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评估医疗保健专业人员循证实践行为的工具。

Tools to assess evidence-based practice behaviour among healthcare professionals.

作者信息

Oude Rengerink Katrien, Zwolsman Sandra E, Ubbink Dirk T, Mol Ben W J, van Dijk Nynke, Vermeulen Hester

机构信息

Department of Obstetrics and Gynaecology, Academic Medical Center, Amsterdam, The Netherlands.

出版信息

Evid Based Med. 2013 Aug;18(4):129-38. doi: 10.1136/eb-2012-100969. Epub 2013 Jan 24.

Abstract

OBJECTIVE

To identify and compare tools to assess Evidence-Based Practice (EBP) behaviour among healthcare professionals.

DESIGN

Systematic review.

DATA SOURCES

MEDLINE, EMBASE, Cochrane Library, PsychInfo and CINAHL up to July 2011.

STUDY SELECTION

Titles, abstracts and eligible full text articles were screened by two reviewers independently.

DATA EXTRACTION

Relevant data were extracted by one reviewer and checked by a second reviewer.

ELIGIBILITY CRITERIA FOR SELECTING STUDIES

original studies among all healthcare professionals that described the development or use of EBP behaviour assessment tools.

RESULTS

Of 19 310 identified articles, 172 studies were included. We identified 117 questionnaires, 10 interviews or focus groups, nine observational studies, 27 chart evaluations and nine studies used a combination of methods. Psychometric properties of the questionnaires used were reported in about half of the studies, in seven studies that assess a single EBM step and in six studies that assess a combination of EBM steps. One of these assessed all five steps of EBP.

CONCLUSIONS

Valid and reliable EBP behaviour assessment tools are available. However, only one questionnaire validly assessed all five EBP steps, covering the entire concept of EBP.

摘要

目的

识别并比较评估医疗保健专业人员循证实践(EBP)行为的工具。

设计

系统评价。

数据来源

截至2011年7月的MEDLINE、EMBASE、Cochrane图书馆、PsychInfo和CINAHL。

研究选择

两名评审员独立筛选标题、摘要和符合条件的全文文章。

数据提取

由一名评审员提取相关数据,并由另一名评审员进行核对。

选择研究的合格标准

所有医疗保健专业人员中描述EBP行为评估工具开发或使用的原始研究。

结果

在19310篇已识别的文章中,纳入了172项研究。我们识别出117份问卷、10次访谈或焦点小组、9项观察性研究、27项图表评估,9项研究使用了多种方法的组合。约一半的研究报告了所使用问卷的心理测量特性,7项研究评估了单一循证医学步骤,6项研究评估了循证医学步骤的组合。其中一项评估了循证实践的所有五个步骤。

结论

有有效且可靠的循证实践行为评估工具。然而,只有一份问卷有效评估了循证实践的所有五个步骤,涵盖了循证实践的整个概念。

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