Decision-makers in crisis zones are faced with the challenge of having to make health-related decisions under limited time and resource constraints and in light of the many factors that can influence their decisions, of which research evidence is just one. To address a key gap in the research literature about how best to support the use of research evidence in such situations, we conducted a critical interpretive synthesis approach to develop a conceptual framework that outlines the strategies that leverage the facilitators and address the barriers to evidence use in crisis zones. We systematically reviewed both empirical and non-empirical literature and used an interpretive analytic approach to synthesise the results and develop the conceptual framework. We used a ‘compass’ question to create a detailed search strategy and conducted electronic searches in CINAHL, EMBASE, MEDLINE, SSCI and Web of Science. A second reviewer was assigned to a representative sample of articles. We purposively sampled additional papers to fill in conceptual gaps. We identified 21 eligible papers to be analysed and purposively sampled an additional 6 to fill conceptual gaps. The synthesis resulted in a conceptual framework that focuses on evidence use in crisis zones examined through the lens of four systems – political, health, international humanitarian aid and health research. Within each of the four systems, the framework identifies the most actionable strategies that leverage the facilitators and address the barriers to evidence use. This study presents a new conceptual framework that outlines strategies that leverage the facilitators and address the barriers to evidence use in crisis zones within different systems. This study expands on the literature pertaining to evidence-informed decision-making.

中文翻译：

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支持在低收入和中等收入国家危机地区的决策中使用研究证据：关键的解释性综合


危机地区的决策者面临着这样的挑战：必须在有限的时间和资源限制下，考虑到影响其决策的许多因素，而研究证据只是其中之一。为了解决研究文献中关于如何最好地支持在这种情况下使用研究证据的关键差距，我们采用了批判性的解释性综合方法来开发一个概念框架，该框架概述了利用促进者并解决证据使用障碍的策略在危机地区。我们系统地回顾了实证和非实证文献，并使用解释分析方法来综合结果并开发概念框架。我们使用“指南针”问题制定了详细的检索策略，并在 CINAHL、EMBASE、MEDLINE、SSCI 和 Web of Science 中进行了电子检索。第二位审稿人被分配到具有代表性的文章样本。我们有目的地抽取了更多论文来填补概念上的空白。我们确定了 21 篇符合条件的论文进行分析，并有目的地抽取了另外 6 篇论文来填补概念空白。综合形成了一个概念框架，重点关注通过四个系统（政治、卫生、国际人道主义援助和卫生研究）的视角审查危机地区证据的使用。在这四个系统中，该框架确定了最可行的策略，利用促进者并解决证据使用的障碍。本研究提出了一个新的概念框架，概述了利用促进者并解决不同系统内危机地区证据使用障碍的策略。 这项研究扩展了有关循证决策的文献。