Beck Malene, Simonÿ Charlotte, Bergenholtz Heidi, Hwiid Klausen Susanne
Institute of Health Department of Nursing Science Aarhus University Aarhus C Denmark.
Department of Neurology Zealand University Hospital Roskilde Denmark.
Nurs Open. 2020 Feb 5;7(3):690-699. doi: 10.1002/nop2.440. eCollection 2020 May.
An evidence-based approach should permeate clinical nursing practice, but many nurses lack confidence in applying relevant research evidence to clinical practice. Journal club participation can increase evidence-based practice knowledge and skills while facilitating positive attitudes among participants. Thus, the aim was to describe the experience of nurses in participating in a journal club based on a curriculum derived from their practice narratives.
The study employed a phenomenological hermeneutical approach. Qualitative data from six focus groups with 19 nurses were interpreted in a three-step process influenced by the French philosopher Paul Ricoeur.
Influenced by narrative pedagogy and critical reflection through problem-based learning, a journal club named was facilitated in three 2-hourly workshops over eight weeks and evaluated together with nurses across three clinical departments.
Three themes are identified: (a) professional reflections are an oppressed aspect of daily nursing; (b) revealing nursing from the hidden; and (c) emerging consciousness in nursing. The study concludes that has the potential to integrate evidence-based knowledge and increase professional consciousness by reflection on clinical questions in an evidence-based context. Fundamental issues of nursing care are raised, and feelings of essential pride in nursing are facilitated. Thus, evidence-based nursing practice is embarked through a journal club based on the participant's narratives.
循证方法应贯穿临床护理实践，但许多护士在将相关研究证据应用于临床实践时缺乏信心。参加期刊俱乐部可以增加循证实践知识和技能，同时促进参与者形成积极态度。因此，目的是描述护士参与基于其实践叙事得出的课程的期刊俱乐部的经历。
本研究采用现象学诠释学方法。来自六个焦点小组、共19名护士的定性数据，按照受法国哲学家保罗·利科影响的三步过程进行解读。
受叙事教学法和基于问题学习的批判性反思影响，在八周内分三个两小时的工作坊开展了一个名为 的期刊俱乐部，并与三个临床科室的护士一起进行了评估。
确定了三个主题：（a）专业反思是日常护理中被忽视的方面；（b）从隐藏中揭示护理；（c）护理中新兴的意识。该研究得出结论， 通过在循证背景下对临床问题的反思，有潜力整合循证知识并提高专业意识。提出了护理的基本问题，并促进了对护理本质的自豪感。因此，基于参与者叙事的期刊俱乐部开启了循证护理实践。
