Cullen Laura, Greiner Jane, Greiner Joseph, Bombei Cheryl, Comried Lynn
Research, Quality and Outcomes Management, Department of Nursing Services and Patient Care, University of Iowa Hospitals and Clinics, Iowa City, IA 52242-1009, USA.
Crit Care Nurs Clin North Am. 2005 Jun;17(2):127-42, x. doi: 10.1016/j.ccell.2005.01.002.
The University of Iowa Hospitals and Clinics is a recognized leader in evidence-based practice. Creating organizational excellence in evidence-based practice takes leadership and a committed effort at all levels. Building the capacity, culture, and vision at the organizational and unit levels is needed to promote use of evidence in practice. Practical approaches that have been effective in promoting development of an evidence-based practice program and project are outlined. An exemplar describing development and adoption of an evidence-based project to improve sedation management led to improvements in patient care processes and outcomes.
爱荷华大学医院及诊所是循证实践领域公认的领导者。在循证实践中创造卓越的组织需要领导力以及各级人员的坚定努力。需要在组织和单位层面建立能力、文化和愿景,以促进在实践中运用证据。本文概述了在促进循证实践计划和项目发展方面行之有效的实用方法。一个描述循证项目的开发与采用以改善镇静管理的实例,带来了患者护理流程和结果的改善。