目的对健康服务领域研究成果应用的行动促进(promoting action on research implementation in health severice,PARIHS)循证概念框架模式核心元素的衍变与发展进行文献范畴分析(scoping review),为临床护理人员更好地理解和应用PARIHS...目的对健康服务领域研究成果应用的行动促进(promoting action on research implementation in health severice,PARIHS)循证概念框架模式核心元素的衍变与发展进行文献范畴分析(scoping review),为临床护理人员更好地理解和应用PARIHS模式提供参考依据。方法采用文献范畴分析法,系统检索涉及PARIHS模式的文献,双人进行文献筛选和数据提取后,对PARIHS模式核心元素概念发展的文献进行重点分析。结果最终纳入10篇核心文献,通过对其分析和整合,呈现了PARIHS模式的三大核心元素,即证据、组织环境、促进措施的发展及衍变过程。结论 PARIHS模式有较好的灵活性、直观的吸引力,详细阐释了循证实践过程中多要素的动态关系,体现了证据应用的复杂性,可指导循证实践的实施;但其相关元素及亚元素定义尚不够清晰且缺乏有效的评估工具,仍需进一步研究各元素之间动态关系。展开更多
将证据应用到临床实践具有复杂性与多变性,借助证据应用模式将有助于这一转化,健康服务领域研究成果应用的行动促进(promoting action on research implemrntation in health severice,PARIHS)循证概念框架,即证据应用模式的一种,其目...将证据应用到临床实践具有复杂性与多变性,借助证据应用模式将有助于这一转化,健康服务领域研究成果应用的行动促进(promoting action on research implemrntation in health severice,PARIHS)循证概念框架,即证据应用模式的一种,其目前在我国鲜见报道与应用。笔者对PARIHS循证概念框架的理论予以介绍,包括3大核心要素,即证据、证据应用组织环境及促进因素的协调;理论起源与发展的历程,突出PARIHS框架内涵与思路不断清晰化的发展过程;还对目前应用于不同目的、不同领域临床实践与科研活动中的应用现状进行分析。最终得出PARIHS框架研究与应用价值突出,最大化框架使用价值基础上清晰化理论内涵、促进框架应用方式与效果评价的标准化及研发恰当合适的应用工具是PARIHS框架探索研究的重点。展开更多
Objective: Based on evidence-based thinking, a qualitative research method was used to analyze the clinical application status of the traditional Chinese medicine nursing program to provide scientific references for i...Objective: Based on evidence-based thinking, a qualitative research method was used to analyze the clinical application status of the traditional Chinese medicine nursing program to provide scientific references for its optimization. Methods: Based on the three elements of the PARIHS framework, combined with clinical investigation, the interview outline was determined to interview the users and promoters of the program. After transcribing and coding the collected data with Nvivo software, referring to Colaizzi ’ s seven-step analysis and generic analysis, all codes are classified and integrated with the core elements and specific connotations of the PARIHS framework to form a theme. Results: The interviewees thought that although the program promoted the development of traditional Chinese medicine nursing to a certain extent, the content lacked scientific research evidence support, and some contents were inconsistent with clinical scenarios and past experience, and the implementation method was rigid, and the effect evaluation was unreasonable. There were 11 themes in three categories. Conclusion: Specific operation processes and scientific research evidence should be added to the scheme, and it should be improved according to clinical practice.展开更多
文摘目的对健康服务领域研究成果应用的行动促进(promoting action on research implementation in health severice,PARIHS)循证概念框架模式核心元素的衍变与发展进行文献范畴分析(scoping review),为临床护理人员更好地理解和应用PARIHS模式提供参考依据。方法采用文献范畴分析法,系统检索涉及PARIHS模式的文献,双人进行文献筛选和数据提取后,对PARIHS模式核心元素概念发展的文献进行重点分析。结果最终纳入10篇核心文献,通过对其分析和整合,呈现了PARIHS模式的三大核心元素,即证据、组织环境、促进措施的发展及衍变过程。结论 PARIHS模式有较好的灵活性、直观的吸引力,详细阐释了循证实践过程中多要素的动态关系,体现了证据应用的复杂性,可指导循证实践的实施;但其相关元素及亚元素定义尚不够清晰且缺乏有效的评估工具,仍需进一步研究各元素之间动态关系。
文摘将证据应用到临床实践具有复杂性与多变性,借助证据应用模式将有助于这一转化,健康服务领域研究成果应用的行动促进(promoting action on research implemrntation in health severice,PARIHS)循证概念框架,即证据应用模式的一种,其目前在我国鲜见报道与应用。笔者对PARIHS循证概念框架的理论予以介绍,包括3大核心要素,即证据、证据应用组织环境及促进因素的协调;理论起源与发展的历程,突出PARIHS框架内涵与思路不断清晰化的发展过程;还对目前应用于不同目的、不同领域临床实践与科研活动中的应用现状进行分析。最终得出PARIHS框架研究与应用价值突出,最大化框架使用价值基础上清晰化理论内涵、促进框架应用方式与效果评价的标准化及研发恰当合适的应用工具是PARIHS框架探索研究的重点。
文摘Objective: Based on evidence-based thinking, a qualitative research method was used to analyze the clinical application status of the traditional Chinese medicine nursing program to provide scientific references for its optimization. Methods: Based on the three elements of the PARIHS framework, combined with clinical investigation, the interview outline was determined to interview the users and promoters of the program. After transcribing and coding the collected data with Nvivo software, referring to Colaizzi ’ s seven-step analysis and generic analysis, all codes are classified and integrated with the core elements and specific connotations of the PARIHS framework to form a theme. Results: The interviewees thought that although the program promoted the development of traditional Chinese medicine nursing to a certain extent, the content lacked scientific research evidence support, and some contents were inconsistent with clinical scenarios and past experience, and the implementation method was rigid, and the effect evaluation was unreasonable. There were 11 themes in three categories. Conclusion: Specific operation processes and scientific research evidence should be added to the scheme, and it should be improved according to clinical practice.
