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针对医疗保健专业人员的循证医学技能培训效果：一项系统综述。

Effectiveness of training in evidence-based medicine skills for healthcare professionals: a systematic review.

作者信息

Hecht Lars, Buhse Susanne, Meyer Gabriele

机构信息

University of Witten/Herdecke, Faculty of Health, School of Nursing Science, Witten/Herdeke, Germany.

RED Institute for Medical Research and Education, Mühlenkamp 5, 23758, Oldenburg, Germany.

出版信息

BMC Med Educ. 2016 Apr 4;16:103. doi: 10.1186/s12909-016-0616-2.

DOI:10.1186/s12909-016-0616-2
PMID:27044264
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4820973/
Abstract

BACKGROUND

Basic skills in evidence-based medicine (EbM) are indispensable for healthcare professionals to promote consumer-centred, evidence-based treatment. EbM training courses are complex interventions - a fact that has not been methodologically reflected by previous systematic reviews. This review evaluates the effects of EbM training for healthcare professionals as well as the quality of reporting of such training interventions.

METHODS

We searched PubMed, EMBASE, CINAHL, Cochrane Library, ERIC, Campbell Library and PsycINFO up to 9/2014. Randomised controlled trials, controlled clinical trials as well as before-after trials were included. Authors were contacted in order to obtain missing data. Two independent reviewers extracted data and assessed risk of bias.

RESULTS

We reviewed 14.507 articles; n = 61 appeared potentially eligible; n = 13 involving 1,120 participants were included. EbM training shows some impact on knowledge and skills, whereas the impact on practical EbM application remains unclear. Risk of bias of included trials raises uncertainty about the effects. Description of complex interventions was poor.

CONCLUSIONS

EbM training has some positive effects on knowledge and skills of healthcare professionals. Appropriate methods for development, piloting, evaluation, reporting and implementation of the training should be applied.

摘要

背景

循证医学（EbM）的基本技能对于医疗保健专业人员推广以消费者为中心的循证治疗不可或缺。EbM培训课程是复杂的干预措施——这一事实在以往的系统评价中尚未得到方法学上的体现。本评价旨在评估EbM培训对医疗保健专业人员的效果以及此类培训干预措施的报告质量。

方法

截至2014年9月，我们检索了PubMed、EMBASE、CINAHL、Cochrane图书馆、ERIC、Campbell图书馆和PsycINFO。纳入随机对照试验、对照临床试验以及前后对照试验。与作者联系以获取缺失数据。两名独立的评价者提取数据并评估偏倚风险。

结果

我们检索了14507篇文章；n = 61篇文章似乎可能符合条件；纳入了13项研究，涉及1120名参与者。EbM培训对知识和技能有一定影响，而对EbM实际应用的影响仍不明确。纳入试验的偏倚风险增加了对效果的不确定性。对复杂干预措施的描述较差。

结论

EbM培训对医疗保健专业人员的知识和技能有一些积极影响。应采用适当的方法进行培训的开发、试点、评价、报告和实施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e1f/4820973/cbec150880fe/12909_2016_616_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e1f/4820973/cbec150880fe/12909_2016_616_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e1f/4820973/cbec150880fe/12909_2016_616_Fig1_HTML.jpg

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