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提高研究生护理课程中的循证实践:系统评价:弥合证据实践差距(BRIDGE 项目)。

Improving evidence based practice in postgraduate nursing programs: A systematic review: Bridging the evidence practice gap (BRIDGE project).

机构信息

Faculty of Health, University of Technology Sydney, Building 10, Level 7, Rm 212, PO Box 123 Broadway, NSW 2007, Australia.

Centre for Cardiovascular & Chronic Care, Faculty of Health, University of Technology Sydney, Australia.

出版信息

Nurse Educ Today. 2018 Apr;63:69-75. doi: 10.1016/j.nedt.2018.01.015. Epub 2018 Jan 31.

DOI:10.1016/j.nedt.2018.01.015
PMID:29407264
Abstract

BACKGROUND

The nursing profession has a significant evidence to practice gap in an increasingly complex and dynamic health care environment.

OBJECTIVE(S): To evaluate effectiveness of teaching and learning strategies related to a capstone project within a Masters of Nursing program that encourage the development of evidence based practice capabilities.

DESIGN

Systematic review that conforms to the PRISMA statement.

SAMPLE

Master's Nursing programs that include elements of a capstone project within a university setting.

DATA SOURCES/REVIEW METHODS: MEDLINE, CINAHL, Cochrane Database of Systematic Reviews, ERIC and PsycInfo were used to search for RCT's or quasi experimental studies conducted between 1979 and 9 June 2017, published in a peer reviewed journal in English.

RESULTS

Of 1592 studies, no RCT's specifically addressed the development of evidence based practice capabilities within the university teaching environment. Five quasi-experimental studies integrated blended learning, guided design processes, small group work, role play and structured debate into Masters of Nursing research courses. All five studies demonstrated some improvements in evidence based practice skills and/or research knowledge translation, with three out of five studies demonstrating significant improvements.

CONCLUSIONS

There is a paucity of empirical evidence supporting the best strategies to use in developing evidence based practice skills and/or research knowledge translation skills for Master's Nursing students. As a profession, nursing requires methodologically robust studies that are discipline specific to identify the best approaches for developing evidence-based practice skills and/or research knowledge translation skills within the university teaching environment. Provision of these strategies will enable the nursing profession to integrate the best empirical evidence into nursing practice.

摘要

背景

在日益复杂和动态的医疗环境下,护理行业在将专业知识应用于实践方面存在着显著的差距。

目的

评估在护理硕士课程中,以顶峰项目为基础的教学和学习策略对培养循证实践能力的有效性。

设计

符合 PRISMA 声明的系统评价。

样本

包括大学环境中顶峰项目要素的护理硕士课程。

数据来源/审查方法:使用 MEDLINE、CINAHL、Cochrane 系统评价数据库、ERIC 和 PsycInfo 搜索 1979 年至 2017 年 6 月 9 日期间发表的同行评审期刊上的 RCT 或准实验研究,研究语言为英语。

结果

在 1592 项研究中,没有 RCT 专门针对大学教学环境中循证实践能力的培养。五项准实验研究将混合学习、指导设计过程、小组作业、角色扮演和结构化辩论整合到护理硕士研究课程中。五项研究均显示出循证实践技能和/或研究知识转化方面的某些改善,其中三项研究显示出显著的改善。

结论

在发展护理硕士学生循证实践技能和/或研究知识转化技能方面,支持最佳策略的经验证据很少。作为一个专业,护理需要具有方法学严谨性且针对特定学科的研究来确定在大学教学环境中发展循证实践技能和/或研究知识转化技能的最佳方法。提供这些策略将使护理专业能够将最佳的经验证据融入到护理实践中。

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