Research progress and implications of implementation fidelity in implementation research

doi:10.3761/j.issn.0254-1769.2026.12.018

Abstract

Abstract:

Implementation fidelity is a core process indicator in implementation research. This study has explored the concept，key elements，measurement tools and methodologies，as well as commonly utilized control strategies of implementation fidelity within the realm of implementation research. Additionally，it is suggested that future researchers should pay attention to research directions such as the standardization of assessment and measurement for implementation fidelity，the threshold balance between high fidelity and high adaptability，the refinement and validation of relevant theories，the reporting guidelines for implementation fidelity，and the investigation of the causal relationship between implementation fidelity and implementation outcomes. These efforts aim to provide valuable references for relevant research in the domestic nursing field.

Key words: Implementation Research, Implementation Fidelity, Implementation Strategies, Evidence Translation, Review, Nursing Care

摘要：

实施保真度是实施性研究的核心过程指标。该研究探讨了实施性研究中实施保真度的基本概念、核心要素、评估方法、常用保障策略，并建议未来研究者关注实施保真度的标准化评估、平衡高保真度与高适应性的阈值、完善与验证相关理论、构建实施保真度的报告规范、探索实施保真度与实施结果的因果关系等，以期为国内护理领域相关研究的开展提供参考。

关键词: 实施性研究, 实施保真度, 实施策略, 证据转化, 综述, 护理

ZHANG Xiaoyan, LI Xuejing, HAO Yufang. Research progress and implications of implementation fidelity in implementation research[J]. Chinese Journal of Nursing, 2026, 61(12): 1717-1723.

张小艳, 李学靖, 郝玉芳. 实施性研究中实施保真度的研究进展及启示[J]. 中华护理杂志, 2026, 61(12): 1717-1723.

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