Yamada Janet, Stevens Bonnie, Sidani Souraya, Watt-Watson Judy
The Hospital for Sick Children (SickKids), Toronto, Ontario, Canada
The Hospital for Sick Children (SickKids), Toronto, Ontario, Canada University of Toronto, Ontario, Canada.
West J Nurs Res. 2015 May;37(5):581-98. doi: 10.1177/0193945914524493. Epub 2014 Feb 27.
The Evidence-Based Practice Identification and Change (EPIC) strategy is a multifaceted knowledge translation intervention. Although the intervention promoted evidence-based practice, the process of delivering the intervention components is not well understood. The purpose of this study was to determine the construct validity of the Process Evaluation Checklist developed for monitoring the fidelity of implementing the intervention to improve neonatal pain practices (i.e., documentation of ordering and administration of sucrose). A case study design was used. A research practice council in a single Neonatal Intensive Care Unit implemented the intervention. The Process Evaluation Checklist was used to record adherence in carrying out the intervention components. A significant improvement in the documentation of sucrose orders (p = .002) and administration (p = .004) provided evidence of the construct validity of this intervention fidelity measure. Using this measure in different contexts over longer periods of time will further validate the Process Evaluation Checklist.
循证实践识别与变革（EPIC）策略是一种多方面的知识转化干预措施。尽管该干预措施促进了循证实践，但干预组件的实施过程尚不清楚。本研究的目的是确定为监测干预措施实施的保真度以改善新生儿疼痛处理措施（即蔗糖给药的医嘱记录和给药记录）而制定的过程评估清单的结构效度。采用了案例研究设计。单一新生儿重症监护病房的一个研究实践委员会实施了该干预措施。过程评估清单用于记录实施干预组件时的依从性。蔗糖医嘱记录（p = 0.002）和给药记录（p = 0.004）的显著改善为这种干预保真度测量方法的结构效度提供了证据。在更长的时间内于不同背景下使用该测量方法将进一步验证过程评估清单。
