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A framework for disability lived expertise. 残疾人生活专业知识框架。
IF 2.5 3区 社会学 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-10-09 DOI: 10.1332/17442648Y2025D000000069
Shane Clifton, Emma Cooper, Johnny Bourke, Sam Connor, Scott Denton, Benny Dominish, Ally Drinkwater, Clare Gibellini, John Gilroy, Lorna Hallahan, Suzie Jessep, Simon Katterl, Damian Mellifont, Bruce O'Brien, Frances Quan Farrant, Annmaree Watharow, Robert Wynn

This article introduces a framework for disability lived expertise, aiming to address the undervaluing of contributions from people with disability in crucial sectors such as policy, services, rehabilitation, education and research. It distinguishes between disability lived experience, which is the personal and individual experience of disability, and 'lived expertise', which builds on personal experience through critical reflection and engagement with the disability community. Developed by seventeen individuals with diverse disabilities, the framework outlines key components of disability lived expertise, including: Leadership qualities: rejecting paternalism, emphasising self-determination and challenging conventional paradigms. Core values: including loyalty and solidarity with the disability community, humility alongside pride, a focus on human rights and access, courage for sustained change, and managing personal triggers. Essential skills and knowledge: covering human rights principles, disability history, the social model, ableism, intersectionality, co-design and community organising. The framework views lived expertise as a dynamic capability, nurtured through reflection, community engagement and resources. It acknowledges the complexities of disability identification and disclosure, advocating for individual choice in self-identification without rigid rules. Ultimately, this framework seeks to validate previously marginalised knowledge, reshape power imbalances and empower people with disability to leadership roles aimed at a more inclusive and equitable society.

本文介绍了一个残疾人生活专业知识框架,旨在解决在政策、服务、康复、教育和研究等关键领域低估残疾人贡献的问题。它区分了残疾生活经验和“生活经验”,前者是残疾的个人和个人经验,后者是通过批判性反思和与残疾人社区的接触建立在个人经验基础上的。该框架由17位不同残疾人士共同开发,概述了残疾生活专业知识的关键组成部分,包括:领导素质:拒绝家长式作风,强调自决和挑战传统范式。核心价值观:包括对残疾人社区的忠诚和团结,谦卑与自豪,关注人权和获取,勇于持续变革,管理个人触发因素。基本技能和知识:涵盖人权原则、残疾历史、社会模式、残疾歧视、交叉性、共同设计和社区组织。该框架将活的专业知识视为一种动态能力,通过反思、社区参与和资源培养。它承认残疾识别和披露的复杂性,倡导在没有严格规则的情况下,个人选择自我认同。最终,该框架旨在验证以前被边缘化的知识,重塑权力不平衡,并赋予残疾人领导角色的权力,旨在建立一个更加包容和公平的社会。
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引用次数: 0
Developing policy capacities for evidence-informed policy making: civil servants' learning perceptions from collaborative research projects. 发展循证决策的政策能力:公务员从合作研究项目中获得的学习认知。
IF 2.5 3区 社会学 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-10-06 DOI: 10.1332/17442648Y2025D000000068
Tommi Olavi Kärkkäinen

Low levels of competencies and capabilities in public administration hamper evidence-informed policy making (EIPM), yet we know little about how such policy capacities could be developed. Drawing on interviews with Finnish civil servants who participated in collaborative research projects, this study explores learning as a pathway to capacity development. The study operationalises a practice theoretical perspective to learning. The analysis presents diverse learning perceptions from civil servants, representing the construction of a range of knowledge, including know-how for interpreting research and collaborating with researchers, familiarity with colleagues, and understanding of the boundaries of supporting policy making with research. These perceptions are connected to various developments in civil servants' analytical, operational and political capacities, and are argued to support knowledgeable engagement with research both within the collaborative projects and beyond them. The findings highlight the relationship between the potential of collaborative research to develop policy capacities and the interactions among the involved actors, the research projects' practices and the broader context in which the projects operate. Overall, the article complements the EIPM literature by placing emphasis not on indicating capacity deficits but on illustrating how their development can be understood and enhanced.

