Anderson Jane A, Willson Pamela
Stroke Center, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX 77030, USA.
Comput Inform Nurs. 2008 May-Jun;26(3):151-8. doi: 10.1097/01.NCN.0000304783.72811.8e.
The aim of this article is to present a synthesis of the research literature on the state of nursing science regarding the development, use, and application of clinical decision support systems for the implementation of evidence-based practice in nursing. The authors sought to answer three specific questions in this metasynthesis: (1) What progress has nursing science made regarding the development and use of clinical decision support systems?; (2) What research methods and theoretical models are being applied by nurse researchers in this area?; and (3)Are there evidence-adaptive clinical decision support systems designed specifically to aid nurses' decisions related to evidence-based practice? Of 183 articles, 17 were included in the final analysis, and six were specific for clinical decision support systems to aid nurses in evidence-based practice. Implications for practice are considered, and recommendations for future research are made.
本文旨在综合有关护理科学现状的研究文献，内容涉及临床决策支持系统的开发、使用及应用，以在护理中实施循证实践。作者试图在这项综合分析中回答三个具体问题：（1）护理科学在临床决策支持系统的开发和使用方面取得了哪些进展？（2）该领域的护士研究人员正在应用哪些研究方法和理论模型？（3）是否存在专门设计用于辅助护士进行循证实践决策的证据适应性临床决策支持系统？在183篇文章中，17篇被纳入最终分析，其中6篇专门针对辅助护士进行循证实践的临床决策支持系统。文中考虑了对实践的启示，并对未来研究提出了建议。
