用于评估营养师之间基于证据的实践的问卷的描述性和内容分析:系统性审查
Ludivine Soguel1, Annie Lapointe2, Bernard Burnand3
1School of Nutrition, Faculty of Agriculture and Food Sciences, Université Laval, Quebec City, Quebec, Canada; Nutrition and Dietetics Department, Geneva School of Health Sciences, University of Applied Sciences and Arts Western Switzerland HES-SO, Geneva, Switzerland.
Journal of the Academy of Nutrition and Dietetics
|September 6, 2023
概括
在营养学家中评估基于证据的实践 (EBP) 的问卷主要集中在研究证据上,忽视了专业的专业知识和患者的价值观. 这种不平衡阻碍了EBP在饮食学中的有效推广和发展.
科学领域:
- 营养学 营养学 营养学
- 健康 职业 教育 教育 专业
- 研究方法研究方法研究方法学
背景情况:
- 基于证据的实践 (EBP) 将研究证据,专业知识和患者价值观纳入医疗保健决策.
- 评估EBP的个人层面障碍对于其成功采用至关重要.
- 了解在现有问卷中评估的EBP维度的范围对于促进EBP至关重要.
研究的目的:
- 识别和描述营养学家用来评估与EBP相关的知识,技能,态度和行为的问卷.
- 进行这些问卷的内容分析,以确定哪些EBP维度被探索.
主要方法:
- 在MEDLINE,Embase和CINAHL进行了系统的文献审查,截至2022年11月.
- 包含了涉及使用,评估或开发EBP问卷的营养学家的研究.
- 内容分析根据他们解决的EBP维度对问卷单项进行了分类:研究证据,专业知识和患者价值观/情况.
主要成果:
- 从30份报告中分析了25份问卷,其中包括847项.
- 研究证据是最常被探索的EBP维度 (75%的项目),通常是孤立的.
- 专业专业知识在18%的项目中被涵盖,患者价值/情况在3%,所有三个维度一起在1%以下.
结论:
- 营养师问卷所涵盖的EBP维度存在显著的不平衡,重点是研究证据.
- 目前的评估可能是部分和误导性的,阻碍了制定有针对性的战略来加强EBP.
- 需要为营养学家开发更全面,更准确的EBP评估工具,以提高实践质量.
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