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付诸行动:将证据融入临床经验

Walking the Walk: Integrating Evidence Into Clinical Experiences.

作者信息

Cole Leslie G, Turner Stephanie, Graves Barbara Ann

出版信息

Creat Nurs. 2019 May 1;25(2):148-153. doi: 10.1891/1078-4535.25.2.148.

Abstract

Professional nurses are called to provide nursing care using an evidence-based approach. Health-care professionals are challenged to break away from old traditions and search for ways to improve health. Evidence-based practice (EBP) must be threaded throughout nursing curricula to produce critically-thinking professional nurses who will be meeting new and significant health-care challenges. Nursing education must be grounded in the translation of current evidence into practice. Nurse educators must acknowledge the obstacles faced when teaching concepts of research to students who have chosen a practice-focused career. The words may be intimidating to nursing students. Nurse educators must shift this paradigm to invite students to realize that EBP is an integral component of modern health care that bridges the gap between health-care practices and improved patient outcomes. Faculty in a baccalaureate Adult Health course developed a unique approach inviting students to apply evidence to their student clinical experiences. Survey results showed that this innovative approach increased students' "excellent" or "good" understanding toward EBP concepts from pre-implementation scores of 46% to post-implementation scores of 94%. This active learning strategy allows students to "walk the walk" of EBP rather than simply listen to the "talk."

摘要

专业护士被要求采用循证方法提供护理服务。医疗保健专业人员面临着摆脱旧传统并寻找改善健康方法的挑战。循证实践(EBP)必须贯穿于护理课程中,以培养能够应对新的重大医疗保健挑战的批判性思维专业护士。护理教育必须以将当前证据转化为实践为基础。护士教育工作者必须认识到,在向选择以实践为重点职业的学生传授研究概念时所面临的障碍。这些词汇可能会让护理专业学生感到害怕。护士教育工作者必须转变这种模式,引导学生认识到循证实践是现代医疗保健的一个组成部分,它弥合了医疗保健实践与改善患者预后之间的差距。本科成人健康课程的教师开发了一种独特的方法,邀请学生将证据应用于他们的临床实习经历。调查结果显示,这种创新方法使学生对循证实践概念的“优秀”或“良好”理解从实施前的46%提高到实施后的94%。这种主动学习策略让学生践行循证实践,而不仅仅是听听而已。

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