Smith Joan Renaud, Donze Ann
Division of Nursing and Newborn Intensive Care, St Louis Children's Hospital, St Louis, Missouri 63110, USA.
J Perinat Neonatal Nurs. 2010 Jan-Mar;24(1):61-71; quiz 72-3. doi: 10.1097/JPN.0b013e3181ce1357.
Significant emphasis has been placed on evidence-based practice (EBP) in today's healthcare systems. Nurses are expected to practice within an EBP framework by using current, reliable, and valid research. However, implementing EBP is not always easy and can be challenging. In order for nurses to provide evidence-based care, they need to be cognizant of organizational factors that can potentially hinder or support an EBP culture. This article provides practitioners with an understanding of how to evaluate environmental readiness for implementation of EBP within their organization. Barriers and facilitators for implementing EBP at the organizational level, at the interdisciplinary team level, and within nursing are also described. To successfully implement EBP, it is important to recognize the interaction between these 3 levels and to highlight the important role nurses play as interdisciplinary team members in supporting an EBP environment.
在当今的医疗保健系统中，循证实践（EBP）受到了极大的重视。护士应在循证实践框架内，运用当前可靠且有效的研究进行实践。然而，实施循证实践并非总是易事，可能会面临挑战。为了让护士提供循证护理，他们需要认识到可能阻碍或支持循证实践文化的组织因素。本文旨在让从业者了解如何评估其所在组织实施循证实践的环境准备情况。还描述了在组织层面、跨学科团队层面以及护理领域内实施循证实践的障碍和促进因素。要成功实施循证实践，认识这三个层面之间的相互作用并突出护士作为跨学科团队成员在支持循证实践环境中所起的重要作用非常重要。
