Factors Influencing the Translation of Evidence Into Clinical Practice for Hospital Allied Health Professionals in Terms of the Domains of Behaviour Change Theory: A Systematic Review

被引:0
作者
Batchelor, Jacqueline [1 ,2 ]
Hemmert, Cameron [1 ,2 ]
Meulenbroeks, Isabelle [3 ]
Tang, Crystal [4 ]
Harrison, Reema [3 ]
Ogrin, Rajna [5 ]
Baillie, Andrew [1 ,2 ]
Sarkies, Mitchell [1 ,2 ,3 ]
机构
[1] Univ Sydney, Sydney, Australia
[2] Implementat Sci Acad, Sydney, Australia
[3] Macquarie Univ, Macquarie, Australia
[4] Dubbo Hosp, Dubbo, Australia
[5] Bolton Clarke, Brisbane, Australia
关键词
allied health professions; behaviour change theory; knowledge translation; public health; barriers; SPEECH PATHOLOGISTS; IMPLEMENTATION; KNOWLEDGE; BARRIERS; STRATEGIES; GUIDELINES; MANAGEMENT; THERAPISTS; ATTITUDES; ADOPTION;
D O I
10.1177/01632787241285993
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
This systematic review provides an overview of the unique challenges allied health professions face in the translation and implementation of evidence into practice, which remain relatively under reported and uninformed by a theoretical basis of behaviour change. MEDLINE, EMBASE, CINAHL and Scopus databases from 2010 to 2022 were searched for primary study designs resulting in 21 articles included in this review (PROSPERO: 2022 CRD42022314996). Allied health disciplines reported in the review were mainly from occupational therapy, physiotherapy, dietetics, and speech pathology. The most frequently reported implementation determinants across the Theoretical Domains Framework were identified as 'environmental context and resources', and 'knowledge'. The results also identified a greater influence of 'social influences' and 'beliefs about consequences' in implementation. Implementing evidence into clinical practice is a multifaceted, complex process, and the use of the Theoretical Domains Framework provided a systematic approach to understanding the drivers behind the target behaviours. However, there is a paucity of studies across the allied health professions that describe implementation strategies used and their impact. Many of the studies focused on implementation by the individual clinician rather than the role organizations can play in the translation of evidence into practice.
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页数:19
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