Estabrooks C A
Institute for Clinical Evaluative Sciences, Toronto, Ontario.
Can J Nurs Res. 1998 Spring;30(1):15-36.
Evidence-based practice, or evidence-based decision-making, is rapidly developing as a growth industry in nursing and the health professions more widely. It has its origins in the work of the British epidemiologist Archie Cochrane and has recently been re-energized in Canada by the National Forum on Health and its call for a culture of evidence-based decision-making. Before we adopt evidence-based nursing (EBN) as a mantra for the 21st century, we should examine its origins and its consequences, and we should probe related concepts, 2 of which are the nature and structure of practice-based knowledge and the nature and structure of evidence generally. Findings of a recent survey of nurses in western Canada are used to illustrate that nurses use a broad range of practice knowledge, much of which is experientially based rather than research-based.
循证实践，或循证决策，正迅速发展成为护理行业以及更广泛的健康专业领域中一个蓬勃发展的行业。它起源于英国流行病学家阿奇·科克伦的工作，最近在加拿大，通过国家健康论坛及其对循证决策文化的呼吁，又重新焕发生机。在我们将循证护理（EBN）奉为21世纪的口头禅之前，我们应该审视其起源和后果，并且探究相关概念，其中两个概念分别是基于实践的知识的性质和结构以及一般证据的性质和结构。加拿大西部近期对护士的一项调查结果被用来说明，护士运用广泛的实践知识，其中很多是基于经验而非基于研究的。
