ABSTRACT To improve patient outcomes, healthcare practices undergo constant implementation of innovations. An implementation intervention that considers organizational and behavioural aspects is facilitation. Change Facilitators help individuals and groups realize what they need to change and how to make change happen. However, behavioural change trials require more sufficient details to improve delivery, fidelity and evaluation. The aim of this paper was to identify facilitation strategies used during the implementation of innovations in health care, determine those most frequently used and their relation to study outcomes. For this systematic review, randomized controlled trials reporting an onsite facilitator to aid in innovation implementation in a healthcare setting were identified. The database search yielded 2,350 articles, from which 35 studies were included. From these, 51 facilitation strategies were identified. Nine of the strategies appeared in more than 50% of studies and those reporting positive results included: goal-setting, assessing progress and outcomes, and providing tools and resources. These findings provide facilitators with evidence-based strategies to deliver in practice and to ensure consistency in facilitation training. Future research should aim to provide further tools that recommend the most effective facilitation strategies and a model to improve the effectiveness, efficiency and evaluation of the change facilitation process. MAD statement This article sets out to make a difference for those implementing innovations in the healthcare industry, by arming change facilitators with practical, evidence-based strategies to facilitate change more effectively. Furthermore, this article highlights the need for specific tools and models that improve the efficiency and effectiveness of the change facilitation process and its evaluation.

中文翻译：

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用于实施医疗保健创新的变更促进策略：系统评价

摘要为了提高患者的治疗效果，医疗保健实践不断进行创新。考虑组织和行为方面的实施干预是促进。变更促进者可以帮助个人和团体认识到他们需要进行变更以及如何进行变更。然而，行为改变试验需要更多足够的细节来改善交付，保真度和评估。本文的目的是确定在医疗保健创新实施过程中使用的促进策略，确定最常用的策略及其与研究成果的关系。对于此系统评价，确定了报告有现场促进者以协助医疗机构实施创新的随机对照试验。数据库搜索产生了2,350条文章，其中包括35项研究。从中，确定了51种促进策略。超过50％的研究中出现了9种策略，报告积极结果的策略包括：目标设定，评估进展和结果以及提供工具和资源。这些发现为协调人提供了基于证据的策略，以便在实践中实施并确保协调培训的一致性。未来的研究应旨在提供进一步的工具，以推荐最有效的促进策略，并建立模型以提高变更促进过程的有效性，效率和评估。MAD声明本文旨在通过为变革促进者提供切实可行的服务，为医疗行业实施创新的人们带来改变 基于证据的策略，以更有效地促进变革。此外，本文强调了对特定工具和模型的需求，这些工具和模型可以提高变更促进过程及其评估的效率和有效性。