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首页> 外文期刊>ANS. Advances in nursing science >Implementation of Clinical Practice Guidelines in the Health Care Setting
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Implementation of Clinical Practice Guidelines in the Health Care Setting

机译：在医疗保健环境中实施临床实践指南

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摘要

The literature is replete with clinical practice guidelines (CPGs) and evidence supporting them. Translating guidelines into practice, however, is often challenging. We conducted a concept analysis to define the concept of “implementation of CPGs in health care settings.” We utilized Walker and Avant's methodology to define the concept of “implementation of CPGs in health care settings.” This included a focused review of the literature, defining the relevant attributes, defining implementation, case examples, and antecedents and potential consequences from implementation of CPGs in health care settings. The concept “implementation” is complex, with numerous frameworks, facilitators, and barriers to implementation described in the literature. The existing literature supports our definition of implementation of CPGs in a health care setting as a process of changing practice in health care while utilizing the best level of evidence that is available in the published literature. These include 7 attributes necessary for effective implementation. Implementation of CPGs in health care settings requires an ongoing iterative process that considers these attributes and is inclusive to administrators, clinicians, and patients to ensure guidelines are understood, accepted, implemented, and evaluated for continued adoption of best practices. Ongoing efforts inclusive at all steps of implementation across multiple levels are needed to effectively change practice.
机译：该文献与临床实践指南（CPG）和证据完全充分提供支持。然而，将指导方向转化为实践，经常具有挑战性。我们进行了一个概念分析，以定义“在医疗保健设置中的CPG实施”的概念。我们利用了Walker和Avant的方法来定义“在医疗保健环境中的CPG的实施”的概念。这包括对文献的重点审查，定义相关属性，定义实施，案例示例和前所未有的卫生保健环境中CPG的实施以及潜在后果。该概念“实施”是复杂的，具有许多框架，辅导员和文献中描述的实施障碍。现有文献支持我们在医疗保健环境中实施CPG的定义，作为在公布文献中使用的最佳证据级别在医疗保健方面改变练习的过程。这些包括有效实施所需的7个属性。卫生保健环境中的CPG的实施需要一个正在进行的迭代过程，以审视这些属性，并涵盖管理员，临床医生和患者，以确保理解，接受，实施和评估的准则，以便继续采用最佳做法。需要在多个层面实施各个步骤的持续努力，以有效改变实践。

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  • 来源
    《ANS. Advances in nursing science》 |2019年第4期|共18页
  • 作者

    Melissa Beauchemin; Elizabeth Cohn; Rachel C. Shelton;

  • 作者单位

    School of Nursing (Ms Beauchemin) and Mailman School of Public Health (Dr Shelton) Columbia;

    School of Nursing (Ms Beauchemin) and Mailman School of Public Health (Dr Shelton) Columbia;

    School of Nursing (Ms Beauchemin) and Mailman School of Public Health (Dr Shelton) Columbia;

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  • 正文语种 eng
  • 中图分类 护理学;
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