临床护士循证实践能力培养策略

doi:10.3761/j.issn.1672-9234.2021.10.005

摘要/Abstract

摘要：

循证实践是临床护士应具备的核心能力要素之一,培养和提升其循证能力是当前护理学科教育发展的趋势。然而,目前我国临床护士在实施和运用循证实践的过程中仍存在巨大挑战,循证实践能力有待进一步提升。该文旨在对南方医科大学南方医院的相关培训经验进行总结,并提出临床护士循证实践能力培养过程中的注意事项,以期为其他医院开展临床护士循证培训提供参考。

关键词: 护士, 循证实践, 在职培训

Abstract:

Evidence-based practice is one of the core abilities of nurses. Cultivating and improving the evidence-based competence of nurses is the developmental trend of nursing education. However,there are still huge challenges in the implementation and use of evidence-based practice among nurses,and nurses’ evidence-based practice ability needs to be further improved. The purpose of this article is to summarize and report of the evidence-based training experience of nurses in Nanfang Hospital of Southern Medical University,and to propose strategies for training nurses’ evidence-based practice ability. Hopefully we can provide a reference for conducting evidence-based training for nurses.

Key words: Nurses, Evidence-Based Practice, Inservice Training

周春兰,吴艳妮,赵慧慧,陈丽玲,宋慧娟,吴金艳,王艳芳,区洁霞,刘颖. 临床护士循证实践能力培养策略[J]. 中华护理教育, 2021, 18(10): 888-892.

ZHOU Chun-lan,WU Yan-ni,ZHAO Hui-hui,CHEN Li-ling,SONG Hui-juan,WU Jin-yan,WANG Yan-fang,OU Jie-xia,LIU Ying. Strategies to improve evidence-based practice ability of nurses[J]. Chinese Journal of Nursing Education, 2021, 18(10): 888-892.

