研究、循证实践、质量改进与创新模型的开发与实施
Development and Implementation of a Model for Research, Evidence-Based Practice, Quality Improvement, and Innovation.
作者信息
Hagle Mary, Dwyer Darcy, Gettrust Lynn, Lusk Dana, Peterson Kristen, Tennies Sherry
机构信息
Nursing Education and Research (Dr Hagle and Ms Tennies), Rehabilitation and Extended Community Care (Drs Dwyer and Lusk), Acute Care Outpatient (Dr Gettrust), and Acute Care Inpatient-4C (Ms Peterson), Clement J. Zablocki VA Medical Center, Milwaukee, Wisconsin.
出版信息
J Nurs Care Qual. 2020 Apr/Jun;35(2):102-107. doi: 10.1097/NCQ.0000000000000422.
BACKGROUND
Our medical center nursing council evaluated its current evidence-based practice (EBP) model and decided to consider alternatives.
PROBLEM
No models were inclusive of major nursing activities, such as EBP and quality improvement (QI) projects and research studies.
APPROACH
A model was developed, meeting the criteria of accessibility, ease of use, and reflective of professional practice activities: EBP and QI projects, research studies, and innovation. In the new model, I Model for Advancing Quality Patient Centered Care, professional practice is represented by 3 "I's": Inquiry, Improvement, and Innovation.
OUTCOMES
The model provides an algorithm with steps and decision points for nurses to follow based on a question from a clinical issue or problem. The model was approved by nursing-shared governance and is used for guiding relevant projects.
CONCLUSION
The I Model guides the nurse in inquiry or improvement while supporting a culture of innovation in professional practice.
背景
我们医疗中心的护理委员会评估了其当前的循证实践（EBP）模式，并决定考虑其他模式。
问题
没有一种模式涵盖主要的护理活动，如循证实践和质量改进（QI）项目以及研究。
方法
开发了一种模式，该模式符合可及性、易用性标准，并反映专业实践活动：循证实践和质量改进项目、研究以及创新。在新的模式即“推进以患者为中心的优质护理I模式”中，专业实践由三个“ I ”来体现：探究、改进和创新。
结果
该模式为护士提供了一种算法，根据临床问题提出的疑问，给出相应步骤和决策点供护士遵循。该模式已获护理共享治理部门批准，并用于指导相关项目。
结论
I模式在支持专业实践中的创新文化的同时，指导护士进行探究或改进。
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