University of Colorado Denver College of Nursing, Aurora, CO.
J Nurs Manag. 2018 Sep;26(6):621-629. doi: 10.1111/jonm.12599. Epub 2018 Jan 15.
To analyse and define the concept "evidence based practice readiness" in nurses.
Evidence based practice readiness is a term commonly used in health literature, but without a clear understanding of what readiness means. Concept analysis is needed to define the meaning of evidence based practice readiness.
A concept analysis was conducted using Walker and Avant's method to clarify the defining attributes of evidence based practice readiness as well as antecedents and consequences. A Boolean search of PubMed and Cumulative Index for Nursing and Allied Health Literature was conducted and limited to those published after the year 2000. Eleven articles met the inclusion criteria for this analysis.
Evidence based practice readiness incorporates personal and organisational readiness. Antecedents include the ability to recognize the need for evidence based practice, ability to access and interpret evidence based practice, and a supportive environment.
The concept analysis demonstrates the complexity of the concept and its implications for nursing practice. The four pillars of evidence based practice readiness: nursing, training, equipping and leadership support are necessary to achieve evidence based practice readiness.
Nurse managers are in the position to address all elements of evidence based practice readiness. Creating an environment that fosters evidence based practice can improve patient outcomes, decreased health care cost, increase nurses' job satisfaction and decrease nursing turnover.
分析并定义护士“循证实践准备”的概念。
“循证实践准备”是健康文献中常用的术语，但对准备的含义没有明确的理解。需要进行概念分析来定义循证实践准备的含义。
使用 Walker 和 Avant 的方法进行概念分析，以阐明循证实践准备的定义属性以及其前因和后果。对 PubMed 和 Cumulative Index for Nursing and Allied Health Literature 进行了布尔搜索，并将其限制在 2000 年后发表的文章中。有 11 篇文章符合本分析的纳入标准。
循证实践准备包括个人和组织准备。其前因包括识别循证实践需求的能力、获取和解释循证实践的能力以及支持性环境。
概念分析表明了该概念的复杂性及其对护理实践的影响。循证实践准备的四个支柱：护理、培训、装备和领导力支持，是实现循证实践准备的必要条件。
护士长有能力解决循证实践准备的所有要素。营造促进循证实践的环境可以改善患者的结局、降低医疗成本、提高护士的工作满意度并降低护理人员的离职率。
