Yale-New Haven Hospital, New Haven, Connecticut 06504, USA.
Yale J Biol Med. 2013 Mar;86(1):63-77. Epub 2013 Mar 12.
The traditional role of the acute care staff nurse is changing. The new norm establishes an expectation that staff nurses base their practice on best evidence. When evidence is lacking, nurses are charged with using the research process to generate and disseminate new knowledge. This article describes the critical forces behind the transformation of this role and the organizational mission, culture, and capacity required to support practice that is based on science. The vital role of senior nursing leaders, the nurse researcher, and the nursing research committee within the context of a collaborative governance structure is highlighted. Several well-known, evidence-based practice models are presented. Finally, there is a discussion of the infrastructure created by Yale-New Haven Hospital to advance the scholarly work of the nursing staff.
传统的急症护理人员的角色正在发生变化。新的规范要求护理人员将其实践建立在最佳证据的基础上。当证据不足时,护士有责任利用研究过程来产生和传播新知识。本文描述了推动这一角色转变以及支持基于科学的实践所需的组织使命、文化和能力的关键力量。强调了在协作治理结构中高级护理领导者、护理研究人员和护理研究委员会的重要作用。介绍了几种著名的循证实践模型。最后,讨论了耶鲁-纽黑文医院为推进护理人员的学术工作而创建的基础设施。