Implementation in rehabilitation: a roadmap for practitioners and researchers.
Purpose: Despite growth in rehabilitation research, implementing research findings into rehabilitation practice has been slow. This creates inequities for patients and is an ethical issue. However, methods to investigate and facilitate evidence implementation are being developed. This paper aims to...
| Publicado en: | Disability & Rehabilitation Vol. 42; no. 22; pp. 3265 - 3275 |
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| Autores principales: | , , , , , , , , , |
| Formato: | questions and answers tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Nov2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=146582742&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 146582742 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09638288 B73 jtl: Disability & Rehabilitation issn: 09638288 maglogo: Y pubinfo: dt: Nov2020 vid: 42 iid: 22 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 146582742 146582742 146582742 10.1080/09638288.2019.1587013 146582742 ppf: 3265 ppct: 10 formats: tig: atl: Implementation in rehabilitation: a roadmap for practitioners and researchers. aug: au: Morris, Jacqui H. Bernhardsson, Susanne Bird, Marie-Louise Connell, Louise Lynch, Elizabeth Jarvis, Kathryn Kayes, Nicola M. Miller, Kim Mudge, Suzie Fisher, Rebecca affil: School of Nursing and Health Sciences, University of Dundee, Dundee, UK sug: subj: Implementation Science Research, Rehabilitation Professional Practice, Evidence-Based Rehabilitation Professional Practice, Research-Based ab: Purpose: Despite growth in rehabilitation research, implementing research findings into rehabilitation practice has been slow. This creates inequities for patients and is an ethical issue. However, methods to investigate and facilitate evidence implementation are being developed. This paper aims to make these methods relevant and accessible for rehabilitation researchers and practitioners. Methods: Rehabilitation practice is varied and complex and occurs within multilevel healthcare systems. Using a "road map" analogy, we describe how implementation concepts and theories can inform implementation strategies in rehabilitation. The roadmap involves a staged journey that considers: the nature of evidence; context for implementation; navigation tools for implementation; strategies to facilitate implementation; evaluation of implementation outcomes; and sustainability of implementation. We have developed a model to illustrate the journey, and four case studies exemplify implementation stages in rehabilitation settings. Results and Conclusions: Effective implementation strategies for the complex world of rehabilitation are urgently required. The journey we describe unpacks that complexity to provide a template for effective implementation, to facilitate translation of the growing evidence base in rehabilitation into improved patient outcomes. It emphasizes the importance of understanding context and application of relevant theory, and highlights areas which should be targeted in new implementation research in rehabilitation. Effective implementation of research evidence into rehabilitation practice has many interconnected steps and a roadmap analogy is helpful in defining them. Understanding context for implementation is critically important and using theory can facilitate development of understanding. Research methods for implementation in rehabilitation should be carefully selected and outcomes should evaluate implementation success as well as clinical change. Sustainability requires regular revisiting of the interconnected steps. pubtype: Academic Journal doctype: questions and answers tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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