正确认识循证护理推动护理发展

随着医疗护理技术的不断发展，人们对护理人员的素质和服务水平的要求也不断提高。在南丁格尔时代，医生护士的要求仅仅是忠诚和服从，而现在的医生和患者则希望护理人员能够不断充实自己，提高自己的能力，承担起护理人员的专业角色与功能，以满足病人生理、心理、社会精神、文化等多层次的健康需求。循证护理的出现使得这些愿望有了实现的可能。     

循证护理的实践模式

循证卫生保健(Evidence-based Health Care,EBHC)来源于英国临床流行病学家Archie Co-chrane关于"医疗卫生保健的疗效和效益问题"的阐述,他认为卫生资源是极为有限的,因此这些资源就应该被有效地利用;应通过评价,证明利用这些资源达到了理想的效果.     

循证护理实践

循证护理作为一种全新的、科学的工作方法,近年来在国内迅速发展,受到护理界的广泛关注.为推进循证护理在我国护理实践中的应用,对循证护理的定义、内涵,循证护理教育、循证护理信息资源、循证护理基本实践步骤以及循证护理实践中应注意的问题进行综述,以便为护理工作者奠定循证护理的理论和实践基础,将循证护理科学的运用于临床,为患者提供安全、优质、高效的护理服务.

Abstract：

As a newly and scientific method, evidence - based nursing had be rapidly developped. In this article, the definition, meaning, education, information resource, the step of basic practice and so on were summarized for advancing evidence - based nursing to be applied, so as to establish theory and practice foundation and provide safety, high quality and effective nursing to the patients     

肿瘤护理的循证实践

本文介绍了以循证为基础的实践(Evidence Based Practice,EBP)的起源、发展、概念、方法和过程,以及循证实践与肿瘤护理的密切联系,目的在于让肿瘤护士了解EBP的历史背景、发展过程、护士在EBP中发挥的作用以及肿瘤护士在推广和应用EBP的实践过程中遇到的挑战,以期切实将EBP融入临床护理中,从而为患者提供安全、有效和经济的高质量护理。     

循证护理在早产儿护理中的实践

目的探讨循证护理在早产儿护理中的运用。方法对35例住院早产儿干预组应用循证护理的方法进行系统干预，对37例住院早产儿对照组进行回顾性统计结果干预组早产儿的体重增长快，并发症发生率降低，患儿家属满意度明显提高，差异有显著性意义（p〈0.05）结论实施循证护理，能有效提高早产儿的护理质量，减少并发症的发生，促进早产儿的发育支持，增强护患关系。     

循证护理:理论与实践

长期以来 ,护理实践的特点就是按照工作程序提供护理服务 ,在用科学证据指导临床护理决策和行动方面存在局限性。在讲求证据的年代 ,护士应积极寻求现时的证据来更新知识结构 ,增强解决问题的能力 ,为病人提供高效优质的护理 ,以满足 2 1世纪循证的要求 ,迎接所面临的挑战。循证护理实践就是实现此目标的一个很好的方法。文章从认识循证医学的内涵及以科学证据为基础的实践对临床护理服务影响的角度出发 ,主要讨论证据的质量分级、循证护理实践的主要步骤及其与临床路径的相互关系、我国循证护理实践现状、护理人员实施循证护理面临的挑战。     

推广循证护理实践以促进护理学科的发展

近20年来,护理实践领域发生了很大变化。护理工作模式强调以服务对象为中心,强调护理人员能够为服务对象提供行之有效的健康服务;护理工作成效测量与评价被赋予了新的标准,护理干预的科学性、护理结果的有效性日益成为人们关注的焦点。这些变化促使护理从业者致力于发展护理专业的科学性,提高护理工作的科学内涵,如一些学者所言:“科学给了护理专业标准,艺术给了护理专业生命力”[1];“对科学的探索是专业的护理(professional nursing)区别于非专业的家庭照护(lay nursing)的显著特点”[2]。在这种背景下,循证理念在护理领域逐渐兴起,护理从…     

循证护理实践：护理学科发展的必然趋势

循证护理实践对促进护理决策的科学性、护理措施的有效性有着积极的意义,本文通过分析“循证护理”的概念、现况和发展趋势,探讨其对促进护理学科发展和临床护理质量提高的重要价值。     

循证实践模式及其相关护理研究

介绍了循证实践的内涵,我国循证护理实践存在的问题,护理实践知识转变星状模式及其应用,为循证护理研究和实践提供了借鉴.     

Thoughts about evidence-based nursing practice

This paper is an essay about evidence-based nursing practice, with an emphasis on evidence in the form of various types of theories developed by various modes of inquiry. The essay is the second in a series written to acknowledge the 25th anniversary of the founding of Nursing Science Quarterly.     

Symptom management excellence initiative: promoting evidence-based oncology nursing practice

Accessing and using the best evidence for cancer symptom interventions are prerequisites for nursing excellence. To incorporate evidence into direct care practice, staff at the Dana-Farber Cancer Institute implemented the Symptom Management Excellence initiative to compare patients' and nurses' reports of their most frequent and highest priority cancer symptoms. Interdisciplinary teams then convened to design and test the feasibility of bringing symptom management evidence into clinical practice. This article describes how the initiative has successfully used patient-reported data, direct-care nurse input, research evidence, and expert opinion to systematically improve cancer symptom management.     

护理人员对循证护理理解与实践的现状调查

[目的]了解护理人员对循证护理的理解程度和实践水平.[方法]采用自制的问卷对某大型三级甲等医院护理人员实施循证护理情况及其影响因素进行调查.[结果]不同学历、不同职称的护理人员对循证护理的了解情况存在差异,“不理解统计学”“没有时间阅读资料或研究相关内容”“觉得研究结果不能推广至实际工作环境”及“难以理解以英文出版的研究报告”等因素是护理人员实施循证护理的较大阻碍,护理人员认为最有效的改善措施为“提高管理层对实施研究结果的支持和鼓励”.[结论]护理人员尚缺乏对循证护理的了解,应尝试通过各种积极有效措施促进循证护理在我国的发展.     

Cancer nursing practice development: understanding breathlessness

This paper considers methodological and philosophical issues that arose during a multi-centre, randomized controlled trial of a new nursing intervention to manage breathlessness with patients with primary lung cancer. Despite including a diverse range of instruments to measure the effects of the intervention, the uniqueness of individuals' experiences of breathlessness were often hidden by a requirement to frame the study within a reductionist research approach. Evidence from the study suggests that breathlessness is only partly defined when understood and explored within a bio-medical framework, and that effective therapy can only be achieved once the nature and impact of breathlessness have been understood from the perspective of the individual experiencing it. We conclude that to work therapeutically we need to know how patients interpret their illness and its resultant problems and that this demands methodological creativity.     

Visions of evidence-based nursing practice

Sue Taylor and Davina Allen argue that there are two fundamental ideas behind evidence-based nursing practice in the UK and look at the tensions within them.