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ABSTRACT
Evidence-based practice (EBP) is upheld as best practice in health and human services but there is a need for more research on how this approach can be enabled in day-to-day practice. This qualitative study examined EBP with allied health managers and practitioners in a health service network (n = 17). The findings highlight the systemic nature of EBP and the extent to which it involves both individual and environmental attributes. Individual attributes include clear understanding of EBP, relevant knowledge and skills, and motivation and passion. Environmental attributes are the presence of an organisational culture that values and prioritises EBP and an integrated mix of research support services, professional development activities, supervision and mentorship, and university partnerships. Theoretical frameworks can be useful for making sense of complex processes, planning, and evaluating change. Therefore, the findings are presented as a framework incorporating reflective questions relating to the elements identified as enabling EBP.
询证实践被当做最好的医疗和公共服务而弘扬。但如何使之落实为日常实践，则还需要更多的研究。本文是对一个医疗服务网络的管理者和实践者（数量=17）询证实践所做的定性研究。研究指出了询证实践的系统性质及其个体的和环境的属性。个体属性包括对询证实践清晰的理解，相关的知识技能，动机和热情。环境属性是指强调询证实践的组织文化以及以研究做后盾的服务、职业发展、监督、师徒制、院校合作等等的整合体。理论框架有助于说明复杂过程，并规划和评估变化。本研究正是一个吸收了反思性问题、涉及询证实践诸因素的框架。