概念图在证据转化与应用项目中的研究进展

doi:10.3761/j.issn.0254-1769.2022.13.018

摘要/Abstract

摘要：

如何识别利益相关者观点一直是证据转化与临床应用的重要议题,概念图为解决利益相关者相关研究问题提供了框架。该文介绍了概念图的概念、实施步骤及其在证据转化与应用项目中的应用方向,包括明确研究问题和需求,探索证据实施的障碍和促进因素,选择和剪裁实施策略,开发概念框架和测量工具等方面,总结了概念图的应用前景,以期促进概念图在国内证据转化研究中的应用。

关键词: 利益相关者, 概念图, 证据转化, 循证护理, 综述

Abstract:

How to identify the perspectives of stakeholders has always been the critical topic of evidence transformation and application projects. Concept mapping provides a framework for addressing related research problems related to stakeholders. This review introduces the concept and implementation steps of concept mapping and its application status in evidence transformation and application projects,including identifying research problems and research needs,exploring barriers and facilitators,selecting and tailoring implementation strategies,and developing conceptual frameworks and measurement tools. This review also summarizes the application prospect of concept mapping to promote the application of concept mapping in the domestic evidence transformation and application research.

Key words: Stakeholder, Concept Mapping, Evidence Transformation, Evidence-Based Nursing, Review

张小艳, 尹依依, 郑莉萍, 郝玉芳. 概念图在证据转化与应用项目中的研究进展[J]. 中华护理杂志, 2022, 57(13): 1649-1654.

ZHANG Xiao-yan, YIN Yiyi, ZHENG Liping, HAO Yufang. Research progress of concept mapping in evidence transformation and application projects[J]. Chinese Journal of Nursing, 2022, 57(13): 1649-1654.