公共行政方面的低水平能力和能力阻碍了循证政策制定(EIPM),但我们对如何发展这种政策能力知之甚少。通过对参与合作研究项目的芬兰公务员的访谈,本研究探讨了学习作为能力发展的途径。本研究将实践理论的视角运用到学习中。该分析显示了公务员的不同学习观念,代表了一系列知识的构建,包括解释研究和与研究人员合作的技能,与同事的熟悉程度,以及对研究支持政策制定界限的理解。这些观念与公务员的分析、业务和政治能力的各种发展有关,并被认为支持在合作项目内外进行知识参与研究。研究结果强调了合作研究发展政策能力的潜力与相关行为者之间的相互作用、研究项目的实践和项目运作的更广泛背景之间的关系。总的来说,这篇文章补充了EIPM的文献,强调的不是指出能力缺陷,而是说明如何理解和加强能力缺陷的发展。
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引用次数: 0
Assessing the effectiveness of citizen participation: the development of an impact scheme. 评估公民参与的有效性:制定影响方案。
IF 2.5 3区 社会学 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-09-26 DOI: 10.1332/17442648Y2025D000000066
Franziska Sörgel, Nora Weinberger, Julia Hahn, Christine Milchram, Maria Maia

This article examines the impact of participatory processes in research organisations, focusing on the 'Citizens' Dialogues' initiative at Karlsruhe Institute of Technology. As research increasingly embraces inclusive approaches, the article presents a scheme designed to evaluate the effects of such dialogues on different actor groups: citizens, scientists and institutional management. Drawing from both literature and practical experience, the scheme assesses immediate, gradual and continual impacts, offering insights into the effectiveness of participatory formats in shaping research agendas and promoting democratic engagement with academic research. Additionally, the article explores how this scheme can be applied to other contexts, enhancing the integration of participatory outcomes into research decision-making processes. By providing a structured approach to impact assessment, this work contributes to the broader understanding of how citizen participation influences scientific research and its societal relevance.

本文考察了参与式过程在研究机构中的影响,重点关注了卡尔斯鲁厄理工学院的“公民对话”倡议。随着研究越来越多地采用包容性方法,本文提出了一个方案,旨在评估这种对话对不同行动者群体(公民、科学家和机构管理)的影响。根据文献和实践经验,该方案评估了直接、渐进和持续的影响,为参与式模式在制定研究议程和促进学术研究的民主参与方面的有效性提供了见解。此外,本文还探讨了如何将该方案应用于其他环境,从而加强将参与性成果整合到研究决策过程中。通过提供影响评估的结构化方法,这项工作有助于更广泛地了解公民参与如何影响科学研究及其社会相关性。
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引用次数: 0
Leading research-policy engagement: an empirical analysis of the capabilities and characteristics of leaders of evidence intermediary organisations. 主导研究-政策参与:证据中介组织领导者能力和特征的实证分析。
IF 2.5 3区 社会学 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-09-22 DOI: 10.1332/17442648Y2025D000000067
Steve Martin

There is growing interest in evidence intermediary organisations as a means of bridging the gap between research and policy. However, their activities and effectiveness remain under-researched. This article provides an empirically grounded analysis of the activities and attributes of the leaders of evidence intermediary organisations operating at different levels of government and across diverse policy domains in the UK. It shows that successful research-policy engagement calls for an unusual blend of leadership skills and behaviours. Leaders of evidence intermediaries highlighted the need for four core capabilities (strategy making, policy engagement, quality assuring evidence, and organisational management) and three essential characteristics (the ability to overcome entrenched institutional obstacles to evidence mobilisation, to respond to shifting stakeholder demands, and to persevere when evidence is ignored by policy makers). These findings add to our understanding of day-to-day practices of evidence mobilisation, have implications for policy and practice, and point to several promising avenues for future research about this relatively new breed of organisations which are playing an increasingly prominent role in research-policy systems in a range of countries. The leadership capabilities and characteristics identified in our research can be used to develop job descriptions, career paths, and training and development opportunities for current and future leaders. They should also inform the design and leadership of future research-policy engagement initiatives. Future studies could usefully test out the applicability of our findings in other countries and contexts and from the perspectives of a wider range of actors.

