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循证实践过程质量评估:EPQA 指南。

Evidence-based practice process quality assessment: EPQA guidelines.

机构信息

Johns Hopkins University School of Nursing, Baltimore, MD 21213, USA.

出版信息

Worldviews Evid Based Nurs. 2013 Aug;10(3):140-9. doi: 10.1111/j.1741-6787.2012.00264.x. Epub 2013 Feb 6.

DOI:10.1111/j.1741-6787.2012.00264.x
PMID:23387900
Abstract

BACKGROUND

Nurses are increasingly engaged in evidence-based practice (EBP) processes to answer significant questions and guide nursing practice. However, there are no criteria to evaluate the rigor and quality of EBP projects, making the decision about whether to implement a recommended practice change questionable.

AIM

The purpose of this study was to achieve consensus among nationally recognized EBP nurse experts on criteria that could be used to appraise the methodological quality of an EBP project as well as to serve as a guideline to plan for an EBP project.

METHODS

A modified two-round Delphi method was used. Twenty-three nationally known EBP experts were invited by e-mail to participate in completing a web-based questionnaire.

RESULTS

Items converged after two rounds (response rate [52% (n=12/23) for Round 1 and 35% (n=8/23) for Round 2]) and resulted in the development of the EBP Process Quality Assessment (EPQA) guidelines that include 34 items.

IMPLICATIONS

The EPQA guidelines can be used to guide and evaluate the methodological quality of EBP projects. They can be used in practice settings to critically appraise an EBP project prior to translating recommendations into practice. Educators can use the EPQA guidelines as a rubric to evaluate student EBP projects. EPQA guidelines can be utilized in research to assess interventions and to build or improve EBP capacity.

摘要

背景

护士越来越多地参与循证实践(EBP)过程,以回答重要问题并指导护理实践。然而,目前还没有评估 EBP 项目严谨性和质量的标准,这使得决定是否实施推荐的实践改变变得值得怀疑。

目的

本研究旨在让具有全国公认 EBP 护士专业知识的专家就可用于评估 EBP 项目方法学质量的标准达成共识,并作为规划 EBP 项目的指南。

方法

采用改良的两轮德尔菲法。通过电子邮件邀请 23 名全国知名的 EBP 专家参与在线问卷调查。

结果

两轮后项目达成一致(第一轮的回复率为 52%(n=12/23),第二轮为 35%(n=8/23)),并制定了循证实践过程质量评估(EPQA)指南,其中包括 34 个项目。

意义

EPQA 指南可用于指导和评估 EBP 项目的方法学质量。它们可以在实践环境中用于在将建议转化为实践之前对 EBP 项目进行批判性评估。教育者可以使用 EPQA 指南作为评估学生 EBP 项目的标准。EPQA 指南可用于研究评估干预措施,并建立或提高 EBP 能力。

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引用本文的文献

1
Reporting guidelines for evidence-based practice projects: A Delphi study and publication checklist.循证实践项目报告指南:一项德尔菲研究及发表清单
Worldviews Evid Based Nurs. 2024 Dec;21(6):634-643. doi: 10.1111/wvn.12748. Epub 2024 Oct 4.