Pearson Alan, Wiechula Rick, Court Anthea, Lockwood Craig
The University of Adelaide, Adelaide, Australia.
Nurs Sci Q. 2007 Jan;20(1):85-8. doi: 10.1177/0894318406296306.
The dominant discourses surrounding the debate on evidence-based healthcare takes for granted that the concept evidence is exclusively derived from randomized controlled trials. However, influenced by the experience of practicing clinicians, who assert that there are diverse sources of evidence, we contend that evidence-based practice can properly be inclusive of diverse forms of evidence including the results of all forms of rigorous research, expert opinion, and experience. The Joanna Briggs Institute model illustrates this broader definition of what counts as evidence which is seen as critical to developing the role and use of evidence-based healthcare within the complexity of practice settings globally.
围绕循证医疗保健辩论的主流话语理所当然地认为,证据的概念完全源自随机对照试验。然而,受临床执业医师经验的影响,他们主张证据有多种来源,我们认为循证实践可以恰当地纳入多种形式的证据,包括所有形式严格研究的结果、专家意见和经验。乔安娜·布里格斯研究所模型阐释了这种对证据构成的更宽泛定义,这被视为在全球复杂的实践环境中发展循证医疗保健的作用和应用的关键。