Consultation LLC, Leesburg, VA, USA.
Manassas, VA, USA.
Worldviews Evid Based Nurs. 2020 Apr;17(2):98-107. doi: 10.1111/wvn.12428. Epub 2020 Apr 4.
All nurses have responsibilities to enculturate evidence-based practice (EBP) and translate and implement research findings into nursing care, practices, and procedures.
To report EBP-related findings from the national Hospital-Based Nursing Research Characteristics, Care Delivery Outcomes, and Economic Impact Survey questionnaire.
In this cross-sectional survey research study of 181 nursing research leaders, 127 responded to these questions: "Has your hospital adopted or does it use a model of evidence-based practice?" "If yes, what is the name of the model and how is it used?" "Does your hospital implement (translate) findings from nursing research into clinical practice?" "Describe how your hospital implements these findings and whose responsibility it is." "What factors do you believe facilitate the implementation of findings from nursing research into clinical practice at your hospital?" Qualitative content analyses were used.
Over 90% of nursing research leaders specified that their hospital used an EBP model and implements findings into practice. The most frequently reported models were the Iowa Model of Evidence-Based Practice, Johns Hopkins Nursing Evidence-Based Practice Model, and Advancing Research and Clinical Practice Through Close Collaboration Model. EBP models were used most frequently for education and training, nurse residency programs, and EBP and research fellowships. Findings were implemented through policy and procedure committee processes, shared governance structures, and EBP processes. Those responsible for implementing findings were project leads, nursing professional practice councils, and clinical nurse specialists and advanced practice nurses. Implementation facilitators were nursing leadership, dissemination of findings, and engaged and educated nurses.
These new findings report >90% EBP model use and implementation. All nurses, especially our leaders, have responsibilities to evaluate EBP and how nursing research findings are implemented (translated) into practice. Ideally, engaged and educated nurses who enculturate, support, and sustain EBP will facilitate advancing nursing practice to improve patient and work environment-related outcomes.
所有护士都有责任将循证实践（EBP）融入文化，并将研究结果转化为护理实践、护理措施和护理程序。
报告全国医院护理研究特征、护理结果和经济影响调查问卷调查中的 EBP 相关结果。
在这项针对 181 名护理研究负责人的横断面调查研究中，有 127 人回答了以下问题：“贵院是否采用或使用基于证据的实践模式？”“如果是，该模型的名称是什么，如何使用？”“贵院是否将护理研究的结果（转化）应用于临床实践？”“请描述贵院如何实施这些发现，以及这些发现的实施责任属于谁？”“您认为哪些因素有助于在贵院将护理研究结果应用于临床实践？”采用定性内容分析法。
超过 90%的护理研究负责人表示，他们的医院使用了 EBP 模式，并将研究结果应用于实践。报告最频繁的模型是爱荷华州循证实践模式、约翰霍普金斯护理循证实践模式和通过密切合作推进研究和临床实践模式。EBP 模型最常用于教育和培训、护士住院医师项目、EBP 和研究奖学金。研究结果通过政策和程序委员会流程、共享治理结构和 EBP 流程实施。负责实施研究结果的是项目负责人、护理专业实践委员会以及临床护士专家和高级实践护士。实施促进因素包括护理领导、研究结果传播以及积极和受过教育的护士。
这些新发现报告了 >90%的 EBP 模型使用和实施情况。所有护士，尤其是我们的领导者，都有责任评估 EBP 以及如何将护理研究结果（转化）应用于实践。理想情况下，积极参与和接受教育的护士能够融入、支持和维持 EBP，从而促进护理实践的发展，以改善患者和工作环境相关结果。
