patients with suspected spine injuries and provides 6 lessons learned that may assist in future efforts to better implement practice recommendations in patient care. Targeted efforts to assist clinicians in implementing practice recommendations may promote their use and ultimately enhance the care provided for patients with a variety of health conditions. An essential component of any implementation effort is understanding end users via stages 5 and 6 of the TRIPP framework, and this understanding may maximize knowledge translation and encourage practice change and advancement.
机译：鼓励医疗保健提供者根据实践建议提供护理，因为这些建议应改善患者护理并促进最佳患者预后。这些实践建议的目标是改善患者护理并促进最佳患者预后。但是，如果不整合到临床实践中，实践建议在支持患者护理方面的价值就会丧失。不幸的是，对于将实践建议整合到临床实践中的成功知之甚少，可能需要有针对性的努力来促进整合。实施研究是一个广泛的研究领域，侧重于如何实践和实施指南，程序或干预措施。将研究转化为伤害预防实践（TRIPP）框架包括支持实施科学的6个阶段，该框架已用于协助将预防伤害计划整合到患者护理中。 TRIPP框架的结构使其适用于可从实施科学中受益的其他计划，包括实践建议。 TRIPP框架的第5阶段和第6阶段强调需要探索实施环境和与最终用户采用计划有关的因素。本评论着重介绍了我们在实施研究方法方面的努力，以评估TRIPP框架的第5阶段，因为该阶段与疑似脊柱损伤患者的急性护理有关，并提供了6堂经验教训，这些经验教训可能有助于将来为更好地实施患者护理实践建议做出努力。协助临床医生实施实践建议的有针对性的努力可能会促进其使用，并最终改善为各种健康状况的患者提供的护理。任何实施工作的重要组成部分都是通过TRIPP框架的第5阶段和第6阶段来了解最终用户，这种理解可以最大程度地扩展知识转化并鼓励实践的改变和进步。

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