Research Unit of Health Sciences and Technology, Faculty of Medicine, University of Oulu, Oulu, Finland.
Wellbeing Services County of North Ostrobothnia, Oulaskangas Hospital, Oulainen, Finland.
J Clin Nurs. 2024 Jun;33(6):2069-2083. doi: 10.1111/jocn.17075. Epub 2024 Feb 27.
Evidence-based healthcare (EBHC) enables consistent and effective healthcare that prioritises patient safety. The competencies of advanced practice nurses (APNs) are essential for implementing EBHC because their professional duties include promoting EBHC.
To identify, critically appraise, and synthesise the best available evidence concerning the EBHC competence of APNs and associated factors.
A systematic review.
CINAHL, PubMed, Scopus, Medic, ProQuest, and MedNar.
Databases were searched for studies (until 19 September 2023) that examined the EBHC competence and associated factors of APNs were included. Quantitative studies published in English, Swedish and Finnish were included. We followed the JBI methodology for systematic review and performed a narrative synthesis.
The review included 12 quantitative studies, using 15 different instruments, and involved 3163 participants. The quality of the studies was fair. The APNs' EBHC competence areas were categorised into five segments according to the JBI EBHC model. The strongest areas of competencies were in global health as a goal, transferring and implementing evidence, while the weakest were generating and synthesising evidence. Evidence on factors influencing APNs' EBHC competencies was contradictory, but higher levels of education and the presence of an organisational research council may be positively associated with APNs' EBHC competencies.
The development of EBHC competencies for APNs should prioritise evidence generation and synthesis. Elevating the education level of APNs and establishing a Research Council within the organisation can potentially enhance the EBHC competence of APNs.
We should consider weaknesses in EBHC competence when developing education and practical exercises for APNs. This approach will promote the development of APNs' EBHC competence and EBHC implementation in nursing practice.
REGISTRATION, AND REPORTING CHECKLIST: The review was registered in PROSPERO (CRD42021226578), and reporting followed the PRISMA checklist.
PATIENT/PUBLIC CONTRIBUTION: None.
循证医疗（EBHC）使医疗服务能够保持一致性和有效性，并将患者安全放在首位。进阶执业护士（APN）的能力对于实施 EBHC 至关重要，因为他们的专业职责包括推广 EBHC。
确定、批判性评价和综合进阶执业护士（APN）实施循证医疗（EBHC）的能力以及相关因素的最佳可用证据。
系统综述。
CINAHL、PubMed、Scopus、Medic、ProQuest 和 MedNar。
对数据库进行检索（截至 2023 年 9 月 19 日），以确定研究符合纳入标准，这些研究调查了 APN 实施 EBHC 的能力和相关因素。纳入的研究是在英语、瑞典语和芬兰语发表的定量研究。我们遵循 JBI 系统综述方法，并进行了叙述性综合。
本综述纳入了 12 项定量研究，使用了 15 种不同的工具，涉及 3163 名参与者。研究的质量为中等。APN 的 EBHC 能力领域根据 JBI EBHC 模型分为五个部分。能力最强的领域是将全球健康作为目标、转移和实施证据，而能力最弱的是生成和综合证据。影响 APN 实施 EBHC 能力的因素的证据相互矛盾，但较高的教育水平和组织研究委员会的存在可能与 APN 实施 EBHC 能力呈正相关。
为 APN 开发 EBHC 能力应优先考虑证据生成和综合。提高 APN 的教育水平并在组织内建立研究委员会可能会潜在地增强 APN 的 EBHC 能力。
在为 APN 制定教育和实践练习时，我们应该考虑 EBHC 能力的薄弱环节。这种方法将促进 APN 的 EBHC 能力发展和 EBHC 在护理实践中的实施。
该综述已在 PROSPERO（CRD42021226578）中注册，报告遵循 PRISMA 清单。
患者/公众贡献：无。
