McSherry R, Haddock J
Chesterfield and North Derbyshire Royal Hospital NHS Trust, Derbyshire.
Br J Nurs. 1999;8(2):113-7. doi: 10.12968/bjon.1999.8.2.6710.
This article explores the principles of evidence-based practice and its role in achieving quality improvements within the clinical governance framework advocated by the recent White Papers 'The New NHS: Modern, Dependable' (Department of Health (DoH), 1997) and 'A First Class Service: Quality in the New NHS' (DoH, 1998a). Within these White Papers there is an emphasis on improving quality of care, treatment and services through employing the principles of clinical governance. A major feature of clinical governance is guaranteeing quality to the public and the NHS, and ensuring that clinical, managerial and educational practice is based on scientific evidence. This article also examines what evidence-based practice is and what processes are required to promote effective healthcare interventions. The authors also look at how clinical governance relates to other methods/systems involved in clinical effectiveness. Finally, the importance for nurses and other healthcare professionals of familiarizing themselves with the development of critical appraisal skills, and their implications for developing evidence-based practice, is emphasized.
本文探讨了循证实践的原则及其在近期白皮书《新国民健康服务体系：现代、可靠》（卫生部，1997年）和《一流服务：新国民健康服务体系中的质量》（卫生部，1998年a）所倡导的临床治理框架内实现质量改进方面的作用。在这些白皮书中，强调通过运用临床治理原则来提高护理、治疗和服务质量。临床治理的一个主要特点是向公众和国民健康服务体系保证质量，并确保临床、管理和教育实践以科学证据为基础。本文还审视了循证实践是什么以及促进有效的医疗保健干预需要哪些过程。作者们还探讨了临床治理与临床有效性所涉及的其他方法/系统之间的关系。最后，强调了护士和其他医疗保健专业人员熟悉批判性评估技能发展的重要性及其对循证实践的影响。