人们对证据中介组织作为弥合研究和政策之间差距的一种手段越来越感兴趣。然而,它们的活动和效力仍未得到充分研究。本文对英国不同级别政府和不同政策领域的证据中介组织领导人的活动和属性进行了实证分析。它表明,成功的研究政策参与需要领导技能和行为的不同寻常的结合。证据中介机构的领导人强调需要四项核心能力(战略制定、政策参与、质量保证证据和组织管理)和三个基本特征(克服证据动员方面根深蒂固的制度障碍的能力,对利益相关者不断变化的需求作出反应的能力,以及在证据被政策制定者忽视时坚持不懈的能力)。这些发现增加了我们对证据动员的日常实践的理解,对政策和实践有影响,并为未来研究这种相对较新的组织指出了几个有希望的途径,这些组织在一系列国家的研究政策系统中发挥着越来越突出的作用。在我们的研究中确定的领导能力和特征可以用来为当前和未来的领导者制定职位描述、职业道路以及培训和发展机会。它们还应该为未来研究政策参与计划的设计和领导提供信息。未来的研究可以从更广泛的行动者的角度有效地检验我们的研究结果在其他国家和背景下的适用性。
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引用次数: 0
Optimising teamworking processes in an ongoing research consortium: a qualitative study. 在一个正在进行的研究财团优化团队工作过程:一项定性研究。
IF 2.5 3区 社会学 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-09-17 DOI: 10.1332/17442648Y2025D000000065
Taru Silvonen, Ges Rosenberg

Health in urban development is one example of the increasing complexity of research issues that cross disciplinary boundaries, calling for integrated knowledge. Overcoming the challenges of working across disciplines is essential to understanding how to support inter- and transdisciplinary (ITD) projects and mitigate issues that stand in the way of collaborations aiming to contribute to societal change. The aim of this article is to provide qualitative evidence of the practices required to support the effective operating of large-scale ITD teams. This article draws on a UK-based research consortium that brings together expertise from numerous disciplines to collaborate through evidence-based interventions in the context of non-communicable diseases (NCDs) and the creation of healthier urban environments. Our novel approach combines qualitative and participatory methods with the principles of hierarchical process modelling. Interview data (20 interviews) collected in 2023-2024 were enriched through a participatory workshop with consortium members in 2024. Following initial thematic coding, processes and evidence of challenges or facilitators were categorised under three research stages. The findings emphasise that supporting the development of cognitive processes during the first stage is required to enable deliberation and consensus seeking during the subsequent stages. While the strengths of the mission-oriented consortium lie in motivational processes and relationship building, the drive to deliver impactful research was limited by challenges in cognitive processes such as the development of shared mental models. This suggests that large-scale complex teams require evidence-based best practice frameworks to guide the development and maintenance of a cohesive transdisciplinary (TD) team environment.

