Buxton V, James T, Harding W
University College, London.
Nurs Times. 1998;94(35):57-60.
The concept of evidence-based medicine has received considerable attention, but the distinctive nature of evidence within community nursing has not been fully explored. This study examines the nature of evidence within community nursing and the factors influencing use of evidence. Although much of the literature has concentrated on individuals as sites of resistance to evidence-based change, the findings of this study suggest that organisational and cultural factors represent more significant obstacles.
循证医学的概念已受到广泛关注，但社区护理中证据的独特性质尚未得到充分探讨。本研究考察了社区护理中证据的性质以及影响证据使用的因素。尽管许多文献都将重点放在个人是循证变革的阻力所在，但本研究结果表明，组织和文化因素才是更重大的障碍。
