Jennings B M, Loan L A
Health Program Analysis and Evaluation, Office of the Assistant Secretary of Defense (Health Affairs), TRICARE Management Activity, Falls Church, VA, USA.
J Nurs Scholarsh. 2001;33(2):121-7. doi: 10.1111/j.1547-5069.2001.00121.x.
To delineate the origins and fundamental tenets of evidence-based practice (EBP) and to enhance understanding of this important term.
A critical review of the literature pertaining to evidence-based practice from the fields of medicine and nursing, including international reports.
The roots of EBP indicate this term is not a synonym for research utilization but rather is the rubric for a set of epistemologic assumptions. Key components of EBP include evidence hierarchies and systematic reviews. Differences were found between the views of EBP presented in papers published by nurses within the US compared to those published by nurses outside the US.
The literature shows incongruity in the interpretation of the basic tenets of the evidence-based paradigm. Additionally, nurses may underestimate implications of the evidence-based movement. These two problems impede nurses' participation as full partners in the advancement of evidence-based practice. They also represent a call to action to achieve a more standardized framework for advancing EBP in nursing.
阐述循证实践（EBP）的起源和基本原理，增进对这一重要术语的理解。
对医学和护理领域中与循证实践相关的文献进行批判性综述，包括国际报告。
循证实践的根源表明，该术语并非研究应用的同义词，而是一组认识论假设的类别。循证实践的关键组成部分包括证据等级和系统评价。在美国发表论文的护士与在美国以外发表论文的护士对循证实践的看法存在差异。
文献表明，在循证范式基本原理的解释上存在不一致。此外，护士可能低估了循证运动的影响。这两个问题阻碍了护士作为循证实践推进过程中的完全合作伙伴的参与。它们也呼吁采取行动，以实现推进护理循证实践的更标准化框架。
