Evidence based practice (evidence based nursing, EBP, EBN)以证据为基础的实践（EBP，循证护理，护理）.pptVIP

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2018-04-14 发布于湖北
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Evidence based practice (evidence based nursing, EBP, EBN)以证据为基础的实践（EBP，循证护理，护理）.ppt

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Evidence based practice (evidence based nursing, EBP, EBN)以证据为基础的实践（EBP，循证护理，护理）

Evidence based practice(evidence based nursing, EBP, EBN) New information in the form of research findings will be incorporated constantly and knowledgeably into nursing practice Requires integration of best research with clinical expertise and the patient’s unique values and circumstances (Straus, 2005) Utilization of research Can take up to 17 years before significant research findings are implemented into clinical practice (Nalas Boren, 2000) EBP also includes making decision about individual patient, and quality and applicability of existing research, patients’ preferences, costs, clinical expertise, clinical setting, outcomes.. Clinical reality very different than research context. * Role of RN Critical link in bringing research-based changes into clinical practice Many organizations may not have the resources to ensure critical, succinct evaluation and application of research findings related to point of care delivery. How do these two issues merge? * Factors of EBN Collaboration, service, integration “ Shields” of practice, education and research can provide best care to patients. Library science, nursing services, nursing practice subcommittee (NPS), nursing education subcommittee (NES), nursing research subcommittee (NRS). * EBP 5 steps in the EBP process: 1. Asking clinical question in PICO format 2. efficient search for evidence based on the question 3. critical appraisal of research 4. implement evidence into practice in combination with clinicians’ expertise and patient preferences. 5 evaluation of identified outcomes in clinical setting. * Components of EBN Forming a clinical question-must design a clinical question using “background” (questions asked for general knowledge about a condition or thing) or “foreground” (questions asked about specific knowledge to inform clinical decisions). * PICO Mnemonic used to describe the four elements of a good clinical foreground question. P-patient (individual or group) I-intervention (cause or prognosis) th