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临床医生、组织和患者结局的改善为循证实践导师发展计划提供了强有力的理由:综合评价。

Improvements in Clinician, Organization, and Patient Outcomes Make a Compelling Case for Evidence-Based Practice Mentor Development Programs: An Integrative Review.

机构信息

Executive Leadership Doctor of Nursing Practice, University of San Francisco, San Francisco, CA, USA.

出版信息

Worldviews Evid Based Nurs. 2021 Oct;18(5):283-289. doi: 10.1111/wvn.12533. Epub 2021 Sep 4.

Abstract

BACKGROUND

Many organizations struggle to systematically integrate EBP into practice. EBP mentors address organizational barriers and promote the translation of evidence into clinical practice at the bedside.

AIM

To evaluate research findings related to EBP mentor development programs, to identify effective practices, and to assess the outcomes associated with EBP mentor development programs.

METHODS

A comprehensive review of the literature was conducted to retrieve studies from CINAHL, PubMed, and Scopus, using keywords and subject headers related to EBP mentorship and quality and safety outcomes. Studies were appraised and reviewed to compare mentor program composition and examine clinician, organizational, and patient outcomes.

RESULTS

Fifteen studies met inclusion criteria: one randomized control trial (RCT), one literature review, eleven descriptive studies, and two case reviews. Most programs included didactic content, an EBP project with coaching, and resources to support learning. The studies found that these programs led to improvements in clinicians' EBP beliefs, practices, and abilities, the organization's readiness for EBP, and patient safety.

LINKING EVIDENCE TO ACTION

There is solid justification for healthcare organizations to invest in an EBP mentor development program.

摘要

背景

许多组织难以系统地将循证实践融入到实践中。循证实践导师可以解决组织障碍,并促进证据在床边转化为临床实践。

目的

评估与循证实践导师发展计划相关的研究结果,确定有效实践,并评估循证实践导师发展计划的结果。

方法

对文献进行全面综述,从 CINAHL、PubMed 和 Scopus 中检索与循证指导和质量安全结果相关的研究,使用关键词和主题标题。对研究进行评估和审查,以比较导师计划的组成部分,并研究临床医生、组织和患者的结果。

结果

符合纳入标准的有 15 项研究:一项随机对照试验(RCT)、一篇文献综述、11 项描述性研究和两项案例研究。大多数计划都包括了理论内容、循证实践项目和支持学习的资源。研究发现,这些计划提高了临床医生对循证实践的信念、实践和能力、组织对循证实践的准备情况以及患者的安全性。

循证实践指导与行动的联系

医疗机构有充分的理由投资循证实践导师发展计划。

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