在医院实施基于证据的实践:对实施者角色和项目属性的叙述性审查
Élise N Arsenault Knudsen1, Kelly Krainak1, Morgan Ruona1
1School of Nursing, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Nursing research and practice
|November 10, 2025
概括
医院的护士在各种角色和组织层面上实施基于证据的实践 (EBP). 了解这些实施者角色和项目属性是优化EBP采用以获得更好的患者护理的关键.
科学领域:
- 护理科学 护理科学
- 医疗保健管理的管理
- 实施科学 实施科学
背景情况:
- 基于证据的护理 (EBN) 对于提高护理质量和患者结果至关重要.
- 实施方面的挑战往往阻碍了EBN在医院环境中的广泛采用.
- 护士在多个组织层面的位置,在影响采用基于证据的实践 (EBP) 方面发挥着至关重要的作用.
研究的目的:
- 确定在医院内实施与护理相关的EBP变化的人员的具体角色和组织层面.
- 描述EBP项目的属性,包括其位置,指导模型和评估措施.
主要方法:
- 采用了叙事审查方法,涉及代的,两阶段的文献搜索.
- 来自158篇文章的分类数据被分析,以解决研究的目标.
主要成果:
- 在多个组织层面的许多护理角色被确定为EBP实施者.
- 大多数EBP项目涉及多学科团队 (84%) 并发生在单位层面 (80%).
- 乔安娜·布里格斯研究所的模型经常被使用 (61%),过程测量是主要的评估方法 (49%).
结论:
- 本综述提供了EBP实施者和医院项目属性的基础知识.
- 了解这些因素可以引导EBP实施流程的系统改进.
- 量身定制的教育和特定角色能力对于装备护士领导有效的EBP实施团队至关重要.
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