tailieunhanh - báo cáo khoa học: "A comparison of policy and direct practice stakeholder perceptions of factors affecting evidence-based practice implementation using concept mapping"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: A comparison of policy and direct practice stakeholder perceptions of factors affecting evidence-based practice implementation using concept mapping | Green and Aarons Implementation Science 2011 6 104 http content 6 1 104 Implementation Science IMPLEMENTATION SCIENCE RESEARCH Open Access A comparison of policy and direct practice stakeholder perceptions of factors affecting evidence-based practice implementation using concept mapping Amy E Green1 2 and Gregory A Aarons1 2 Abstract Background The goal of this study was to assess potential differences between administrators policymakers and those involved in direct practice regarding factors believed to be barriers or facilitating factors to evidence-based practice EBP implementation in a large public mental health service system in the United States. Methods Participants included mental health system county officials agency directors program managers clinical staff administrative staff and consumers. As part of concept mapping procedures brainstorming groups were conducted with each target group to identify specific factors believed to be barriers or facilitating factors to EBP implementation in a large public mental health system. Statements were sorted by similarity and rated by each participant in regard to their perceived importance and changeability. Multidimensional scaling cluster analysis descriptive statistics and f-tests were used to analyze the data. Results A total of 105 statements were distilled into 14 clusters using concept-mapping procedures. Perceptions of importance of factors affecting EBP implementation varied between the two groups with those involved in direct practice assigning significantly higher ratings to the importance of Clinical Perceptions and the impact of EBP implementation on clinical practice. Consistent with previous studies financial concerns costs funding were rated among the most important and least likely to change by both groups. Conclusions EBP implementation is a complex process and different stakeholders may hold different opinions regarding the relative importance of the impact of EBP .