University of North Carolina at Chapel Hill School of Nursing, Chapel Hill, NC, USA.
J Nurs Scholarsh. 2012 Jun;44(2):171-9. doi: 10.1111/j.1547-5069.2012.01449.x. Epub 2012 May 3.
Nurses and other healthcare providers continue to underuse interventions demonstrated to be effective at improving health outcomes. We propose in this article that if more evidence-based practice is wanted, greater use must be made of qualitative inquiry to obtain practice-based evidence derived from the experiences and practices of healthcare providers and the contexts of healthcare provision.
We present a framework for the use of qualitative methods to contribute to the following categories of practice-based evidence: (a) practice-based interventions and implementation strategies, (b) causal mechanisms, (c) approaches to adaptation, (d) how-to guidance, (e) unanticipated effects, and (f) relevant contextual factors.
Qualitative inquiry has an essential role to play in incorporating more practice-based evidence into the evidence base for nursing practice.
This framework can be used by clinicians to plan for the implementation of interventions in practice, by researchers to discuss the practice implications of their findings, and by researchers to launch qualitative studies explicitly designed to capture practice-based evidence.
护士和其他医疗保健提供者继续未能充分利用已证明能有效改善健康结果的干预措施。我们在本文中提出，如果希望更多地采用基于证据的实践，就必须更多地利用定性研究来获得基于实践的证据，这些证据来自医疗保健提供者的经验和实践以及医疗保健提供的背景。
我们提出了一个使用定性方法的框架，以有助于以下几类基于实践的证据：（a）基于实践的干预措施和实施策略；（b）因果机制；（c）适应方法；（d）如何指导；（e）意外影响；以及（f）相关的背景因素。
定性研究在将更多基于实践的证据纳入护理实践的证据基础方面发挥着重要作用。
该框架可被临床医生用于规划实践中干预措施的实施，可被研究人员用于讨论其研究结果对实践的影响，也可被研究人员用于开展明确旨在获取基于实践的证据的定性研究。