城市发展中的卫生问题就是一个例子,表明跨越学科界限的研究问题日益复杂,需要综合知识。克服跨学科工作的挑战对于理解如何支持跨学科和跨学科(ITD)项目以及减轻阻碍旨在促进社会变革的合作的问题至关重要。本文的目的是提供支持大规模ITD团队有效运作所需的实践的定性证据。本文借鉴了英国的一个研究联盟,该联盟汇集了来自众多学科的专业知识,在非传染性疾病(NCDs)和创造更健康的城市环境的背景下,通过基于证据的干预措施进行合作。我们的新方法结合了定性和参与性方法与分层过程建模的原则。通过2024年与联盟成员的参与式研讨会,丰富了2023-2024年收集的访谈数据(20个访谈)。在最初的主题编码之后,过程和挑战或促进因素的证据被归类为三个研究阶段。研究结果强调,在第一阶段支持认知过程的发展是必要的,以便在随后的阶段进行审议和寻求共识。虽然以任务为导向的联盟的优势在于激励过程和关系的建立,但提供有影响力的研究的动力受到认知过程(如共享心理模型的发展)挑战的限制。这表明,大型复杂团队需要基于证据的最佳实践框架来指导开发和维护一个有凝聚力的跨学科(TD)团队环境。
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引用次数: 0
Strengthening the role of third sector intermediary bodies in democratic governance: developing strategies with state and non-state actors. 加强第三部门中介机构在民主治理中的作用:与国家和非国家行为体一起制定战略。
IF 2.5 3区 社会学 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-08-20 DOI: 10.1332/17442648Y2025D000000062
Jane Cullingworth

Background: Third sector intermediary bodies play an important role in representing third sector and community perspectives in democratic governance. A key challenge they face is in navigating relationships between the third sector and the state.

Aims and objectives: This article presents the outcomes and learnings from a knowledge exchange (KE) project, co-designed with a third sector intermediary body, that engaged stakeholders in the development of policy recommendations to address the challenges intermediary bodies face in managing their complex role. It also reflects on the process and challenges of engaging different stakeholders in a process designed to develop collective recommendations.

Methods: KE events were held to present previous research findings about the role of intermediary bodies in democratic governance. Interested intermediary bodies, third sector organisations and public bodies participated in interviews or focus groups to develop recommendations.

Findings: Developing collective policy ideas with diverse stakeholders is a complex process for researchers, particularly when the approach is co-designed with only one stakeholder organisation. Different perspectives can be difficult to bridge and there is a risk that resulting recommendations will be diluted.

Discussion and conclusions: This project highlighted the challenges associated with putting evidence into action and in co-designing projects. A key learning is the need for clear and upfront communication with collaborating organisations. Despite the challenges that exist in working across diverse stakeholder groups, third sector intermediary bodies are uniquely placed to act as knowledge brokers, representing experience at the community level and bringing this understanding into democratic governance spaces and networks.

背景:第三部门中介机构在民主治理中代表第三部门和社区观点方面发挥着重要作用。他们面临的一个关键挑战是如何处理第三部门与政府之间的关系。目的和目标:本文介绍了与第三部门中介机构共同设计的知识交流(KE)项目的成果和经验教训,该项目让利益相关者参与制定政策建议,以解决中介机构在管理其复杂角色时面临的挑战。它还反映了让不同利益攸关方参与旨在制定集体建议的过程的过程和挑战。方法:举办KE活动,介绍以往关于中介机构在民主治理中的作用的研究成果。有兴趣的中介机构、第三界别机构和公共机构参与访谈或焦点小组,以提出建议。研究结果:对于研究人员来说,与不同的利益相关者一起发展集体政策思想是一个复杂的过程,特别是当方法仅与一个利益相关者组织共同设计时。不同的观点可能难以沟通,而且产生的建议可能会被稀释。讨论和结论:本项目强调了将证据付诸行动和共同设计项目所面临的挑战。一个关键的学习是需要与合作组织进行清晰和预先的沟通。尽管在与不同利益相关者群体的合作中存在挑战,但第三部门中介机构具有独特的地位,可以充当知识经纪人,代表社区层面的经验,并将这种理解带入民主治理空间和网络。
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引用次数: 0
Disability lived experience and expertise: recognising the expert contributions of people with disability. 残疾生活经验和专业知识:承认残疾人的专业贡献。
IF 2.5 3区 社会学 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-08-14 DOI: 10.1332/17442648Y2025D000000060
Shane Clifton, Emma Cooper, Johnny Bourke, Sam Connor, Scott Denton, Benny Dominish, Clare Gibellini, John Gilroy, Lorna Hallahan, Suzie Jessep, Simon Katterl, Damian Mellifont, Bruce O'Brien, Frances Quan Farrant, Annmaree Watharow, Robert Wynn

