循证护理实践综述

Shivaleela S Sarawad
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摘要

弗洛伦斯·南丁格尔(Florence Nightingale)是在护理实践中率先使用研究的人,她在这方面有着悠久的历史。虽然在19世纪早期和中期,很少有护士为南丁格尔的基础做出贡献,但护理专业最近通过在实践中实施最佳临床研究证据,为加强护理提供了重要的领导作用。循证实践(EBP)是仔细和审慎地应用当前最佳证据、临床技能和患者价值观,为卫生保健决策提供信息。科学知识的扩展、受过高等教育的客户和临床环境中的护士、对成本效益的不懈追求和认证期望,以及其他因素,都促进了对EBP的日益关注。询问、获取、评估、应用和评估/再评估是采用EBP的步骤。CINAHL, MEDLINE (PubMed)和循证临床实践指南,仅举几例,是可以用来寻找实践最佳证据的一些工具。meta分析和随机对照试验的经验数据;来自其他科学方法的证据,如描述性和定性研究;从病例报告、科学原则和专家意见中使用信息都是最佳证据的例子。当有足够的研究证据时,应利用临床经验和患者价值来指导实践。在实践中运用证据的能力需要足够的信息、态度、技能和支持。为了在临床环境中应用EBP并提供高质量的护理,必须解决许多专业和个人障碍1。
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Evidence-Based Practice in Nursing - A Review
Florence Nightingale, who pioneered the use of research in practise in nursing, has a long history of doing so. Although few nurses contributed to Nightingale's foundation in the early and mid-nineteenth centuries, the nursing profession has recently offered important leadership for enhancing care through the implementation of best clinical research evidences in practise. Evidence-based practise (EBP) is the careful and deliberate application of current best evidence, clinical skill, and patient values to inform health-care decisions. Expansion of scientific knowledge, highly educated customers, and nurses in clinical settings, relentless pursuit of cost-effectiveness, and accreditation expectations, among other factors, are all contributing to the increased focus on EBP. Ask, Acquire, Appraise, Apply, and Assess/Re Assess are the steps for adopting EBP. CINAHL, MEDLINE: (PubMed), and Evidence-based clinical practise guidelines, to name a few, are some of the tools that can be used to find the best evidence for practise. Empirical data from meta analyses and randomised controlled trials; evidence from other scientific approaches like descriptive and qualitative research; and usage of information from case reports, scientific principles, and expert opinion are all examples of best evidence. When enough research evidence is available, clinical experience and patient values should be used to guide practise. The ability to apply evidence in practise requires enough information, attitude, skill, and support. In order to apply EBP in clinical settings and provide high-quality nursing care, numerous professional and individual barriers must be addressed1.
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