Grant Marcia, Hanson Jo, Johnson Shirley, Idell Cynthia, Rutledge Dana N
City of Hope National Medical Center, Duarte, CA, USA.
J Contin Educ Nurs. 2012 Mar;43(3):117-24. doi: 10.3928/00220124-20110901-02. Epub 2011 Sep 8.
Barriers to the involvement of staff nurses in evidence-based practice include time commitments, staffing challenges, and limited experience in identifying evidence.
A 1-day, hands-on course focused on small, achievable, evidence-based practice projects; follow-up after the course by a project director; and commitment to implementation of participants' projects by management. Faculty included a librarian who helped with computer searches and a quality assurance representative to facilitate availability of institutional data for project evaluation.
Nine courses held over a 3-year period involved 79 home institution nurses and 76 community nurses. Course evaluations were overwhelmingly positive. Completed projects were displayed on participants' units and circulated throughout the institution. The courses are continuing as part of the regular annual nursing education calendar.
Streamlined approaches to teaching evidence-based practice can be used to involve staff nurses and raise awareness of evidence-based practice across nursing. Key positive findings include achievable projects, provisions for follow-up, and management support.
护士参与循证实践的障碍包括时间投入、人员配备挑战以及在识别证据方面经验有限。
开展为期1天的实践课程，重点关注小型、可实现的循证实践项目；课程结束后由项目负责人进行跟进；管理层承诺实施参与者的项目。教员包括一名协助计算机检索的图书馆员和一名质量保证代表，以促进获取用于项目评估的机构数据。
在3年期间举办的9期课程共有79名本机构护士和76名社区护士参与。课程评估结果总体呈积极。已完成的项目在参与者的科室展示，并在整个机构内传阅。这些课程作为年度常规护理教育日程的一部分仍在继续。
可采用简化的循证实践教学方法，让护士参与其中，并提高整个护理领域对循证实践的认识。主要的积极成果包括可实现的项目、后续跟进措施以及管理层的支持。
