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通过导师指导培养循证实践。

Cultivating evidence-based practice through mentorship.

作者信息

Schuler Ethan, Paul Fiona, Connor Linda, Doherty Dennis, DeGrazia Michele

机构信息

Cardiovascular and Critical Care Patient Services, Boston Children's Hospital, 7South MSICU, 300 Longwood Ave, Boston, MA 02115, United States of America.

Medical Patient Services, Boston Children's Hospital, 300 Longwood Ave, Boston, MA 02115, United States of America.

出版信息

Appl Nurs Res. 2020 Oct;55:151295. doi: 10.1016/j.apnr.2020.151295. Epub 2020 May 16.

Abstract

BACKGROUND

Nurses' use of evidence-based practice (EBP) improves patient outcomes through provision of optimal patient care.

AIM

The Evidence-Based Practice Mentorship Program (EBPMP) is a self-directed, year-long immersion program implemented for staff nurses to experience the EBP process with close mentor support. The aim of this program is to bolster a culture of EBP at a single large pediatric quaternary care hospital in the Northeast.

RESULTS

A total of 81 nurses across 4 cohorts participated in this organization wide program from 2016 to 2019. To date the program has produced 46 internally and externally disseminated EBP projects. Of the graduates, 7-nurse mentees have become formal EBPMP mentor's, 3 have applied and been accepted into the organizational based Nursing Science Fellowship to carry out clinical inquiry projects to fill important literary gaps, and 6 have received promotions or career advancements. Most importantly, graduates have anecdotally reported that program participation inspired deeper critical reflection of patient care.

SUMMARY

Utilizing mentorship to facilitate EBP was a key educational strategy for the busy mentors and mentees, as many of the nurse participants were direct care providers. This self-directed program resulted in a high project completion rate leading to continued organizational support for the program, which is now in its fourth year.

摘要

背景

护士运用循证实践(EBP)可通过提供优质的患者护理来改善患者预后。

目的

循证实践指导计划(EBPMP)是一项为期一年的自主沉浸式计划,面向在职护士实施,旨在让他们在导师的密切支持下体验循证实践过程。该计划的目的是在东北部一家大型儿科四级护理医院强化循证实践文化。

结果

2016年至2019年,共有来自4个群组的81名护士参与了这个全组织范围的计划。截至目前,该计划已产生了46个在内部和外部传播的循证实践项目。在毕业生中,7名护士学员成为了循证实践指导计划的正式导师,3人申请并被组织内的护理科学奖学金项目录取,以开展临床研究项目来填补重要的文献空白,还有6人获得了晋升或职业发展。最重要的是,毕业生们纷纷表示,参与该计划激发了他们对患者护理进行更深入的批判性思考。

总结

利用指导来促进循证实践,对忙碌的导师和学员来说是一项关键的教育策略,因为许多护士参与者都是直接护理提供者。这个自主计划带来了很高的项目完成率,使得该计划持续获得组织的支持,目前该计划已进入第四个年头。

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