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心理健康临床医生对循证实践中综述和系统评价效用的看法。

Mental health clinicians' views of summary and systematic review utility in evidence-based practice.

作者信息

Steele Rachel

机构信息

Library and Information Service Tees, Esk and Wear Valleys NHS Foundation Trust, Durham, UK.

出版信息

Health Info Libr J. 2021 Dec;38(4):295-303. doi: 10.1111/hir.12359. Epub 2021 Mar 10.

DOI:10.1111/hir.12359
PMID:33690980
Abstract

BACKGROUND

Evidence-based practice (EBP) requires integration of research evidence with clinical expertise and patient preferences. It is endorsed by many regulatory bodies, using the approach is challenging for many busy clinicians.

OBJECTIVES

To explore mental health practitioners' perceptions of the factors which help, and which hinder, EBP and their views of two formats for presenting research findings - a systematic review and a one-page summary of that review. (written by a clinical librarian) METHODS: Qualitative semi-structured interviews with a multi-professional sample of mental health clinicians. (n=7) RESULTS: Participants worked under varying time constraints, with some participants perceiving a conflict between research activities such as reading the evidence and their clinical duties one-page research summary would help some participienrs to identify potentially valuable evidence quickly. However, participants agreed that they would need to read full systematic review to assess whether and how their practice could or should change.

DISCUSSION

A one-page research summary can perform useful functions for clinicians; however, they require more detailed research reports such as systematic reviews to judge research's external validity.

CONCLUSION

This exploratory study indicates that writing evidence summaries is a useful role for clinical librarians, as part of training and support for EBP.

摘要

背景

循证实践(EBP)要求将研究证据与临床专业知识及患者偏好相结合。许多监管机构都认可这一点,但对许多忙碌的临床医生来说,采用这种方法具有挑战性。

目的

探讨心理健康从业者对有助于和阻碍循证实践的因素的看法,以及他们对呈现研究结果的两种形式——系统评价和该评价的一页摘要(由临床图书馆员撰写)的看法。方法:对心理健康临床医生的多专业样本进行定性半结构化访谈(n = 7)。结果:参与者在不同的时间限制下工作,一些参与者认为阅读证据等研究活动与他们的临床职责之间存在冲突。一页式研究摘要将帮助一些参与者快速识别潜在有价值的证据。然而,参与者一致认为,他们需要阅读完整的系统评价,以评估他们的实践是否以及应该如何改变。

讨论

一页式研究摘要可为临床医生发挥有用的作用;然而,他们需要更详细的研究报告,如系统评价,来判断研究的外部有效性。

结论

这项探索性研究表明,撰写证据摘要对临床图书馆员来说是一项有用的工作,可作为循证实践培训和支持的一部分。

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