超越PICO-A的新问题简化了寻找证据的过程
Julee Waldrop1, Jayne Jennings Dunlap
1Julee Waldrop is a professor at the Duke University School of Nursing in Durham, NC, and editor-in-chief of the Journal for Nurse Practitioners . Jayne Jennings Dunlap is an associate professor at the Texas Woman's University College of Nursing in Houston. Contact author: Julee Waldrop, julee.waldrop@duke.edu . The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.
The American journal of nursing
|February 22, 2024
概括
对于所有护理质量改善举措来说,PICO问题框架并不是最佳的. 一个新的PPCO (问题,人口,变化,结果) 框架简化了护士解决复杂问题的证据搜索.
科学领域:
- 护理 护理 护理
- 基于证据的实践.
- 提高质量 提高质量
背景情况:
- 在医学中,PICO (人口,干预,比较,结果) 框架被广泛用于治疗决策.
- 当问题与治疗无关时,PICO对于证据搜索可能是不理想的,特别是在提高护理质量方面.
- 护士需要了解外部研究和内部数据,以获得基于证据的实践质量改进 (EBPQI) 计划.
研究的目的:
- 介绍和描述PPCO (问题,人口,变化,结果) 问题框架.
- 为EBPQI倡议提供普遍和简化的问题开发方法.
- 为了促进在护理中更有效地寻找证据.
主要方法:
- 对PPCO框架的概念开发.
- 将PPCO与PICO框架用于EBPQI中的适用性进行比较.
- 专注于解决护理问题,而不仅仅是直接治疗患者.
主要成果:
- PPCO框架为EBPQI倡议提供了一个更适合的方法,与直接治疗比较无关.
- PPCO简化了制定护理证据搜索问题的过程.
- 该框架旨在适用于各种护理问题的普遍应用.
结论:
- 在护理EBPQI倡议中,PPCO框架是PICO的一个有价值的替代方案.
- 实施PPCO可以提高基于证据的护理实践的效率和有效性.
- 该框架支持解决护理问题的综合方法,提高护理质量.
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