[1]刘璐 张山.临床实践指南实施影响因素范围综述:基于i-PARIHS框架[J].中国卫生质量管理,2025,32(03):044-49.[doi:10.13912/j.cnki.chqm.2025.32.3.09]
 LIU Lu,ZHANG Shan.A Scoping Review of Influencing Factors for the Implementation of Clinical Practice Guidelines : Based on the i-PARIHS Framework[J].Chinese Health Quality Management,2025,32(03):044-49.[doi:10.13912/j.cnki.chqm.2025.32.3.09]
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临床实践指南实施影响因素范围综述:基于i-PARIHS框架()
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第32卷
期数:
2025年03期
页码:
044-49
栏目:
医疗质量
出版日期:
2025-03-15

文章信息/Info

Title:
A Scoping Review of Influencing Factors for the Implementation of Clinical Practice Guidelines : Based on the i-PARIHS Framework
作者:
刘璐 张山
首都医科大学护理学院
Author(s):
LIU Lu ZHANG Shan
Capital Medical University School of Nursing
关键词:
临床实践指南i-PARIHS框架影响因素医护人员范围综述
Keywords:
Clinical Practice Guidelines i-PARIHS Framework Influencing Factors Medical Staff Scoping Review
分类号:
R197.323
DOI:
10.13912/j.cnki.chqm.2025.32.3.09
文献标志码:
A
摘要:
目的基于i-PARIHS框架从变革、接受者、组织环境三个层面梳理医护人员实施临床实践指南的影响因素,为指南制订和证据转化提供参考。方法检索中国知网、万方、维普、PubMed、Web of Science数据库中的相关文献,检索时限为2014年1月1日至2024年2月1日。基于i-PARIHS框架归纳影响因素。结果纳入分析的文献共23篇。变革层面影响因素包括指南的适用性、可操作性、可信度、可获得性等;接受者层面影响因素包括医护人员的态度、知识水平、技能水平、工作习惯、自我效能、工作负荷/时间缺乏等,以及团队合作程度、管理水平等;组织环境层面影响因素包括文化氛围、配套资源、监管机制、信息化建设等。结论指南、医护人员、团队及组织环境因素均会影响指南实施。应重视指南制订与传播,提升医护人员和团队指南实施能力,改善指南实施组织环境,从而促进证据顺利转化。
Abstract:
ObjectiveBased on the i-PARIHS framework, the influencing factors of medical staff ’s implementation of clinical practice guidelines were sorted out from three aspects :innovation, recipient and context,so as to provide reference for guideline formulation and evidence transformation. MethodsRelevant literatures in CNKI, Wanfang, VIP, PubMed and Web of Science databases were searched from January 1, 2014 to February 1, 2024. The influencing factors were summarized based on the i-PARIHS framework.ResultsA total of 23 articles were included in the analysis. The influencing factors at the innovation level include the applicability, operability, credibility and availability of the guidelines. The influencing factors at the recipient level include the attitude, knowledge level, skill level, work habits, self-efficacy, workload / time lack of medical staff, as well as the degree of teamwork and management level. The influencing factors of context include cultural atmosphere, subsidiary resources, supervision mechanism, information construction.Conclusion Guidelines, medical staff, team and organizational environment factors can both affect the implementation of the guidelines. Hospitals should pay attention to the formulation and dissemination of guidelines, enhance the implementation ability of medical staff and team, and improve the implementation context of guidelines, so as to promote the smooth transformation of evidence.

参考文献/References:

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更新日期/Last Update: 2025-03-15