循证护理在临床护理实践中的应用

循证护理 (ｅｖｉｄｅｎｃｅｂａｓｅｄｎｕｒｓｉｎｇ ,ＥＢＮ)是循证医学在护理学领域的重要应用 ,是一种提高护理实践科学性和有效性的方法。它是将科研结论与临床护理实践、病人的需求有机结合的产物 ,对临床护理实践具有十分重要的指导意义。1　ＥＮＢ的概念　　ＥＢＮ是 2 0世纪 90年代受循证医学思想影响而产生的护理观念 ,同循证医学一样 ,其核心思想是在客观、明确、最新的科学证据基础上开展护理工作 ,在护理实践中利用已有最好的科学证据来决定对每个病人实施护理[1] 。ＥＢＮ的真实含义可理解为慎重、准确、明智地应用当前所获…     

循证护理在护理实践中的应用与探讨

循证护理（evidence based nursing，EBN）即以有价值的、可信的科学研究结果为证据，提出问题，寻找实证，用实证对患者实施最佳的护理。它是伴随循证医学的发展而出现的新护理模式。其强调在护理患者的过程中，应将个人的临床护理专业知识、现有的临床科学研究证据与患者的价值观和愿望结合起来，进行综合考虑，为每位患者提供最佳的护理方案。     

循证医学在临床护理实践中的应用

循证这一新概念越来越受到医学界的关注 ,在临床护理实践中的应用也日益广泛 ,将是 2 1世纪临床工作发展的必然趋势。综述了循证医学的起源与发展、应用于护理实践的意义 ,以及证据的获得和常用数据库。     

循证护理在产后尿潴留患者护理实践中的应用

循证护理为临床护理实践中的决策提供可靠的科学依据。通过将循证护理运用到产后尿潴留患的护理实践中，将传统的经验主义的护理模式向依据科学研究成果为基础的新型护理模式转变，使产后尿潴留的发生率大幅度降低。     

循证护理在骨科的运用体会

~~循证护理在骨科的运用体会@范柳宾$解放军第157医院骨科!广东广州510510循证;;实践;;护理     

我国循证护理实践中的问题及对策

循证护理 (Evidence—basednursing ,EBN)是伴随着循证医学的发展而出现的一种新的护理理念。如今 ,“循证”观念正在向许多其他学科渗透 ,如循证精神卫生、循证护理、循证卫生管理等。其中循证护理既是循证医学的重要组成部分 ,又是一独立的实践与研究领域 ,已引起世界上许多国家的重视。循证护理是护理人员在计划其护理活动过程中 ,将科研结论与临床经验 ,病人需求相结合 ,获取实证 ,作为临床护理决策的依据的过程[1] 。随着我国护理事业的发展 ,临床护理、护理科研和护理教育体系不断完善 ,以“实证”为基础的循证护理开始受到学术界和…     

循证医学在护理实践中的应用

循证医学是以证据为基础的医学，循证医学在护理学中的应用，即为循证护理，循证这一新概念越来越受到医学界的关注，在临床护理实践中的应用也日益广泛，将是21世纪临床工作发展的必然趋势，本文综述了循证医学、循证护理的概念，我国循证护理发展现状，应用于护理实践的意义，并提出循证护理是护理发展趋势的展望。     

循证护理在临床护理实践中的应用

目的掌握实践方法，遵循科学的原则和依据办事，提高护理质量。方法提出问题，收集相关最好研究证据，严格评价研究证据，结合患者具体情况，做出护理决策，评价效果，提高护士技术水平和护理质量。结果患者得到最佳护理，症状在短时间内改善，无一例投诉案件发生。结论循证护理可以帮助护理人员做出临床护理决策，制定护理计划，选择有效的、准确的护理措施。对患者实施优质的护理，提高患者的满意度，同时能够增强护理工作的科学性，促进护理质量的提高。     