参考文献 31

[1]	钟婕, 周英凤. 实施性研究的方法学及应用进展[J]. 中华护理杂志, 2018, 53(7):862-866.
	Zhong J, Zhou YF. A review of implementation research and its application[J]. Chin J Nurs, 2018, 53(7):862-866.
[2]	Scaccia JP, Scott VC. 5335 days of implementation science:using natural language processing to examine publication trends and topics[J]. Implement Sci, 2021, 16(1):47. DOI URL
[3]	Registered Nurses’ Association of Ontario. Toolkit:implementation of best practice guidelines,second edition[EB/OL].(2012-09)[2021-08-15]. https://rnao.ca/bpg/resources/toolkit-implemen-tation-best-practice-guidelines-second-edition .
[4]	Norris JM, White DE, Nowell L, et al. How do stakeholders from multiple hierarchical levels of a large provincial health system define engagement?A qualitative study[J]. Implement Sci, 2017, 12(1):98. DOI PMID
[5]	Trochim WMK. An introduction to concept mapping for planning and evaluation[J]. Eval Program Plann, 1989, 12(1):1-16. DOI URL
[6]	Trochim WM, McLinden D. Introduction to a special issue on concept mapping[J]. Eval Program Plann, 2017, 60:166-175. DOI URL
[7]	Donnelly JP. A systematic review of concept mapping dissertations[J]. Eval Program Plann, 2017, 60:186-193. DOI PMID
[8]	Wilberforce M, Batten E, Challis D, et al. The patient experience in community mental health services for older people:a concept mapping approach to support the development of a new quality measure[J]. BMC Health Serv Res, 2018, 18(1):461. DOI PMID
[9]	Rising KL, Doyle SK, Powell RE, et al. Use of group concept mapping to identify patient domains of uncertainty that contribute to emergency department use[J]. J Emerg Nurs, 2019, 45(1):46-53. DOI URL
[10]	Miller JJ, Donohue-Dioh J, Brown A. Using concept mapping to develop a statewide kinship care coalition:a case study[J]. J Community Pract, 2018, 26(2):162-183. DOI URL
[11]	Ogden K, Barr J, Greenfield D. Determining requirements for patient-centred care:a participatory concept mapping study[J]. BMC Health Serv Res, 2017, 17(1):780. DOI URL
[12]	Proctor E, Luke D, Calhoun A, et al. Sustainability of evidence-based healthcare:research agenda,methodological advances,and infrastructure support[J]. Implement Sci, 2015, 10:88. DOI PMID
[13]	Green AE, Aarons GA. A comparison of policy and direct prac-tice stakeholder perceptions of factors affecting evidence-based practice implementation using concept mapping[J]. Implement Sci, 2011, 6:104. DOI PMID
[14]	张小艳. 脑卒中吞咽困难识别与管理循证实践方案社区医院推广的实施性研究[D]. 北京: 北京中医药大学, 2020.
	Zhang XY. Scaling-up evidence-based practice program for the identification and management of post-stroke dysphagia to community hospitals:an implementation study[D]. Beijing: Bei-jing University of Chinese Medicine, 2020.
[15]	Lobb R, Pinto AD, Lofters A. Using concept mapping in the knowledge-to-action process to compare stakeholder opinions on barriers to use of cancer screening among South Asians[J]. Implement Sci, 2013, 8:37. DOI URL
[16]	胡慧秀, 孙超, 张洁, 等. 老年慢性心力衰竭患者出院准备服务的循证实践[J]. 中华护理杂志, 2021, 56(12):1765-1771.
	Hu HX, Sun Ch, Zhang J, et al. Evidence-based nursing practice of discharge planning for elderly patients with chronic heart failure[J]. Chin J Nurs, 2021, 56(12):1765-1771.
[17]	徐元元, 史广玲, 张燕红, 等. 预防ICU患者大便失禁性皮炎的循证实践[J]. 中华护理杂志, 2021, 56(6):811-817. DOI
	Xu YY, Shi GL, Zhang YH, et al. Evidence-based practice in prevention of fecal incontinence associated dermatitis in ICU patients[J]. Chin J Nurs, 2021, 56(6):811-817.
[18]	Proctor EK, Powell BJ, McMillen JC. Implementation strategies:recommendations for specifying and reporting[J]. Implement Sci, 2013, 8:139. DOI PMID
[19]	Waltz TJ, Powell BJ, Matthieu MM, et al. Use of concept mapping to characterize relationships among implementation strategies and assess their feasibility and importance:results from the Expert Recommendations for Implementing Change (ERIC) study[J]. Implement Sci, 2015, 10:109. DOI URL
[20]	Kwok EYL, Moodie STF, Cunningham BJ, et al. Selecting and tailoring implementation interventions:a concept mapping approach[J]. BMC Health Serv Res, 2020, 20(1):385. DOI URL
[21]	Schell SF, Luke DA, Schooley MW, et al. Public health program capacity for sustainability:a new framework[J]. Implement Sci, 2013, 8:15. DOI PMID
[22]	Malone S, Prewitt K, Hackett R, et al. The Clinical Sustainability Assessment Tool:measuring organizational capacity to promote sustainability in healthcare[J]. Implement Sci Commun, 2021, 2(1):77. DOI URL
[23]	Powell BJ, Stanick CF, Halko HM, et al. Toward criteria for pragmatic measurement in implementation research and practice:a stakeholder-driven approach using concept mapping[J]. Implement Sci, 2017, 12(1):118. DOI PMID
[24]	Nilsen P. Making sense of implementation theories,models and frameworks[J]. Implement Sci, 2015, 10:53. DOI PMID
[25]	Monks T. Operational research as implementation science:definitions,challenges and research priorities[J]. Implement Sci, 2016, 11(1):81. DOI URL
[26]	Tubbing L, Harting J, Stronks K. Unravelling the concept of integrated public health policy:concept mapping with Dutch experts from science,policy,and practice[J]. Health Policy, 2015, 119(6):749-759. DOI PMID
[27]	Van Bon-Martens MJH, van de Goor IAM, van Oers HAM. Con-cept mapping as a method to enhance evidence-based public health[J]. Eval Program Plann, 2017, 60:213-228. DOI PMID
[28]	Kleib M, Jackman D, Duarte-Wisnesky U. Interprofessional simu-lation to promote teamwork and communication between nursing and respiratory therapy students:a mixed-method research study[J]. Nurse Educ Today, 2021, 99:104816. DOI URL
[29]	Cuzco C, Castro Rebollo P, Marín Pérez R, et al. Mixed-me-thod research protocol:development and evaluation of a nursing intervention in patients discharged from the intensive care unit[J]. Nurs Open, 2021, 8(6):3666-3676. DOI URL
[30]	Ayoubian A, Nasiripour AA, Tabibi SJ, et al. Evaluation of facilitators and barriers to implementing evidence-based practice in the health services:a systematic review[J]. Galen Med J, 2020, 9:e1645.
[31]	Bach-Mortensen AM, Lange BCL, Montgomery P. Barriers and facilitators to implementing evidence-based interventions among third sector organisations:a systematic review[J]. Implement Sci, 2018, 13(1):103. DOI PMID