Evidence-based practice in perioperative nursing: Barriers and facilitators to compliance

Benita Ramage, Paula Foran
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Abstract

Evidence-based practice (EBP), in combination with clinical expertise and patient values and wishes, enables delivery of exceptional patient-centred care. Providing our perioperative patients care that is informed by best evidence has been proven to provide a safer and higher standard of care. Best evidence forms the basis for standards and guidelines for nursing practice published by organisations such as Australian College of Perioperative Nurses (ACORN), Australian and New Zealand College of Anaesthetists (ANZCA) and Australian Commission on Safety and Quality in Health Care (ACSQHC). While perioperative nurses strive to provide the best possible care for their patients there is sometimes a ‘mismatch’ in the clinical environment when nurses revert to the use of tradition-based practices rather than providing care that has been based on best evidence that would be safer for their patients. The reasons for this are complex and involve, in part, a lack understanding of research and evidence, and a lack of time. As higher education and a deeper understanding of and appreciation for research and evidence has been shown to enhance the uptake of evidence-based perioperative practice, good nursing leadership, encouragement and resources are needed to spearhead education in this vital area. This discussion paper will present some of the barriers and facilitators to the provision of evidence-based care in the clinical environment. However, while researching this topic revealed a significant quantity of low-level research that provided similar findings, there was a paucity of rigorous high-level research. This indicates the need for further research in this vital area.
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围手术期护理循证实践:依从性的障碍和促进因素
循证实践(EBP)结合临床专业知识和患者价值观和愿望,能够提供以患者为中心的卓越护理。根据最佳证据为围手术期患者提供护理已被证明可以提供更安全、更高标准的护理。最佳证据构成了澳大利亚围手术期护士学院(ACORN)、澳大利亚和新西兰麻醉师学院(ANZCA)以及澳大利亚医疗安全与质量委员会(ACSQHC)等组织发布的护理实践标准和指南的基础。虽然围手术期护士努力为患者提供尽可能好的护理,但当护士恢复使用基于传统的做法,而不是提供基于对患者更安全的最佳证据的护理时,临床环境有时会出现“不匹配”。造成这种情况的原因很复杂,部分原因是缺乏对研究和证据的了解,以及缺乏时间。随着高等教育以及对研究和证据的更深入理解和赞赏已被证明可以提高循证围手术期实践的接受率,需要良好的护理领导力、鼓励和资源来领导这一重要领域的教育。本讨论文件将介绍在临床环境中提供循证护理的一些障碍和促进因素。然而,尽管对这一主题的研究揭示了大量提供类似发现的低水平研究,但缺乏严格的高水平研究。这表明需要在这一重要领域进行进一步研究。
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来源期刊
Journal of Perioperative Nursing
Journal of Perioperative Nursing Nursing-Medical and Surgical Nursing
CiteScore
0.70
自引率
0.00%
发文量
22
审稿时长
12 weeks
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