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忙碌的执业护士的循证实践:第一部分:与临床实践及临床探究过程的相关性

Evidence-based practice for the busy nurse practitioner: part one: relevance to clinical practice and clinical inquiry process.

作者信息

Facchiano Lynda, Snyder Charlene Hoffman

机构信息

Mayo Clinic Arizona, Scottsdale, AZ 85259, USA.

出版信息

J Am Acad Nurse Pract. 2012 Oct;24(10):579-86. doi: 10.1111/j.1745-7599.2012.00748.x. Epub 2012 Jul 12.

Abstract

PURPOSE

Evidence-based practice (EBP) continues to gain momentum within health care. The purpose of this four-part EBP series is to provide an introductory overview of the EBP process, emphasizing EBP steps one through three, in order to assist nurse practitioners (NPs) in building EBP skills that can be integrated into clinical practice. The relevance of EBP to the NP's clinical practice, an introduction to the EBP process steps, and clinical inquiry process begin the series.

DATA SOURCES

Scientific literature review, gray literature, and online evidence-based practice databases and resources.

CONCLUSIONS

EBP has become increasingly important to NPs, yet there is evidence suggesting it is not being fully implemented in clinical practice. EBP is one way to keep the busy NP's knowledge up to date, enhance clinical judgment, and augment the existing provider-client decision-making process.

IMPLICATIONS FOR PRACTICE

The principles of EBP have become the cornerstone strategy for NPs to translate research findings into clinical practice. Practicing in an ever-changing healthcare environment, NPs have a responsibility to provide their clients with the best available evidence, while incorporating that evidence into the provider-client decision-making process.

摘要

目的

循证实践(EBP)在医疗保健领域的影响力持续增强。这个分为四个部分的循证实践系列旨在对循证实践过程进行初步概述,重点介绍第一步至第三步,以帮助执业护士(NP)培养可融入临床实践的循证实践技能。本系列开篇介绍循证实践与执业护士临床实践的相关性、循证实践过程步骤及临床询问过程。

数据来源

科学文献综述、灰色文献以及在线循证实践数据库和资源。

结论

循证实践对执业护士而言愈发重要,但有证据表明其在临床实践中并未得到充分实施。循证实践是使忙碌的执业护士知识与时俱进、增强临床判断力并完善现有医患决策过程的一种方式。

对实践的启示

循证实践原则已成为执业护士将研究成果转化为临床实践的基石策略。在不断变化的医疗环境中执业,执业护士有责任为患者提供最佳可得证据,并将该证据纳入医患决策过程。

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