循证护理在护理实践中的应用与存在的问题

20世纪90年代以来,循证医学(EBM)愈来愈受到广大医务人员的重视,EBM也运用到了临床护理实践的各个方面,如护理科研、护理管理和临床护理教学等。循证护理将帮助我们正确运用研究证据,在循证护理的指导下,临床护理质量及效率得到明显提高,进而促进了临床护理学的发展,使患者最大程度的受益,但就目前临床护理人员对循证护理的使用来看,存在对检索所得文献结论不加分析,评价就匆匆应用的问题。     

循证护理理论与其在护理实践中的应用

循证护理是近年来护理领域发展的新趋势,该文综述了循证护理的历史背景、概念及内涵,从循证护理能促进护理学科的发展、能促进护理科研成果在临床中的应用、能促进护理人员知识的更新及科研水平的提高、能提高工作效率、改善护患关系以及循证护理是整体护理的延伸和完善等方面论述了实施循证护理的意义,旨在帮助护理人员认识循证护理,推动及促进循证护理在我国的开展,为服务对象提供更优质的护理。循证护理能提高护理实践的科学性,并促进护理理论的发展,指导护理实践,通过实践验证过程,对建立护理学科的科学性和提高护理服务的有效性有着积极的促进作用。     

Nursing based evidence: moving beyond evidence-based practice in mental health nursing

Various authors suggest mental health nursing is dominated by knowledge borrowed from psychiatry, pharmacology and the behavioural sciences. These disciplines favour knowledge developed using quantitative methodologies so they and evidence-based practice (EBP) and evidence-based nursing (EBN), increasingly called for in mental health nursing, fit seamlessly together. Nevertheless, as these movements dismiss qualitative approaches to knowledge (evidence) development, I argue against the move toward EBP/EBN in mental health nursing. This is because the specialty's primary interests - human experiences of illness/health care and human relationships, often do not lend themselves to being quantitatively researched. Using nursing examples, I demonstrate how qualitative research, wholly unacceptable in relation to EBP/EBN quality of evidence scales, is indispensable to mental health nursing. The need for evidence arising from qualitative research in no way precludes the need for quantitatively derived evidence. Indeed, the specialty's twofold interest - the work of nurses with clients and the explication of phenomena which inform practice, require diverse knowledge and thus, diverse research approaches. This twofold interest defines the area of mental health nursing practice, and knowledge informing it is referred to as nursing based evidence (NBE). Because it values multiple approaches to knowledge development, NBE provides a way to articulate the specialty's distinct contribution to the health care of people experiencing mental illness and advances mental health nursing.     

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。     

Evidence‐based nursing: clarifying the concepts for nurses in practice

Aim. To provide a critical analysis of key concepts associated with evidence‐based nursing (EBN) to substantiate an operational definition for nurses to use in practice. Background. Despite the plethora of literature surrounding what evidence‐based nursing is and is not and how it differs from its cousins, evidence‐based medicine and evidence‐based practice, nurses still struggle to get evidence into practice. Several reasons for this have been reported, for example, a lack of understanding about what evidence‐based nursing means or time to engage with and apply the evidence into practice. Design. An in‐depth critical review and synthesis of literature was undertaken. Method. Using the key words; evidence‐based nursing, evidence‐based medicine and evidence‐based practice 496 articles were yielded. These articles were limited to 83. Using Burns and Grove’s (2001) phased approach to reviewing the literature the articles were critically reviewed and categorised into key concepts and themes. Results. The in‐depth critical review and synthesis of the literature demonstrated that evidence‐based nursing could be defined as a distinct concept. The review clearly shows that for evidence‐based nursing to occur, nurses need to be aware of what evidence‐based nursing means, what constitutes evidence, how evidence‐based nursing differs from evidence‐based medicine and evidence‐based practice and what the process is to engage with and apply the evidence. Conclusion. The in‐depth critical review and synthesis of the evidence‐based nursing literature reinforces the need to consolidate a position for nursing in the evidence‐based field. The review confirms that evidence‐based nursing can be defined and conceptualised; however, for nurses to engage and apply with the evidence‐based processes they need to be informed of what these are and how to engage with them in practice. Relevance to clinical practice. This paper examines the concept of evidence‐based nursing and its application to clinical practice.     

