赋予前线护士作为实施科学领导者的权力:基于证据的实践整合和质量改进的EQUIP模型.
1Author Affiliations: Medical Surgical Nursing Department, College of Nursing, Taif University, Al-Taif, Western Region, Saudi Arabia.
Journal of nursing care quality
|May 13, 2025
概括
基于证据的质量改进项目 (EQUIP) 使护士能够将基于证据的实践 (EBP) 整合到日常护理中. 结构化的机构支持对于克服障碍和确保在护理中持续实施EBP至关重要.
科学领域:
- 护理 护理 护理
- 实施科学 实施科学
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 在护理中维持基于证据的实践 (EBP) 受到系统和劳动力障碍的挑战.
- 实施科学 (IS) 提供了EBP集成的结构化方法.
- 沙特阿拉伯的2030年愿景需要可扩展的护士领导的模型来弥合研究与实践之间的差距.
研究的目的:
- 评估基于证据的质量改进项目 (EQUIP),这是一个由护士领导的模型.
- 评估前线实施领导 (IL) 护士的EQUIP实施情况.
- 检查IS原则在护理环境中的有效性.
主要方法:
- 在多个医疗保健机构进行混合方法的形成性评估.
- 利用了两项由护士领导的示范性质量改进 (QI) 项目.
- 从QI文档,临床指标和研究人员现场笔记中收集的数据.
主要成果:
- EQUIP促进了EBP在日常护理护理中的应用.
- 该模型在各种医疗保健环境中展示了适应性.
- 关键障碍包括不一致的参与和竞争性的工作负载需求,突出了结构化支持的必要性.
结论:
- EQUIP是一个可扩展的倡议,利用IS将EBP嵌入护理中.
- 护士主导的模型对于EBP集成是有效的.
- 持续实施EBP需要强有力的机构支持.
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