实践社区如何产生知识转化成果以支持公共卫生问题:现实主义综述

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Sanne H. Elbrink, Shandell L. Elmer, Richard H. Osborne
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引用次数: 0

摘要

卫生机构中的实践社区通常通过分享有关加速实施和创新解决方案的知识和经验来解决当代公共卫生问题。由于实践社区的实际应用与有关其有效性的科学知识之间存在差距,本现实主义综述旨在确定实践社区成员如何以及为何将共享知识转化并应用到日常实践中。现实主义综述分为六个步骤,包括范围审查(步骤 1)、搜索(步骤 2)、评估(步骤 3)、摘录和组织(步骤 4)以及分析和综述(步骤 5)。这些步骤将文献整理成背景-机制-结果的组合,从而指导制定一个能够支持研究和实践的现实主义框架(第 6 步)。我们确定了知识转化的三种主要方式:(1) 成员将(新)知识带入上级组织;(2) 成员改变上级组织的(日常)实践;(3) 成员通过系统变革改善健康成果。我们发现,实践社区内知识共享的初步成果是在实践社区外实现知识转化成果的条件。实践社区内的知识共享更有可能发生在一个有组织、可信赖的环境中,在这样的环境中,成员会感到安全,成员也会认识到个人和组织从参与中受益。要实现实践社区之外的知识转化,除了学习和培养实施知识的信心之外,上级组织的支持也很重要。通过对可能触发机制以实现预期结果的不同背景进行综合分析,我们可以深入了解如何以最佳方式告知实践社区的发起者和推动者如何支持有效的公共卫生应对措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
How Communities of Practice Generate Knowledge Translation Outcomes to Support Public Health Issues: A Realist Synthesis

Communities of practice in health settings often serve to address contemporary public health issues by sharing knowledge and experiences about accelerating implementations and innovative solutions. Because there are gaps between the practical application of communities of practice and the scientific knowledge about their effectiveness, this realist synthesis aimed to identify how and why members of communities of practice translate the shared knowledge and apply it in their daily practice. In a six-step process, this realist synthesis included a scoping review that led to an initial theory map (Step 1), followed by searches (Step 2), appraisal (Step 3), extracts and organisation (Step 4), and analysis and synthesis (Step 5). These steps organised the literature into context–mechanism–outcome configurations that guided the development of a realist framework that can support research and practice (Step 6). We identified three key ways in which knowledge translation may occur: (1) Members bring (new) knowledge to their parent organisation; (2) members change the (daily) practice in their parent organisation; and (3) members improve health outcomes through systemic changes. We found that an initial outcome of knowledge sharing within the community of practice is conditional to achieving outcomes of knowledge translation outside the community of practice. This knowledge sharing within the community of practice is more likely to occur in a structured and trusted environment where members feel safe, as well as where members recognise individual and organisational benefits from participation. To achieve knowledge translation outside the community of practice, support from the parent organisation becomes important, alongside learning and developing confidence to implement the knowledge. The synthesis of the different contexts that potentially trigger mechanisms that lead to desired outcomes provides insight into how best to inform community of practice initiators and facilitators about supporting effective public health responses.

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来源期刊
CiteScore
4.50
自引率
8.30%
发文量
423
期刊介绍: Health and Social Care in the community is an essential journal for anyone involved in nursing, social work, physiotherapy, occupational therapy, general practice, health psychology, health economy, primary health care and the promotion of health. It is an international peer-reviewed journal supporting interdisciplinary collaboration on policy and practice within health and social care in the community. The journal publishes: - Original research papers in all areas of health and social care - Topical health and social care review articles - Policy and practice evaluations - Book reviews - Special issues
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