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Practice development and allied health – a review of the literature

机译:实践发展和相关健康–文献综述

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Background: Practice development is defined as a facilitated process that aims to promote person-centred and evidence-based healthcare. Practice development seeks to engage individuals at all levels of an organisation in order to create positive change. It embraces approaches that are inclusive, participatory and collaborative, but there has been a reported lack of multidisciplinary involvement in its application in practice. Aim : While practice development has been widely adopted by nurses and midwives in New South Wales, Australia, there has been limited application of this approach by allied health professionals (AHPs). This literature review aims to identify published research about the application of practice development methods by AHPs across healthcare settings. Methods : A database review was undertaken using the SCOPUS, CINAHL and Medline databases. The International Practice Development Journal was also searched. A total of 1,672 articles were identified. These were scanned and 413 articles were retrieved, with 55 shortlisted for in-depth review. Results : After application of inclusion and exclusion criteria, 15 journal articles were included in the literature review. Review of the studies identified four areas of primary focus: enhanced multidisciplinary teamwork; practice development frameworks and principles; practice development education and learning programmes; and clinical quality improvement and service delivery outcomes. Conclusions : As the findings showed that there is a limited number of robust research studies on practice development involving AHPs, there are opportunities for the participation of AHPs in practice development and for the study of this involvement.
机译:背景:实践开发被定义为旨在促进以人为本和循证医疗的促进过程。实践发展旨在使组织各个层面的个人参与进来,以创造积极的变化。它包含了包容性,参与性和协作性的方法,但是据报道在实践中缺乏多学科的参与。目的:虽然实践开发已在澳大利亚新南威尔士州的护士和助产士中广泛采用,但相关医疗专业人员(AHP)很少采用这种方法。本文献综述旨在确定有关AHP在医疗机构中应用实践开发方法的已发表研究。方法:使用SCOPUS,CINAHL和Medline数据库进行数据库审查。还搜索了《国际惯例发展杂志》。总共确定了1,672条文章。扫描并检索了413篇文章,其中有55篇入围以进行深入审核。结果:应用纳入和排除标准后,有15篇期刊文章被纳入文献综述。对研究的审查确定了四个主要重点领域:加强多学科团队合作;实践发展框架和原则;实施发展教育和学习计划;以及临床质量改善和服务交付成果。结论:研究结果表明,针对涉及AHP的实践开发的稳健研究数量有限,因此AHP参与实践开发以及对此参与进行研究的机会很大。

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