Associate Vice President for Health Promotion, University Chief Wellness Officer, Dean and Professor, College of Nursing, Professor of Pediatrics and Psychiatry, College of Medicine, The Ohio State University, Columbus, OH.
Worldviews Evid Based Nurs. 2014 Feb;11(1):5-15. doi: 10.1111/wvn.12021. Epub 2014 Jan 21.
Although it is widely known that evidence-based practice (EBP) improves healthcare quality, reliability, and patient outcomes as well as reduces variations in care and costs, it is still not the standard of care delivered by practicing clinicians across the globe. Adoption of specific EBP competencies for nurses and advanced practice nurses (APNs) who practice in real-world healthcare settings can assist institutions in achieving high-value, low-cost evidence-based health care.
The aim of this study was to develop a set of clear EBP competencies for both practicing registered nurses and APNs in clinical settings that can be used by healthcare institutions in their quest to achieve high performing systems that consistently implement and sustain EBP.
Seven national EBP leaders developed an initial set of competencies for practicing registered nurses and APNs through a consensus building process. Next, a Delphi survey was conducted with 80 EBP mentors across the United States to determine consensus and clarity around the competencies.
Two rounds of the Delphi survey resulted in total consensus by the EBP mentors, resulting in a final set of 13 competencies for practicing registered nurses and 11 additional competencies for APNs.
Incorporation of these competencies into healthcare system expectations, orientations, job descriptions, performance appraisals, and clinical ladder promotion processes could drive higher quality, reliability, and consistency of healthcare as well as reduce costs. Research is now needed to develop valid and reliable tools for assessing these competencies as well as linking them to clinician and patient outcomes.
尽管人们普遍认识到循证实践（EBP）可以提高医疗保健质量、可靠性和患者结果，减少护理差异和成本，但它仍然不是全球执业临床医生提供的护理标准。在实际医疗保健环境中执业的护士和高级实践护士（APN）采用特定的 EBP 能力，可以帮助机构实现高价值、低成本的循证医疗。
本研究旨在为临床环境中的执业注册护士和 APN 制定一套明确的 EBP 能力，医疗机构可以在追求实现始终实施和维持 EBP 的高绩效系统时使用这些能力。
通过共识建立过程，七位国家 EBP 领导者为执业注册护士和 APN 制定了一套初始能力。接下来，在美国进行了一项涉及 80 名 EBP 导师的 Delphi 调查，以确定对这些能力的共识和清晰度。
两轮 Delphi 调查结果表明，EBP 导师达成了完全共识，最终为执业注册护士确定了 13 项能力，为 APN 确定了 11 项额外能力。
将这些能力纳入医疗系统的期望、定向、工作描述、绩效评估和临床阶梯晋升过程中，可以提高医疗保健的质量、可靠性和一致性，并降低成本。现在需要研究开发用于评估这些能力并将其与临床医生和患者结果联系起来的有效和可靠工具。
