关键词: 儿童；静脉输液；输液装置选择；循证实践；促进因素；障碍因素；焦点小组访谈

Abstract: Objective: To explore the potential barriers and facilitators of the clinical translation of the evidence for the selection of intravenous infusion devices in children, and to provide a basis for formulating reform strategies. Methods: Based on the i-PARIHS Facilitation Checklist, 37 professionals from 10 wards of a tertiary grade A specialized hospital were interviewed for 5 times through focus group interviews, and the data were analyzed by content analysis method. Results: This study analyzed 9 barriers to evidence translation for intravenous infusion devices selection in children. Two at the innovation level, which were lack of guideline-based systems or routines related to intravenous infusion devices selection, and evidence challenging people's way of thinking. Four at the recipients level, which were insufficient motivation for nurses and physicians to change, lack of knowledge and skills of nurses, lack of authority to change of nurses, and lack of human and equipment resources. Three at the context level, which were no clear incentives and supports for change within the organization, change challenges the organization's priority strategies, and lack of effective multidisciplinary collaboration mechanisms. Three facilitators were analyzed, which were high quality of evidence increased benefit to nurses and patients, transformational leadership to drive change, and alignment of change with priority strategies of the health system. Conclusion: This study identified the barriers and facilitators in the knowledge translation for the selection of intravenous infusion devices in children from the three levels of innovation, recipients and context, providing a basis for the formulation of change strategies and the construction of evidence-based practice programs.

Key words: children; intravenous infusion; infusion device selection; evidence-based practice; promoting factor; obstacle factor; focus group interview