Department of Quality Assurance & Process Innovation, Academic Medical Center, Amsterdam, The Netherlands.
BMJ Open. 2013 Jan 24;3(1):e001881. doi: 10.1136/bmjopen-2012-001881.
Evidence-based practice (EBP) may help improve healthcare quality. However, not all healthcare professionals and managers use EBP in their daily practice. We systematically reviewed the literature to summarise self-reported appreciation of EBP and organisational infrastructure solutions proposed to promote EBP.
Systematic review. Two investigators independently performed the systematic reviewing process.
MEDLINE, EMBASE and Cochrane Library were searched for publications between 2000 and 2011.
Reviews and surveys of EBP attitude, knowledge, awareness, skills, barriers and facilitators among managers, doctors and nurses in clinical settings.
We found 31 surveys of fairly good quality. General attitude towards EBP was welcoming. Respondents perceived several barriers, but also many facilitators for EBP implementation. Solutions were proposed at various organisational levels, including (inter)national associations and hospital management promoting EBP, pregraduate and postgraduate education, as well as individual support by EBP mentors on the wards to move EBP from the classroom to the bedside.
More than 20 years after its introduction, the EBP paradigm has been embraced by healthcare professionals as an important means to improve quality of patient care, but its implementation is still deficient. Policy exerted at microlevel , middlelevel and macrolevel, and supported by professional, educational and managerial role models, may further facilitate EBP.
循证实践（EBP）可能有助于提高医疗质量。然而，并非所有医疗保健专业人员和管理人员在日常实践中都使用 EBP。我们系统地回顾了文献，总结了自我报告的 EBP 欣赏和提出的促进 EBP 的组织基础设施解决方案。
系统评价。两名调查员独立进行了系统审查过程。
在 2000 年至 2011 年间，搜索了 MEDLINE、EMBASE 和 Cochrane Library 中的出版物。
对临床环境中的经理、医生和护士的 EBP 态度、知识、意识、技能、障碍和促进因素进行的综述和调查。
我们发现了 31 项质量相当不错的调查。对 EBP 的总体态度是欢迎的。受访者认为存在一些障碍，但也有许多促进 EBP 实施的因素。解决方案在各个组织层面提出，包括（国际）协会和医院管理层促进 EBP、本科和研究生教育，以及病房中的 EBP 导师为将 EBP 从课堂转移到床边提供个人支持。
在引入 EBP 范式 20 多年后，医疗保健专业人员已经将其作为提高患者护理质量的重要手段之一，但它的实施仍然不足。在微观、中观和宏观层面上施加的政策，并得到专业、教育和管理模式的支持，可能会进一步促进 EBP。
