Spurr Kathy, Dechman Gail, Lackie Kelly, Gilbert Robert
Ms. Spurr: Adjunct Assistant Professor, School of Health Sciences, Dalhousie University, Halifax, Nova Scotia and Nova Scotia Health Authority, Halifax, Nova Scotia. Dr. Dechman: Assistant Professor, School of Physiotherapy, Dalhousie University, Halifax, Nova Scotia. Dr. Lackie: Faculty, RN Professional Development Centre, Halifax, Nova Scotia. Dr. Gilbert: Associate Professor, School of Health Sciences, Dalhousie University, Halifax, Nova Scotia.
J Contin Educ Health Prof. 2016 Summer;36(3):164-70. doi: 10.1097/CEH.0000000000000083.
Evidence-based decision-making (EBDM) is the process health care providers (HCPs) use to identify and appraise potential evidence. It supports the integration of best research evidence with clinical expertise and patient values into the decision-making process for patient care. Competence in this process is essential to delivery of optimal care. There is no objective tool that assesses EBDM across HCP groups. This research aimed to develop a content valid tool to assess knowledge of the principles of evidence-based medicine and the EBDM process, for use with all HCPs.
A Delphi process was used in the creation of the tool. Pilot testing established its content validity with the added benefit of evaluating HCPs' knowledge of EBDM. Descriptive statistics and multivariate mixed models were used to evaluate individual survey responses in total, as well as within each EBDM component.
The tool consisted of 26 multiple-choice questions. A total of 12,884 HCPs in Nova Scotia were invited to participate in the web-based validation study, yielding 818 (6.3%) participants, 471 of whom completed all questions. The mean overall score was 68%. Knowledge in one component, integration of evidence with clinical expertise and patient preferences, was identified as needing development across all HCPs surveyed.
A content valid tool for assessing HCP EBDM knowledge was created and can be used to support the development of continuing education programs to enhance EBDM competency.
循证决策（EBDM）是医疗保健提供者（HCPs）用于识别和评估潜在证据的过程。它支持将最佳研究证据与临床专业知识和患者价值观整合到患者护理的决策过程中。在此过程中的能力对于提供最佳护理至关重要。目前尚无客观工具可跨HCP群体评估EBDM。本研究旨在开发一种内容有效的工具，用于评估所有HCPs对循证医学原则和EBDM过程的知识。
在工具创建过程中采用了德尔菲法。预测试确定了其内容效度，并额外评估了HCPs对EBDM的知识。使用描述性统计和多变量混合模型来评估总体以及每个EBDM组成部分内的个体调查回复。
该工具由26个多项选择题组成。新斯科舍省共有12,884名HCPs被邀请参与基于网络的验证研究，818人（6.3%）参与，其中471人完成了所有问题。总体平均得分是68%。在所有接受调查的HCPs中，一个组成部分（即证据与临床专业知识和患者偏好的整合）的知识被确定需要改进。
创建了一个用于评估HCPs EBDM知识的内容有效工具，可用于支持制定继续教育计划以提高EBDM能力。
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