知识转化和可持续性背景下的社会运动概念和行为:概念分析

Exploring social movement concepts and actions in a knowledge uptake and sustainability context: A concept analysis

目的 进行社会运动的概念分析,促进其应用于健康领域的知识转化和可持续性。 方法 应用Avant和Walker的方法阐明知识转化和可持续性背景下社会运动的概念。系统检索了同行评审和灰色文献数据库中描述社会运动行为如何促成健康照护和社区环境中循证实践变革的文章,2名研究者对标题、摘要和全文进行了独立审查,对结果协商一致。最终共纳入38篇文章。 结果 促进知识转化和可持续性的社会运动可以被定义为:个人、团体或组织作为自愿和具有内在动机的变革推动者,围绕一个共同目标动员起来,通过知识转化和可持续性的努力改善结局。通过概念分析,共确定了10个概念属性、3个前置因素和3个结局指标。它们是动态的、相互关联的,往往相互促进以强化社会运动的各个方面。重要的概念属性包括行动的迫切性、集体行动和集体认同等。基于概念分析结果建立社会运动行为框架。 结论 社会运动行为可以提供看待实施科学的新视角。集体行动和集体认同--在实施科学文献中不太常见的概念--有助于深入了解基层方式对知识转化和可持续性的作用。研究结果可以指导健康照护者和变革领导者利用社会运动的视角实现现实中的变革项目。通过社会运动方式动员个人、团体或组织,使之作为强有力的变革推动者和团队参与变革,影响个人、组织和卫生系统,促进知识转化和可持续性。

Objectives:To share a concept analysis of social movement aimed at advancing its application to evidence uptake and sustainability in health-care.Methods:We applied Walker and Avant method to clarify the concept of social movement in the context of knowledge uptake and sustainability.Peer-reviewed and grey literature databases were systematically searched for relevant reports that described how social movement action led to evidence-based practice changes in health and community settings.Titles,abstracts and full texts were reviewed independently and in duplicate,resulting in 38 included articles.Results:Social movement action for knowledge uptake and sustainability can be defined as individuals,groups,or organizations that,as voluntary and intrinsically motivated change agents,mobilize around a common cause to improve outcomes through knowledge uptake and sustainability.The 10 defining attributes,three antecedents and three consequences that we identified are dynamic and interrelated,often mutually reinforcing each other to fortify various aspects of the social movement.Examples of defining attributes include an urgent need for action,collective action and collective identity.The concept analysis resulted in the development of the Social Movement Action Framework.Conclusions:Social movement action can provide a lens through which we view implementation science.Collective action and collective identity e concepts less frequently canvassed in implementation science literature e can lend insight into grassroots approaches to uptake and sustainability.Findings can also inform providers and change leaders on the practicalities of harnessing social movement action for realworld change initiatives.By mobilizing individuals,groups,or organizations through social movement approaches,they can engage as powered change agents and teams that impact the individual,organizational and health systems levels to facilitate knowledge uptake and sustainability.