Huo Miao, Zhao Bolun, Li Ye, Li Jinghua
School of Public Health, Jilin University, Changchun, China.
School of Nursing, Dalian University, Dalian, China.
Ann Transl Med. 2022 Jan;10(1):22. doi: 10.21037/atm-21-6506.
The environment of healthcare is complex and changeable, and the process of evidence-based practice is "dynamic". Nurses are required to have dynamic capabilities that adjust to changes. However, there is no clear concept of dynamic capabilities in the field of evidence-based practice. The concept of dynamic capabilities needs to be derived from the management field and defined in evidence-based practice.
A Boolean search of the Web of Science, ProQuest, CINAHL, PubMed, and Emerald databases was conducted, and 35 articles met the inclusion criteria. The concept derivation and analysis strategy of Walker and Avant was used to form and define the concept of evidence-based practice dynamic capabilities. This method includes: selecting a concept, determining the aims of the analysis, identifying usages of the concept, determining the defining attributes, identifying antecedents, consequences, and allied concepts.
Sensing capability, learning capability, integration capability, and coordination capability are attributes of the concept. The antecedents include personal and infrastructure related factors. The consequences include improved patient outcomes, reduced medical costs, and increased nurse job satisfaction. The allied concept is evidence-based practice competence.
An operational definition of the concept was developed. The concept compensates for the shortcomings of the existing "evidence-based practice competence" concept and helps nursing managers establish a new perspective on the effective implementation of evidence-based practice.
医疗保健环境复杂多变，循证实践过程是“动态的”。护士需要具备适应变化的动态能力。然而，在循证实践领域，动态能力尚无明确概念。动态能力的概念需要从管理领域衍生而来，并在循证实践中进行界定。
对科学网、ProQuest、CINAHL、PubMed和Emerald数据库进行布尔检索，35篇文章符合纳入标准。采用沃克和阿凡特的概念衍生与分析策略来形成和界定循证实践动态能力的概念。该方法包括：选择一个概念、确定分析目的、识别概念的用法、确定定义属性、识别先行因素、后果及相关概念。
感知能力、学习能力、整合能力和协调能力是该概念的属性。先行因素包括个人和基础设施相关因素。后果包括改善患者结局、降低医疗成本以及提高护士工作满意度。相关概念是循证实践能力。
形成了该概念的操作性定义。该概念弥补了现有“循证实践能力”概念的不足，有助于护理管理者建立关于有效实施循证实践的新视角。