参考文献 22

[1]	Melnyk BM, Gallagher-Ford L, Zellefrow C, et al. The first US study on nurses’ evidence-based practice competencies indicates major deficits that threaten healthcare quality,safety,and patient outcomes[J]. Worldviews Evid Based Nurs, 2018, 15(1):16-25. doi: 10.1111/wvn.2018.15.issue-1
[2]	Renolen Å, Høye S, Hjälmhult E, et al. “Keeping on track”-hospital nurses’ struggles with maintaining workflow while seeking to integrate evidence-based practice into their daily work:a grounded theory study[J]. Int J Nurs Stud, 2018, 77:179-188. doi: S0020-7489(17)30213-4 pmid: 29100200
[3]	World Health Organization. European strategic directions for strengthening nursing and midwifery towards Health 2020 goals[EB/OL]. [2021-05-16]. https://www.euro.who.int/en.
[4]	Blackman IR, Giles TM. Can nursing students practice what is preached? Factors impacting graduating nurses’ abilities and achievement to apply evidence-based practices[J]. Worldviews Evid Based Nurs, 2017, 14(2):108-117. doi: 10.1111/wvn.12205
[5]	胡雁, 周英凤, 邢唯杰. 护理硕士专业学位研究生循证护理能力培养的实践与反思[J]. 中华护理教育, 2015, 12(10):734-737.
	Hu Y, Zhou YF, Xing WJ. Enhancing capacity of evidence-based nursing in students in master of nursing specialist programs:reflections from teaching and learning[J]. Chin J Nurs Educ, 2015, 12(10):734-737.
[6]	阮海涛, 李玲, 曾铁英. 循证护理临床实践障碍及应对策略的研究进展[J]. 护理学杂志, 2013, 28(21):94-97.
	Ruan HT, Li L, Zeng TY. Research progress of evidence-based nursing clinical practice obstacles and strategies[J]. J Nurs Sci, 2013, 28(21):94-97.
[7]	李正红, 高玉芳. 本科学历新护士循证护理现状调查及对策[J]. 齐鲁护理杂志, 2019, 25(6):55-59.
	Li ZH, Gao YF. Investigation and countermeasures of evidence-based nursing status of new nurses with bachelor degree[J]. J Qilu Nurs, 2019, 25(6):55-59.
[8]	林梦月, 陈亚梅, 曹品娟, 等. 炎症性肠病专业护士循证护理能力现状与影响因素分析[J]. 护士进修杂志, 2021, 36(6):550-555.
	Lin MY, Chen YM, Cao PJ, et al. Evidence-based nursing ability of specialized nurses with inflammatory bowel disease nurses and its influence factors[J]. J Nurses Train, 2021, 36(6):550-555.
[9]	周春兰, 王艳芳, 汪思祺, 等. 临床护理人员循证实践水平现况评估研究[J]. 中国医院管理, 2018, 38(8):64-66.
	Zhou CL, Wang YF, Wang SQ, et al. Evaluation study on the status quo of evidence-based practice level of clinical nursing personnel[J]. Chinese Hospital Management, 2018, 38(8):64-66.
[10]	Chen L, Wu Y, Zhou C, et al. Value,knowledge and implementation on evidence-based practice among nurse managers in China:a regional cross-sectional survey[J]. J Nurs Manag, 2020, 28(1):139-147. doi: 10.1111/jonm.v28.1
[11]	王艳芳. 中文版循证实践信念—知识—实施(Quick-EBP-VIK)量表的信效度检验及其应用[D]. 广州:南方医科大学, 2019.
	Wang YF. Reliability and validity test of the Chinese version of the Quick-EBP-VIK and its application[D]. Guangzhou:Southern Medical University, 2019.
[12]	Chen L, Wu Y, Wang S, et al. Construction of evidence-based practice competencies for nurses in China:a modified Delphi study[J]. Nurse Educ Today, 2021, 102:104927. doi: 10.1016/j.nedt.2021.104927
[13]	Hu MY, Wu YN, McEvoy MP, et al. Development and validation of the Chinese version of the evidence-based practice profile questionnaire(EBP2Q)[J]. BMC Medical Education, 2020, 20(1):280. doi: 10.1186/s12909-020-02189-z
[14]	Zhou C, Wang Y, Wang S, et al. Translation,cultural adaptation,validation,and reliability study of the Quick-EBP-VIK instrument:Chinese version[J]. J Eval Clin Pract, 2019, 25(5):856-863. doi: 10.1111/jep.v25.5
[15]	陈丽玲, 周春兰, 吴艳妮, 等. 临床护士参与循证实践培训体验的质性研究[J]. 护理学报, 2020, 27(23):49-52.
	Chen LL, Zhou CL, Wu YN, et al. Qualitative research on experience of clinical nurses in evidence-based practice training[J]. J Nurs(China), 2020, 27(23):49-52.
[16]	Wu Y, Brettle A, Zhou C, et al. Do educational interventions aimed at nurses to support the implementation of evidence-based practice improve patient outcomes? A systematic review[J]. Nurse Educ Today, 2018, 70:109-114. doi: 10.1016/j.nedt.2018.08.026
[17]	沈颖, 王莹, 覃秋萍, 等. 循证护理培训对新入职护士核心能力的效果评价[J]. 护理学杂志, 2020, 35(9):57-59.
	Shen Y, Wang Y, Qin QP, et al. The effect of evidence-based nursing training on clinical competence of newly employed nurses[J]. J Nurs Sci, 2020, 35(9):57-59.
[18]	Jordan Z, Lockwood C, Munn Z, et al. Redeveloping the JBI model of evidence based healthcare[J]. Int J Evid Based Healthc, 2018, 16(4):227-241. doi: 10.1097/XEB.0000000000000139
[19]	胡雁, 郝玉芳. 循证护理学[M]. 2版. 北京: 人民卫生出版社, 2018.
	Hu Y, Hao YF. Evidence-based nursing[M]. 2nd ed. Beijing: People’s Medical Publishing House, 2018.
[20]	Melnyk BM, Fineout-Overholt E, Giggleman M, et al. A test of the ARCC© model improves implementation of evidence-based practice,healthcare culture,and patient outcomes[J]. Worldviews Evid Based Nurs, 2017, 14(1):5-9. doi: 10.1111/wvn.2017.14.issue-1
[21]	Oh EG, Yoo JY. Experiences of evidence-based practice mentors:a phenomenological study[J]. Contemp Nurse, 2020, 56(4):331-343. doi: 10.1080/10376178.2020.1736593
[22]	Horntvedt MT, Nordsteien A, Fermann T, et al. Strategies for teaching evidence-based practice in nursing education:a thematic literature review[J]. BMC Med Educ, 2018, 18(1):172. doi: 10.1186/s12909-018-1278-z pmid: 30055612