While the inclusion of 'disability lived experience' is increasingly advocated for in research, policy and practice, its conceptualisation and application present significant challenges. This article, a collaborative effort by 16 individuals with diverse disabilities and expertise, critically examines the limitations inherent in the current usage. We argue that prevailing interpretations of 'lived experience' presume subjectivity and over-emphasise narratives of suffering, leading to tokenism and a false dichotomy between lived experience and professional or academic expertise. These issues can undermine the true value and breadth of knowledge held by disabled people. To address these limitations, we propose a crucial distinction between 'disability lived experience' - the personal, embodied experience of disability - and 'disability lived expertise', which synthesises lived experience with a deep knowledge of the history, concepts, rights and collective experiences of people with disability, the core values of the disabled community, and advocacy skills needed to redesign and reshape the social environment to enable people with disabilities to flourish. This distinction aims not to diminish disability lived experience, but to more accurately recognise and legitimise the developed expertise many disabled people bring to various fields. By recognising the concept of disability lived expertise, we aim to foster more meaningful inclusion, challenge ableist power structures, and ensure that the expert contributions of disabled people are fully valued in driving social change.

虽然在研究、政策和实践中越来越多地提倡将“残疾生活经验”纳入其中,但其概念化和应用存在重大挑战。本文是由16位具有不同残疾和专业知识的个人共同努力的结果,批判性地考察了当前使用中固有的局限性。我们认为,对“生活经验”的普遍解释假定了主观性,过分强调痛苦的叙述,导致了象征主义和生活经验与专业或学术专长之间的错误二分法。这些问题会削弱残疾人的真正价值和知识广度。为了解决这些限制,我们提出了“残疾生活经验”和“残疾生活经验”之间的关键区别,“残疾生活经验”是指个人的、具体的残疾经验,而“残疾生活经验”是指综合生活经验,对残疾人的历史、概念、权利和集体经验有深入的了解,残疾人社区的核心价值观,以及重新设计和重塑社会环境所需的倡导技能,使残疾人能够茁壮成长。这种区分的目的不是为了减少残疾的生活经历,而是为了更准确地承认和合法化许多残疾人为各个领域带来的成熟的专业知识。通过认识残疾生活专业知识的概念,我们的目标是促进更有意义的包容,挑战残疾主义的权力结构,并确保残疾人的专家贡献在推动社会变革中得到充分重视。
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引用次数: 0
Pick of the crop: understanding the choice of scientific and experiential evidence in Swiss pesticide discourse. 挑选作物:了解瑞士农药话语中科学和经验证据的选择。
IF 2.5 3区 社会学 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-08-14 DOI: 10.1332/17442648Y2025D000000064
Ueli Reber, Benjamin Hofmann, Christian Stamm, Karin Ingold

In political discourse, speakers use scientific and experiential evidence. Both types can inform policy making, yet little is known about when political actors turn to experiential evidence to back their statements. In this article, we examine factors that influence the selection of scientific and experiential evidence in political discourses. Using data from a quantitative content analysis, we assess the influence of (1) issue polarisation, (2) the statement's focus on either the problem or the solution, and (3) the actor's position on policy change on the type of evidence used in Swiss media discourse on pesticides between 2013 and 2022. Our results show that an increase in issue polarisation was associated with an increase in the use of experiential evidence. It also mattered whether evidence was used to describe problems or solutions. In both cases, scientific evidence was preferred, but experiential evidence was used more often when speaking about solutions. Whether speakers were proponents or opponents of policy change had no influence on the type of evidence used. These findings suggest that speakers generally considered scientific evidence more appropriate to support their statements than experiential evidence. However, with increasing polarisation, the reliance on experiential evidence over scientific evidence suggests a shift towards emotionally resonant narratives rather than rigorously validated knowledge. For the case studied, we conclude that while speakers are committed to evidence-informed policy making in principle, experiential evidence is at risk of being devalued and weaponised in polarised contexts.

