实施科学整合框架在循证护理实践中应用的范围综述
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女,硕士在读,护士

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山西省基础研究计划资助项目(20230302121121)


Application of the consolidated framework for implementation research in the field of evidence-based nursing practice: a scoping review
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    目的 综述实施科学整合框架(Consolidated Framework for Implementation Research, CFIR)在循证护理实践中的应用现状,以为相关研究提供参考。方法 采用JBI范围综述方法,系统检索PubMed、CINAHL、Embase、MEDLINE、Cochrane Library、Web of Science、中国知网、万方数据知识服务平台和中国生物医学文献数据库。检索时间为2009年8月1日至2024年8月20日。结果 共纳入37项研究,涵盖老人、产妇和儿童等多类人群,痴呆、肿瘤和脑血管疾病等多个病种以及医院、社区和家庭等多个场所。研究多采用定性设计,CFIR常被用于指导实施各阶段的数据收集和(或)分析。CFIR各结构领域及其具体要素的使用还存在一定差异,少数研究符合CFIR的预期应用效果。结论 CFIR具有推进证据临床转化的潜力,并广泛应用于定性研究中,促进了不同研究间的比较和不同理论框架的融合。建议将CFIR作为因素清单指导定性数据的收集与分析,并在研究方法中阐明选择CFIR各领域及其要素的理由和逻辑。

    Abstract:

    Objective To review the current application of the Consolidated Framework for Implementation Research (CFIR) in the field of evidence-based nursing practice, and to provide reference for related research. Methods Using the JBI scope review method, systematically searched databases including PubMed, CINAHL, Embase, MEDLINE, Cochrane Library, Web of Science, CNKI, WanFang, and SinoMed. The search time is from August 1, 2009, to August 20, 2024. Results A total of 37 studies were included, covering multiple groups of people including the elderly, pregnant women, and children, multiple diseases such as dementia, tumors, and strokes, and multiple locations in hospitals, communities, and homes. These studies mostly adopt qualitative designs, and CFIR is often used to guide data collection and/or analysis in all stages of implementation. In addition, there were variations in the application of CFIR domains and elements across studies, with few aligning with the expected effects of CFIR application. Conclusion CFIR shows potential in advancing clinical translation of evidence, and it is widely used in qualitative research, promoting comparison across studies and integration of different theoretical frameworks. It′s suggested to use CFIR as a checklist for qualitative data collection and analysis and to explain the rationale behind choosing CFIR domains and constructs in methodology.

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罗明月,李雅洁,张书萌,段欣宇,丁永霞.实施科学整合框架在循证护理实践中应用的范围综述[J].护理学杂志,2025,(12):119-124

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  • 收稿日期:2025-01-02
  • 最后修改日期:2025-03-10
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  • 在线发布日期: 2025-07-18