Chummun Harry, Tiran Denise
School of Health & Social Care, University of Greenwich, London, UK.
J Nurs Manag. 2008 Apr;16(3):327-33. doi: 10.1111/j.1365-2834.2007.00791.x.
To determine the extent to which clinical nursing practice has adopted research evidence. To identify barriers to the application of research findings in practice and to propose ways of overcoming these barriers.
Way back in 1976, nursing and midwifery practice started adopting research evidence. By 1990s, there was some transparency of research evidence in practice, but more could have been done to widen its adoption. Many barriers were identified which could hinder implementation of the evidence in practice, and the effort to remove these remains weak.
25 research articles from across Europe and America were selected, and scrutinized, and recommendations analysed.
Many clinical practitioners report a lack of time, ability and motivation to appraise research reports and adopt findings in practice. The clinical environment was not seen as research friendly as there were a general lack of research activities and facilities locally. There was a clear lack of research leadership in practice.
This paper reviewed the research evidence from several published research papers and provides consultant nurses with practical suggestions on how to enhance research evidence application in their practice. It recommends how consultant nurses can make their practice more research transparent by providing the required leadership, creating a research-friendly organization, developing a clear research agenda and facilitating staff develop a local research framework for reading research and implementing research evidence in their practice.
确定临床护理实践采用研究证据的程度。识别在实践中应用研究结果的障碍,并提出克服这些障碍的方法。
早在1976年,护理和助产实践就开始采用研究证据。到20世纪90年代,实践中研究证据有了一定的透明度,但在扩大其应用方面还有更多工作可做。已识别出许多可能阻碍在实践中实施证据的障碍,而消除这些障碍的努力仍然薄弱。
从欧美挑选了25篇研究文章,进行审查并分析建议。
许多临床从业者报告称,缺乏时间、能力和动力来评估研究报告并在实践中采用研究结果。临床环境被认为对研究不友好,因为当地普遍缺乏研究活动和设施。实践中明显缺乏研究领导力。
本文回顾了多篇已发表研究论文中的研究证据,并就如何在实践中加强研究证据的应用为顾问护士提供了实用建议。它建议顾问护士如何通过提供必要的领导力、创建一个有利于研究的组织、制定明确的研究议程以及促进工作人员制定一个用于阅读研究和在实践中实施研究证据的本地研究框架,使他们的实践更具研究透明度。