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首页> 外文期刊>Nutrition & dietetics: the journal of the Dietitians Association of Australia >Process of knowledge translation within routine clinical care: Implementing best practice in weight management
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Process of knowledge translation within routine clinical care: Implementing best practice in weight management

机译：常规临床护理中的知识翻译过程：在体重管理中实施最佳实践

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Aim Failure to translate research into practice is common. The present study implemented an evidence‐based model of care to address identified evidence‐practice gaps in our department's weight management service. Methods Implementation science frameworks were used to identify barriers to best practice and determine appropriate strategies to overcome them. No practice change occurred pre‐implementation. The new model of care incorporated evidence‐based interventions into a flowchart, supported by written resources, and integrated routine data collection into clinic processes. Alignment with a statewide telephone counselling program enhanced service capacity. Data were collected for adult patients whose primary intervention was weight management at a South‐East Queensland hospital and included service attendance metrics, anthropometry, diet quality, and interventions delivered, and were compared with guidelines. Change in outcomes was calculated at 3 months after initial appointments. Results Pre‐implementation, 69.2% (n = 91) of patients referred were seen by a dietitian. During the new model of care (n = 60), over half (63.3%) were referred to telephone counselling. The remainder were triaged according to the flowchart with 100% attendance. Guideline adherence for reviews significantly increased over time (4.4%–50%, P 0.001). Follow‐up data were available for 31.3% and 54.5% of the pre‐implementation and new model of care patients, respectively. No significant differences were observed between outcomes. Conclusions The present study demonstrated successful implementation of weight management guidelines within routine clinical care. Following a systematic assessment of existing evidence‐practice gaps resulted in a pragmatic evidence‐based model of care that could be delivered within service capacity.
机译：目标未能将研究转化为实践是常见的。本研究实施了基于证据的护理模式，以解决我们部门的体重管理服务中确定的证据实践差距。方法实现实施科学框架用于识别最佳实践的障碍，并确定克服它们的适当策略。没有发生实践更改预先实施。新的护理模型将基于证据的干预措施纳入流程图，由书面资源支持，并将常规数据收集集成到临床过程中。与州际电话咨询计划的对齐增强了服务能力。为成年患者收集数据，其初级干预是在东南昆士兰医院的体重管理，包括服务出勤指标，人类测量，饮食质量和交付的干预措施，并与指南进行比较。初始约会后3个月计算结果的变化。结果预先实施，营养师看到的69.2％（n = 91）患者。在新的护理模型（n = 60）期间，超过一半（63.3％）被称为电话咨询。剩余的是根据流程图进行三元跟踪，100％出席。关于评论的指南遵守随时间明显增加（4.4％-50％，P <0.001）。随访数据分别可用于31.3％和54.5％的护理患者前进患者的54.5％。在结果之间没有观察到显着差异。结论本研究表明，在常规临床护理中成功实施了体重管理指导。在对现有证据实践的系统评估之后，可以在服务能力内提供务实的基于证据的护理模式。

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