Becker Elaine, Dee Vivien, Gawlinski Anna, Kirkpatrick Theresa, Lawanson-Nichols Mary, Lee Betty, Marino Christina, McNair Norma, Melwak Mary A, Purdy Isabell, Samimi Shohreh S, Sund Grace, Zanotti Jennifer
Ronald Reagan University of California Los Angeles (UCLA) Medical Center, Los Angeles, CA 90095, USA.
Clin Nurse Spec. 2012 Mar-Apr;26(2):74-86. doi: 10.1097/NUR.0b013e3182467292.
In the practice of nursing, organizations with progressive evidence-based practice programs implement structures and processes whereby nurses are engaged in the review of existing research and in the development of clinical practice documents to better align nursing practices with the best available scientific knowledge. At our academic hospital system, clinical nurse specialists (CNSs) took the lead to help transform a traditional nursing policy and procedure committee into a hospital-wide, staff-represented Clinical Practice Council (CPC) that ensures evidence-based nursing practices are reflected in the organization's nursing practice documents for the provision of patient care. Clinical nurse specialists function as mentors and cochairs who are dedicated to ensuring that nursing practice is supported by the latest evidence and committed to guiding staff nurses to continually move their practice forward. The success of the CPC is due to the leadership and commitment of the CNSs. This article describes the structure, process, and outcomes of an effective CPC where CNSs successfully engage frontline clinicians in promoting nursing care that is evidence based. Clinical nurse specialist leadership is increasingly made visible as CNSs effectively involve staff nurses in practice reforms to improve patient outcomes.
在护理实践中，拥有先进循证实践项目的组织会实施相应的结构和流程，让护士参与现有研究的审查以及临床实践文件的制定，以使护理实践更好地与现有的最佳科学知识保持一致。在我们的学术医院系统中，临床护理专家（CNSs）率先将传统的护理政策与程序委员会转变为一个全院范围、有员工代表参与的临床实践委员会（CPC），以确保循证护理实践体现在该组织用于提供患者护理的护理实践文件中。临床护理专家担任导师和联合主席，致力于确保护理实践得到最新证据的支持，并致力于指导 staff nurses（此处原文有误，推测应为“staff nurses”，即普通护士）不断推动其实践向前发展。CPC 的成功归功于临床护理专家的领导和奉献。本文描述了一个有效的 CPC 的结构、流程和成果，在这个委员会中，临床护理专家成功地让一线临床医生参与到促进循证护理的工作中。随着临床护理专家有效地让普通护士参与实践改革以改善患者结局，临床护理专家的领导作用日益凸显。
