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Managerial leadership for research use in nursing and allied health care professions: a narrative synthesis protocol

机译:护理和相关保健专业研究用途的管理领导:叙事综合方案

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Background Nurses and allied health care professionals (physiotherapists, occupational therapists, speech and language pathologists, dietitians) form more than half of the clinical health care workforce and play a central role in health service delivery. There is a potential to improve the quality of health care if these professionals routinely use research evidence to guide their clinical practice. However, the use of research evidence remains unpredictable and inconsistent. Leadership is consistently described in implementation research as critical to enhancing research use by health care professionals. However, this important literature has not yet been synthesized and there is a lack of clarity on what constitutes effective leadership for research use, or what kinds of intervention effectively develop leadership for the purpose of enabling and enhancing research use in clinical practice. We propose to synthesize the evidence on leadership behaviours amongst front line and senior managers that are associated with research evidence by nurses and allied health care professionals, and then determine the effectiveness of interventions that promote these behaviours. Methods/Design Using an integrated knowledge translation approach that supports a partnership between researchers and knowledge users throughout the research process, we will follow principles of knowledge synthesis using a systematic method to synthesize different types of evidence involving: searching the literature, study selection, data extraction and quality assessment, and analysis. A narrative synthesis will be conducted to explore relationships within and across studies and meta-analysis will be performed if sufficient homogeneity exists across studies employing experimental randomized control trial designs. Discussion With the engagement of knowledge users in leadership and practice, we will synthesize the research from a broad range of disciplines to understand the key elements of leadership that supports and enables research use by health care practitioners, and how to develop leadership for the purpose of enhancing research use in clinical practice. Trial registration PROSPERO CRD42014007660 .
机译:背景技术护士和专职医疗保健专业人员(物理治疗师,职业治疗师,言语和语言病理学家,营养师)构成临床医疗保健劳动力的一半以上,并在提供医疗服务中发挥核心作用。如果这些专业人员定期使用研究证据来指导其临床实践,就有可能提高医疗质量。但是,研究证据的使用仍然是不可预测和不一致的。领导力在实施研究中始终被描述为对加强医疗保健专业人员的研究利用至关重要。然而,这一重要文献尚未综合,对于什么构成研究用途的有效领导力,或为了使临床实践中能够促进和增强研究用途的目的,何种干预措施有效地发展了领导力,尚不清楚。我们建议综合有关前线和高级管理人员中领导行为的证据,这些证据与护士和专职医疗保健专业人员的研究证据相关联,然后确定促进这些行为的干预措施的有效性。方法/设计使用支持研究人员和知识用户在整个研究过程中建立合作关系的集成知识翻译方法,我们将使用系统化方法遵循知识合成的原则来合成不同类型的证据,包括:文献检索,研究选择,数据提取和质量评估以及分析。如果采用实验随机对照试验设计进行的研究之间存在足够的同质性,则将进行叙述性合成以探索研究内部和研究之间的关系,并进行荟萃分析。讨论随着知识用户参与领导力和实践活动,我们将综合各种学科的研究成果,以了解支持和支持卫生保健从业者使用研究的领导力的关键要素,以及如何为实现以下目的而发展领导力:加强临床实践中的研究用途。试用注册PROSPERO CRD42014007660。

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