我国循证护理实践中证据应用概念模式的构建
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女,博士,讲师

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2016国家自然科学基金(71673057);2016国家留学基金委公派留学奖学金(201606100196)


Development of a conceptual model of evidence implementation in nursing practice in China
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    摘要:

    目的 构建我国循证护理实践中证据应用概念模式。方法 采用建构扎根理论的方法对参与我国大陆24项以证据应用为目 的的循证护理实践项目的56名人员进行了非结构式个人深入访谈,首先通过初始编码分析转录资料,然后进行聚焦编码同时收 集项目相关文本资料。结果 构建了以生根为核心的我国循证护理实践中证据应用过程的概念模式,包括证据应用的过程、影响 因素和一线护理管理者推动证据应用的领导力三部分。结论 证据应用是一个具有四个阶段的持续循环,证据应用的影响因素需 持续评估,并重视护理管理者在证据应用中的作用。来自卫生保健系统中的各个层面的人士需要积极参与循证护理实践,在系统 层面营造支持性的氛围,采用有针对性的应用策略,有效并可持续地使循证护理理念和证据内容在系统流程、日常护理实践和护 士专业能力发展中生根。

    Abstract:

    Objective To develop a conceptual model of evidence implementation in nursing practice in China. Methods A grounded theory study using unstructured in-depth individual interviews was conducted with 56 participants involved in 24 evidence-based nursing implementation projects in Mainland China. Projects related documents were also collected. Transcribed data were analyzed first by initial coding, and then focal coding with constant comparison was processed. Results A model with the core "taking root" was developed to describe evidence implementation in nursing practice in China.This model included three components, including the evidence implementation process, influencing factors and Chinese nursing managers′ leadership practice to promote evidence implementation. Conclusion evidence implementation is a sustaining cycle of 4 stages.The influencing factors requires persistent evaluation, and the role of nursing managers should be prized.Involvement of various levels of the healthcare workers in evidence implementation process should be encouraged. With the help of a supportive system, and targeted strategies, the concept of evidence-based nursing and evidence itself will be able to effectively and sustainably "take root" in the system, in daily caring work, as well as in nurses′ professional development.

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成磊,冯升,胡雁,Marrion E. Broome.我国循证护理实践中证据应用概念模式的构建[J].护理学杂志,2019,34(3):72-77

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  • 收稿日期:2018-09-11
  • 最后修改日期:2018-11-20
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  • 在线发布日期: 2022-08-09