Kelly Katherine Patterson, Guzzetta Cathie E, Mueller-Burke Dawn, Nelson Kimberly, Duval Jennifer, Hinds Pamela S, Robinson Nellie
Children's National Medical Center, Washington, DC,USA.
West J Nurs Res. 2011 Apr;33(3):306-32. doi: 10.1177/0193945910379586. Epub 2010 Oct 8.
When creating an evidence-based practice (EBP) nursing environment became an organizational mandate for the authors' tertiary care pediatric hospital, they assessed the state of EBP at their hospital. Findings revealed inconsistent use of EBP principles by the nursing staff. Nurses routinely cited literature to inform practice guidelines and performance improvement initiatives, but they lacked skills to comprehensively search available literature and critically appraise evidence for its quality. In addition, evaluating practice changes was not universally used. To stimulate the consistent use of the full scope of EBP, we created a call for competitive awards for EBP projects. Three teams (Of eight proposals submitted) each received $5,000 to implement their projects. Teams also received comprehensive education and were assigned EBP experts to help them implement and evaluate their EBP projects. We report the steps taken to implement and evaluate this approach to stimulating nurses' interest in and use of EBP.
当创建一个基于证据的实践（EBP）护理环境成为作者所在的三级护理儿童医院的一项组织任务时，他们评估了医院的EBP状况。结果显示，护理人员对EBP原则的使用并不一致。护士们经常引用文献来为实践指南和绩效改进计划提供依据，但他们缺乏全面检索现有文献并批判性评估证据质量的技能。此外，对实践变化的评估并未得到普遍应用。为了促进全面使用EBP，我们发起了一项针对EBP项目的竞争性奖项征集活动。（在提交的八项提案中）三个团队各获得了5000美元来实施他们的项目。各团队还接受了全面的培训，并被分配了EBP专家来帮助他们实施和评估EBP项目。我们报告了为实施和评估这种激发护士对EBP的兴趣并促进其使用的方法所采取的步骤。
