关键因素Sequenceofdecisionsregarding-山东大学课程中心.PPT

Understand what contributes to change 明白什么会影响改变 Person人 Something must change either inside the person or in their environment 内部或者环境改变 Organisation 机构 All organisational change involves a number of people doing something different on a daily basis 机构改变涉及很多人, 每天做很多不同的事进行改变 Frances Lin Michie’s Behaviour Change Wheel Michie 的行为改变轮盘 Frances Lin Patients and carers have an important role to play in the safe delivery of health care. As a partner with health service organisations and their healthcare providers, patients and carers will be involved in making decisions for service planning, developing models of care, measuring service and evaluating systems of care. Consumer engagement critical to successful implementation病人参与是实施研究证据的关键 Frances Lin Researching KT 研究KT Mixed methods research is often required 经常会运用混合方法（量性加质性研究） Challenges for traditional intervention outcomes based researchers 对于习惯传统研究方法的研究人员的挑战 Researching process vs. outcomes 研究过程与预后的问题 It can be very messy 有时候实施过程以及方法会非常的错综复杂 Frances Lin Integrated KT 整合KT Involves collaboration between researchers and knowledge users at every stage of the research process 研究人员和知识使用人员的合作 shaping the research question 寻找研究问题 interpreting the results 解释结果 disseminating the research findings into practice 分享研究结果 Co-production of research increases the likelihood that the results of a project will be relevant to end-users, thereby improving the possibility of uptake and application 共同研究的益处是鼓励研究证据使用者参与,并巩固研究证据在临床的运用. Frances Lin When do we use iKT approach Frances Lin - ANZICS/ACCCN ASM 2017 Tensions in implementation Hospital management often want immediate change but iKT takes time Expectations from hospital management: Change management is often an add -on task for managers But, they don’t have the knowledge and skills relevant to implementation science and change management Resources Sustainability: lack of ownership; change of positions The duel role: the clinician whose behaviour needs to be ch