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提高初级卫生保健中护士和物理治疗师循证实践知识的教育干预措施的有效性:系统评价方案

Effectiveness of Educational Interventions to Increase Knowledge of Evidence-Based Practice Among Nurses and Physiotherapists in Primary Health Care: Protocol for a Systematic Review.

作者信息

Verloo Henk, Melly Pauline, Hilfiker Roger, Pereira Filipa

机构信息

Service of Old Age Psychiatry, University Hospital of Lausanne, Sion, Switzerland.

School of Health Sciences, Haute Ecole Spécialisé Suisse Occidentale Valais/Wallis, Sion, Switzerland.

出版信息

JMIR Res Protoc. 2020 Nov 2;9(11):e17621. doi: 10.2196/17621.

Abstract

BACKGROUND

The implementation of evidence-based practice (EBP) in daily health care practice is strongly encouraged; it is widely recognized as a means to improve the quality and safety of health care for patients and reduce avoidable costs. Primary care nurses and physiotherapists face numerous challenges in trying to ensure that they deliver effective daily care. Broadly promoted educational interventions aim to increase the integration and implementation of EBP in their daily practice.

OBJECTIVE

This systematic review will retrieve and evaluate publications examining the effectiveness of educational interventions to increase the integration and implementation of EBP among nurses, nurse practitioners, and physiotherapists active in primary care.

METHODS

We will conduct a systematic review of published articles in relevant professional, scientific journals (from their start dates) and in the following electronic databases, from inception until October 31, 2020: Medline Ovid SP (from 1946), PubMed (NOT Medline[sb]; from 1996), Embase.com (from 1947), CINAHL Ebesco (from 1937), the Cochrane Central Register of Controlled Trials Wiley (from 1992), PsycINFO Ovid SP (from 1806), Web of Science Core collection (from 1900), PEDro (from 1999), the JBI Database of Systematic Reviews and Implementation Reports (from 1998), and the Trip Database (from 1997). We will use the predefined search terms of "evidence-based practice," "nurses," or "physiotherapists" and combinations with other terms, such as "educational interventions." We will also conduct a hand search of the bibliographies of all the relevant articles and a search for unpublished studies using Google Scholar, the ProQuest Dissertations and Theses dissemination, Mednar, WorldCat, OpenGrey, and Grey Literature Report. We will consider publications in English, French, German, and Portuguese.

RESULTS

The electronic database searches were completed in October 2020. Retrieved articles are currently being screened, and the entire study is expected to be completed by March 2021.

CONCLUSIONS

This systematic review will provide specific knowledge about the effectiveness of educational interventions to increase the implementation and integration of EBP in the daily practice of nurses and physiotherapists providing primary care services. Its findings will inform us about the types and frequencies of the most successful educational interventions.

TRIAL REGISTRATION

PROSPERO International Prospective Register of Systematic Reviews CRD42017077309; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=77309.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/17621.

摘要

背景

大力鼓励在日常医疗保健实践中实施循证实践(EBP);它被广泛认为是提高患者医疗保健质量和安全性以及降低可避免成本的一种手段。初级保健护士和物理治疗师在努力确保提供有效的日常护理方面面临诸多挑战。广泛推广的教育干预旨在增加EBP在其日常实践中的整合与实施。

目的

本系统评价将检索并评估有关教育干预有效性的出版物,这些干预旨在增加活跃于初级保健领域的护士、执业护士和物理治疗师对EBP的整合与实施。

方法

我们将对相关专业科学期刊(自创刊之日起)以及以下电子数据库中发表的文章进行系统评价,时间跨度从数据库创建至2020年10月31日:Medline Ovid SP(始于1946年)、PubMed(非Medline[sb];始于1996年)、Embase.com(始于1947年)、CINAHL Ebesco(始于1937年)、Cochrane对照试验中央注册库Wiley(始于1992年)、PsycINFO Ovid SP(始于1806年)、Web of Science核心合集(始于1900年)、PEDro(始于1999年)、JBI系统评价与实施报告数据库(始于1998年)以及Trip数据库(始于1997年)。我们将使用预定义的搜索词“循证实践”、“护士”或“物理治疗师”以及与其他术语的组合,如“教育干预”。我们还将对所有相关文章的参考文献进行手工检索,并使用谷歌学术、ProQuest学位论文与学术期刊数据库、Mednar、WorldCat、OpenGrey和灰色文献报告搜索未发表的研究。我们将考虑英文、法文、德文和葡萄牙文的出版物。

结果

电子数据库检索于2020年10月完成。目前正在筛选检索到的文章,整个研究预计于2021年3月完成。

结论

本系统评价将提供关于教育干预有效性的具体知识,以增加EBP在提供初级保健服务的护士和物理治疗师日常实践中的实施与整合。其研究结果将使我们了解最成功的教育干预的类型和频率。

试验注册

PROSPERO国际前瞻性系统评价注册库CRD42017077309;https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=77309。

国际注册报告识别号(IRRID):DERR1-10.2196/1‘7621。

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