评估医疗保健专业人员循证实践的工具:系统评价。
Instruments to Assess Evidence-Based Practice Among Health Care Professionals: A Systematic Review.
机构信息
Universidade Cidade de São Paulo, São Paulo, Brazil.
Centro Universitário do Vale do Ribeira, UNIVR/UNISEPE-Registro, São Paulo, Brazil.
出版信息
Health Educ Behav. 2024 Jun;51(3):467-476. doi: 10.1177/10901981231170154. Epub 2023 Jun 1.
BACKGROUND
The use of measurement instruments to assess the use of Evidence-Based Practice by health professionals has been frequently reported in studies.
AIMS
This systematic review aimed to summarize, describe, and evaluate the measurement properties of the instruments that evaluate the use of Evidence-Based Practice in health professionals.
METHODS
The search was carried out in four databases considering three groups of search terms: evidence-based practice, evaluation, and measurement proprieties. Studies were included that described the use of instruments to assess Evidence-Based Practice in health professionals, with the full-text publication, which analyzed the measurement properties, in English. The methodological quality of the studies was evaluated using COnsensus-based Standards for the selection of health Measurement INstruments.
RESULTS
In total, 6,429 were found and only 92 were eligible for data analysis. Forty new instruments were identified most were developed for nursing and physical therapist. The investigators performed at least 1 type of validity test on 73% of the instruments. Reliability was tested at 90%, through internal consistency. Responsiveness was tested on less than half of the instruments (30%). Most of the instruments identified are reliable and valid to measure evidence-based practice in health professionals.
CONCLUSION
Although the Fresno Test remains the most complete instrument, and adequate for use. The COnsensus-based Standards for the selection of health Measurement INstruments checklist classified 7 (seven) instruments as suitable for the target audience.
背景
在研究中,经常使用测量工具来评估卫生专业人员对循证实践的使用情况。
目的
本系统评价旨在总结、描述和评估评估卫生专业人员循证实践使用情况的工具的测量特性。
方法
在四个数据库中进行了搜索,考虑了三组搜索词:循证实践、评估和测量特性。纳入了描述使用工具评估卫生专业人员循证实践的研究,且全文发表,使用共识标准评估健康测量工具选择进行了测量特性分析。
结果
共发现 6429 篇,仅有 92 篇符合数据分析条件。确定了 40 种新的工具,其中大多数是为护理和物理治疗师开发的。73%的仪器进行了至少一种有效性测试。可靠性通过内部一致性测试,达到了 90%。不到一半的仪器(30%)进行了反应性测试。确定的大多数仪器在测量卫生专业人员循证实践方面是可靠和有效的。
结论
尽管 Fresno 测试仍然是最完整的工具,并且足够适用。共识标准评估健康测量工具选择清单将 7 种仪器评为适合目标人群。