循证护理及临床护理路径在糖尿病病人护理中的应用

综述了循证护理、临床护理路径在糖尿病(DM)护理中的应用,提出DM护理应在科学、规范的护理理论指导下,从传统的经验护理向科学、规范、个性化的护理转变。     

循证护理在外科护理学教学中的实践

以循证护理理论为基础,改变外科护理学传统教学模式。在理论教学与实践教学中应用循证护理理念,缩小教学与临床的差距,培养学生的循证思维与循证实践能力,学会应用护理科研成果以提高临床护理质量。     

Integrating the online nursing evidence‐based information resources for evidence‐based nursing study in China

At present Chinese nurses could not get the up‐to‐date and high‐quality evidences efficiently and conveniently due to language barrier and other practical difficulties. This program built a Chinese website of integrated evidence‐based network information resources for EBN studies. Researchers hope to provide practical guidance and advice for nurses in non‐English‐speaking countries..     

Conceptions of evidence, evidence-based medicine, evidence-based practice and their use in nursing: independent nurse prescribers' views

Aim. The purpose of this study was to explore nurses’ conceptions of evidence and evidence‐based practice, whether there are differences between evidence‐based practice and evidence‐based medicine and to identify the uptake of research evidence in the workplace. Background. The use and comprehension of the term ‘evidence‐based practice’ in relation to nursing shows remarkable variation. Numerous definitions are provided, some tend to be closely related to the concept ‘evidence‐based medicine’. Independent nurse prescribers need to be able to understand the concept of evidence‐based practice to utilize and apply this concept in order to provide adequate medication management of their patients. Method. Data were generated by focus group interview and open question questionnaire and analysed by analytical abstraction. Results. Nurses offered a variety of views on the use and uptake of evidence in the workplace. Some nurses acknowledged that they did not read research papers but were aware that they used a lot of evidence in their practice. Nurses had difficulty differentiating evidence‐based practice from evidence‐based medicine. Conclusions. Nurses were familiar with the research process but not the canons of evidenced‐based practice. The data generated indicate different levels of evidence are used by nurses. This may be a reflection of the level of intrigue of the nurses involved. Relevance to clinical practice. The education and training of independent nurse prescribers should include the exploration of evidence from randomized controlled trials and from naturalistic studies and their contribution to evidenced‐based practice and evidence‐based medicine. Both concepts need to be explored in relation to the medication management of patients.     

循证护理对临床护理管理的启示

循证护理作为护理学科的新领域,对护理学科的发展起到十分重要的推动作用,可以在包括护理行政管理、查房管理、带教管理、科研管理、健康教育等多个方面为临床护理管理提供启示,作为临床护理管理者要掌握并灵活运用循证护理以促进护理学科的发展.     

循证护理实践在高血压患者中的应用

目的探索一条可有效提高高血压患者知晓率、治疗率、控制率“三低”的途径。方法运用循证护理实践将相关文献资料、临床经验和医院条件,成立了“高血压健康之友”活动教室．针对患者提出的许多问题,依据循证资料进行解答,并对患者进行评估、个别咨询。集中授课等形式进行健康教育。结果患者对特定知识的知晓率为98．5％,治疗依从性为89％,血压控制在稳态为91％。结论运用循证护理实践的方法可有效改变高血压患者“三低”的状态。     

循证护理在口腔科临床带教中的应用及效果

目的评价循证护理模式应用于临床护理教学效果的影响。方法将循证护理模式应用于临床护理教学,选取我科26名护士和12名实习护生作为调查对象,分别在实施教学前和教学后对其理论知识、操作技能、沟通能力和知识应用4个方面进行考核对比。结果应用循证护理模式进行护理教学后,调查对象的综合能力得到显著提高,差异具有统计学意义(P<0.01)。结论将循证护理模式应用于临床护理教学可明显改善教学质量,促进各项护理技能得到提高。