背景:冠军在医疗服务中实施技术方面发挥着关键作用。虽然先前的研究已经探索了冠军的存在和特征,这篇评论深入探讨了医疗保健人员担任冠军角色的经验,以及医护人员与他们互动的经验。通过综合现有知识,这项审查旨在为有关将冠军纳入技术实施战略的决策提供信息,并指导医疗保健人员担任这些职务。
方法:系统混合研究综述,涵盖定性,定量,或混合设计,于2022年9月至2023年3月进行。搜索跨越Medline,Embase,CINAHL,还有Scopus,重点关注2012年以来发表的研究。审查的重点是在医疗服务中担任技术实施冠军的卫生人员。质量评估使用混合方法评估工具(MMAT)。
结果:来自1629项筛选研究,包括23个。冠军角色经常在更广泛的技术实施背景下进行审查。有限的研究从冠军和卫生人员的角度明确探索了与冠军角色相关的经验。冠军成为技术的推动者,支持其采用。成功因素包括锚定和选择过程,冠军\'专业知识,和有效的角色表现。
结论:分配给冠军的具体任务和职责在经过审查的研究中有所不同,强调冠军的作用是广泛的,取决于正在实施的技术和实施它的网站。研究结果表明,冠军经历与组织特征之间存在相关性。角色在组织内的固定锚定是至关重要的。有限的证据表明志愿服务,雇用新毕业的卫生人员,拥有多个冠军可以促进技术实施。现有的研究主要集中在客户的健康记录和医院,强调需要在医疗服务领域进行更广泛的研究。
结论:有了明确的授权,专用时间,和适当的培训,担任冠军角色的卫生人员可以显着贡献专业,技术,和个人能力,以促进医疗服务中的技术采用。评论发现,冠军的概念是一个广泛的概念,并找到了冠军角色概念的各种定义。这强调了描述组织特征的重要性,并重点介绍了未来研究领域,以在冠军的支持下增强不同医疗保健环境中的技术实施策略。
BACKGROUND: Champions play a critical role in implementing technology within healthcare services. While prior studies have explored the presence and characteristics of
champions, this review delves into the experiences of healthcare personnel holding champion roles, as well as the experiences of healthcare personnel interacting with them. By synthesizing existing knowledge, this review aims to inform decisions regarding the inclusion of champions as a strategy in technology implementation and guide healthcare personnel in these roles.
METHODS: A systematic mixed studies review, covering qualitative, quantitative, or mixed designs, was conducted from September 2022 to March 2023. The search spanned Medline, Embase, CINAHL, and Scopus, focusing on studies published from 2012 onwards. The review centered on health personnel serving as champions in technology implementation within healthcare services. Quality assessments utilized the Mixed Methods Appraisal Tool (MMAT).
RESULTS: From 1629 screened studies, 23 were included. The champion role was often examined within the broader context of technology implementation. Limited studies explicitly explored experiences related to the champion role from both champions\' and health personnel\'s perspectives.
Champions emerged as promoters of technology, supporting its adoption. Success factors included anchoring and selection processes,
champions\' expertise, and effective role performance.
CONCLUSIONS: The specific tasks and responsibilities assigned to
champions differed across reviewed studies, highlighting that the role of champion is a broad one, dependent on the technology being implemented and the site implementing it. Findings indicated a correlation between champion experiences and organizational characteristics. The role\'s firm anchoring within the organization is crucial. Limited evidence suggests that volunteering, hiring newly graduated health personnel, and having multiple champions can facilitate technology implementation. Existing studies predominantly focused on client health records and hospitals, emphasizing the need for broader research across healthcare services.
CONCLUSIONS: With a clear mandate, dedicated time, and proper training, health personnel in champion roles can significantly contribute professional, technological, and personal competencies to facilitate technology adoption within healthcare services. The review finds that the concept of champions is a broad one and finds varied definitions of the champion role concept. This underscores the importance of describing organizational characteristics, and highlights areas for future research to enhance technology implementation strategies in different healthcare settings with support of a champion.