Renolen Åste, Hjälmhult Esther, Høye Sevald, Danbolt Lars Johan, Kirkevold Marit
Institute of Health and Society University of Oslo Oslo Norway.
Department of Medicine Innlandet Hospital Trust Lillehammer Norway.
Nurs Open. 2019 Mar 18;6(3):815-823. doi: 10.1002/nop2.259. eCollection 2019 Jul.
Exploring the processes involved in two different strategies to integrate evidence-based practice into nursing practice.
Classical grounded theory methodology was used.
Data were collected through 90 hr of observation and 4 focus groups among clinical nurses in two different hospital wards.
We identified a multidimensional evidence-based practice integration framework that illuminates the complexities involved in the integration process. The dimensions were approaches to evidence-based practice, positions of evidence-based practice and levels of evidence-based practice. The interactions between the dimensions gave five combinations; an explicit evidence-based practice performed as a parallel to daily work at the systems level, an implicit evidence-based practice integrated into daily work at the systems level, an explicit evidence-based practice integrated into daily work at the individual level, an explicit evidence-based practice integrated into daily work at the systems level and an implicit evidence-based practice integrated into daily work at the individual level.
探索将循证实践融入护理实践的两种不同策略所涉及的过程。
采用经典扎根理论方法。
通过对两个不同医院病房的临床护士进行90小时的观察和4次焦点小组访谈收集数据。
我们确定了一个多维循证实践整合框架，该框架阐明了整合过程中所涉及的复杂性。这些维度包括循证实践方法、循证实践立场和循证实践水平。各维度之间的相互作用产生了五种组合；一种明确的循证实践在系统层面与日常工作并行开展，一种隐性的循证实践在系统层面融入日常工作，一种明确的循证实践在个体层面融入日常工作，一种明确的循证实践在系统层面融入日常工作，以及一种隐性的循证实践在个体层面融入日常工作。
