Maloni Judith A, Albrecht Susan A, Thomas Karen Kelly, Halleran JoAnn, Jones Renee
Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH 44106-4904, USA.
J Obstet Gynecol Neonatal Nurs. 2003 Sep-Oct;32(5):676-82. doi: 10.1177/0884217503257333.
In 1989, the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) developed a research utilization program to integrate evidence into practice areas where there were large discrepancies between research evidence and clinical practice. The current program, renamed Research-Based Practice (RBP), uses translational research methods to build from evidence such as that in the Cochrane database and to create protocols for integration of research directly into clinical practice. This article describes the development of the sixth project (RBP6), in which an evidence-based protocol to address smoking in pregnancy was integrated into clinical practice. The protocol includes screening women using descriptive statements and integrates the 5 As (ask, advise, assess, assist, arrange) into prenatal and postpartum care at every visit. By integrating smoking cessation counseling into care, nurses may reduce the risk of low birth weight among pregnant women in both the United States and Canada.
1989年，妇女健康、产科与新生儿护理协会（AWHONN）制定了一项研究应用计划，将证据整合到研究证据与临床实践存在巨大差异的实践领域。当前的计划重新命名为循证实践（RBP），采用转化研究方法，以Cochrane数据库等证据为基础，制定将研究直接整合到临床实践中的方案。本文描述了第六个项目（RBP6）的开展情况，其中一项针对孕期吸烟问题的循证方案被整合到临床实践中。该方案包括使用描述性语句对女性进行筛查，并在每次产前和产后护理中融入“5A”（询问、建议、评估、协助、安排）。通过将戒烟咨询纳入护理，美国和加拿大的护士都可以降低孕妇低体重儿的风险。
