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实施循证实践:临床变革的一则准则。

Implementing evidence-based practice: a mantra for clinical change.

作者信息

Purdy Isabell B, Melwak Mary Alice

机构信息

Division of Neonatology & Developmental Biology, Department of Pediatrics, David Geffen School of Medicine, University of California Los Angeles, CA 90095, USA.

出版信息

J Perinat Neonatal Nurs. 2009 Jul-Sep;23(3):263-9; quiz 270-1. doi: 10.1097/JPN.0b013e3181aedf2f.

Abstract

Evidence-based practice (EBP) requires a commitment to adopting innovation to change clinical problems. In perinatal and neonatal care, this commitment involves utilization of current best evidence in decision making about patient care for the benefit of mothers, infants, and their families. Embracing EBP can lead to increased patient and professional outcomes, creating synergy that will be welcomed on all levels. Moving toward EBP in this arena is a challenging goal for perinatal nurses, who may encounter many barriers. This article describes the need for "buy in" from key stakeholders at the bedside and within the infrastructure of the organization. Provided herein are stepwise methods to engage nurses in EBP as well as ideas to promote use of research in a way that every patient receives the right care every time. This article provides an overview of how perinatal and neonatal clinicians can shift their focus to embrace EBP and translate research into practice at the bedside.

摘要

循证实践(EBP)要求致力于采用创新方法来解决临床问题。在围产期和新生儿护理中,这一承诺涉及在为患者提供护理的决策过程中运用当前最佳证据,以造福母亲、婴儿及其家庭。采用循证实践可带来更好的患者和专业成果,创造出在各个层面都受到欢迎的协同效应。对于围产期护士而言,在这一领域朝着循证实践迈进是一个具有挑战性的目标,他们可能会遇到许多障碍。本文描述了需要床边及组织架构内关键利益相关者的“支持”。本文提供了让护士参与循证实践的逐步方法,以及以确保每位患者每次都能得到恰当护理的方式促进研究应用的思路。本文概述了围产期和新生儿临床医生如何能够转变关注点,接受循证实践并将研究成果转化为床边实践。

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