在护理环境中使用基于证据的实践实施模型时绘制实施策略和结果:范围审查
Audrey Chays-Amania1, Jocelyn Schwingrouber1, Bernadette Mazurek Melnyk2
1Aix-Marseille Université, Faculté Des Sciences Médicales et Paramédicales, Nursing School, CEReSS, Marseille, France.
Worldviews on evidence-based nursing
|June 26, 2025
概括
这次范围审查绘制了基于证据的实践 (EBP) 实施模型,策略和护理方面的结果. 调查结果突出显示,标准化分类学的使用不足,阻碍了全面的EBP采用和一致的报告.
科学领域:
- 护理研究 护理研究
- 医疗保健实施科学 医疗保健实施科学
背景情况:
- 基于证据的实践 (EBP) 对于提高医疗保健质量,安全和患者结果至关重要.
- 成功实施EBP需要熟练的护士和在学术和临床环境中支持的文化.
- 使用现有的EBP实施模型,但其结果并未得到一致的测量.
研究的目的:
- 进行EBP实施模型的范围审查.
- 绘制与这些EBP实施模型相关的策略和结果.
主要方法:
- 采用了一种系统的范围审查方法.
- 在多个数据库 (PubMed,CINAHL,EMBASE等) 进行了搜索. 对于EBP在护理中的实施进行初级研究.
- 包括使用特定EBP模型 (ARCC,IOWA,Stetler,JHNEBP,PARIHS/i-PARIHS) 的研究,并坚持Proctor的分类学结果和ERIC的战略.
主要成果:
- 从 2244 个获取的文章中,审查了 26 篇文章.
- 最常使用的模型是PARIHS/i-PARIHS,其次是IOWA,ARCC,JHNEBP和Stetler.
- 大多数研究都使用了ERIC分类中的"使用评估和代策略",并报告了Proctor的分类学中的1-2个结果.
结论:
- 不充分利用Proctor和ERIC分类法限制了EBP模型的全面映射.
- 模糊的术语和不一致的实施策略描述阻碍了知识转移.
- 需要对EBP实施工作进行标准化报告,以改善各个环境中的医疗保健实践.
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