在政治话语中,演讲者使用科学和经验证据。这两种类型都可以为政策制定提供信息,但人们对政治行为者何时转向经验证据来支持他们的言论知之甚少。在本文中,我们考察了影响政治话语中科学和经验证据选择的因素。使用定量内容分析的数据,我们评估了以下因素的影响:(1)问题两极分化,(2)声明对问题或解决方案的关注,以及(3)行为者对政策变化的立场对2013年至2022年瑞士媒体关于农药话语中使用的证据类型的影响。我们的研究结果表明,问题两极分化的增加与经验证据使用的增加有关。是否使用证据来描述问题或解决方案也很重要。在这两种情况下,科学证据都是首选,但在讨论解决方案时,更经常使用经验证据。发言者是政策变化的支持者还是反对者对所使用的证据类型没有影响。这些发现表明,说话者通常认为科学证据比经验证据更适合支持他们的陈述。然而,随着两极分化的加剧,对经验证据而不是科学证据的依赖表明,人们转向了情感共鸣的叙述,而不是经过严格验证的知识。对于所研究的案例,我们得出的结论是,虽然发言者原则上致力于基于证据的政策制定,但在两极分化的背景下,经验证据面临贬值和武器化的风险。
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引用次数: 0
Understanding the dynamics of research-policy fellowships: an evaluative analysis of barriers and blockages. 了解研究政策奖学金的动态:对障碍和障碍的评估分析。
IF 2.5 3区 社会学 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-08-07 DOI: 10.1332/17442648Y2025D000000063
Matthew Flinders, Jessica Benson-Egglenton

Aims and objectives: This article presents findings from an evaluative study of the first cohort of Economic and Social Research Council (ESRC) Policy Fellows (2021-2023), identifying challenges at the research-policy nexus to refine the evidence base for future mobility investments and contribute to broader debates about knowledge-exchange and boundary-spanning.

Methods: An initial desk-based review of the existing research on barriers and analysis of survey data previously collected by the ESRC informed design of semi-structured interviews (the focus of this article). Interviews were conducted with 18 fellows and ten policy host representatives. Transcripts underwent thematic analysis through multiple rounds of coding and theme development in relation to 'barriers and blockages'.

Findings: Nine main 'barriers and blockages' were identified in the research: opaque expectations; competing pressures; managing complexity; boundary-spanning stretch; strategic support; administrative absorption; academic absorption; spatial (im)mobilities; silos and hierarchies. Several of these issues were either under-acknowledged or absent within the existing knowledge and research base.

Discussion and conclusion: Facilitating the mobility of people within research, development and innovation 'ecosystems' remains a core strategic goal of funders and governments around the world. An increasing number of R2P fellowships (and policy-to-research secondments) are being established, but often on the basis of a weak or non-existent evidential basis with regard to 'what works'. This article contributes to remedying this gap and identifies new research themes.

目的和目标:本文介绍了对首批经济与社会研究委员会(ESRC)政策研究员(2021-2023)的评估研究结果,确定了研究与政策关系中的挑战,以完善未来交通投资的证据基础,并为有关知识交流和边界跨越的更广泛辩论做出贡献。方法:对现有的障碍研究进行初步的基于桌面的回顾,并分析ESRC之前收集的调查数据,为半结构化访谈的设计提供信息(本文的重点)。对18名研究员和10名政策主持代表进行了采访。通过多轮编码和与“障碍和障碍”相关的主题开发,转录本进行了主题分析。研究发现:研究确定了九个主要的“障碍和障碍”:不透明的期望;竞争压力;管理复杂性;跨界合作的延伸;战略支持;行政吸收;学术吸收;空间(im)的机动性;筒仓和层次结构。其中一些问题在现有的知识和研究基础中没有得到充分承认或缺乏。讨论与结论:促进研究、开发和创新“生态系统”中的人员流动仍然是世界各地资助者和政府的核心战略目标。越来越多的R2P研究金(以及从政策到研究的借调)正在建立,但往往建立在关于“什么有效”的薄弱或不存在的证据基础上。本文有助于弥补这一差距,并确定新的研究主题。
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引用次数: 0
Readiness of the Australian naturopathic medicine profession for evidence implementation: a cross-sectional study. 澳大利亚自然疗法专业对证据实施的准备:一项横断面研究。
IF 2.5 3区 社会学 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-07-21 DOI: 10.1332/17442648Y2025D000000061
Matthew J Leach

Background: Evidence implementation considers the myriad factors and stakeholders that impact the delivery of best practice care. To date, no studies have comprehensively examined the contextual factors influencing evidence implementation (EI) in contemporary naturopathic medicine practice using a validated, multi-domain framework.

Methods: Australian managers, directors, administrators, academics, students and clinicians in naturopathic medicine were eligible to participate in this national cross-sectional study. Using a comprehensive recruitment strategy and non-probability sampling, participants were invited to complete the 44-item Global Assessment of the Evidence Implementation Environment (GENIE) questionnaire, online.

Results: The GENIE questionnaire was completed by 219 participants (75.6 per cent female; 52.5 per cent aged 40-59 years). At least one-half of participants indicated that 16 of the 34 indicators of EI preparedness in naturopathic medicine had been met, with most uncertain and/or disputing that the remaining indicators had been achieved. Of the three environments examined, the regulatory environment was considered the least ready for EI in naturopathic medicine overall (46.6 per cent agreed that this sector was ready for EI), followed by the academic environment (64.0 per cent agreed this sector was ready) and clinical environment (70.9 per cent agreed this sector was ready).

Conclusion: This novel study highlights several shortcomings in the Australian naturopathic medicine profession's preparedness for EI, particularly in relation to evidence-based practice/research advocacy, capacity and culture. To overcome these challenges and critical sector-specific gaps, increased investment in capacity building and proactive efforts from regulatory and professional bodies will be crucial to fostering evidence-based practice, building professional credibility and improving patient outcomes.

背景:证据实施考虑了影响最佳实践护理交付的无数因素和利益相关者。到目前为止,还没有研究使用一个经过验证的多领域框架全面检查影响当代自然疗法实践中证据实施(EI)的背景因素。方法:澳大利亚自然疗法管理人员、主管、行政人员、学者、学生和临床医生均有资格参加这项全国性横断面研究。采用综合招聘策略和非概率抽样,参与者被邀请在线完成44个项目的证据实施环境全球评估(GENIE)问卷。结果:219名参与者完成了GENIE问卷(75.6%为女性;年龄在40至59岁之间的占52.5%)。至少有一半的参与者表示,在自然疗法的34个EI准备指标中,有16个指标已经达到,大多数人不确定和/或质疑剩余指标是否已经达到。在调查的三个环境中,监管环境被认为是自然疗法中最不适合进行EI的环境(46.6%的人认为该行业已经准备好了),其次是学术环境(64.0%的人认为该行业已经准备好了)和临床环境(70.9%的人认为该行业已经准备好了)。结论:这项新颖的研究突出了澳大利亚自然疗法专业在为EI做准备方面的一些不足,特别是在循证实践/研究倡导、能力和文化方面。为了克服这些挑战和解决关键的部门差距,增加对能力建设的投资以及监管机构和专业机构的积极努力对于促进循证实践、建立专业信誉和改善患者预后至关重要。
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Evidence & Policy
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