我国护理领域证据临床转化研究的范围综述

目的:探讨我国护理领域内证据临床转化研究的现状、所依据的证据质量、研究方法及研究内容。方法:使用"证据转化""证据应用"等检索词在中国生物医学文献数据库、中国知网、万方数据库、维普中文科技期刊数据库中进行检索,应用Arksey和O’Malley的范围综述方法对文献进行分析。结果:共纳入152篇文献,95.4%的文献发表于2015年之后,92.1%的文献发表在护理类期刊上,27.0%的文献提供了系统的检索策略,43.3%的文献进行了方法学质量评价,74.3%的文献均没有对证据的可用性进行评价。证据转化以症状护理为主题的文献最多,占39.5%,87.5%的文献采用了前后对照方法来评价证据转化的效果,所有的研究均构建了综合性、多元化的证据转化策略,包括基于证据(42.1%)和基于障碍因素的干预策略(57.9%)。73.7%的文献采用了多元化指标对效果进行评价,仅有7.2%的文献提出了应维持证据在临床的持续应用。结论:我国护理领域内证据临床转化研究数量上呈现明显的增加趋势,但转化所依据的证据质量及研究方法尚需要加强,应采取策略推动证据在实践的持续应用。

Studies on evidence implementation in clinical nursing practice in China: a Scoping Review

Objective: To explore the status quo, quality of evidence, methods and contents of evidence implementation in nursing field in China. Methods: Four Chinese electronic databases were searched using keywords related to evidence implementation. All the literature was selected based on inclusion criteria and analyzed following a framework of Scoping Review proposed by Arksey and O’Malley. Results: A total of 152 articles were included. 95.4% of articles were published after 2015, 92.1% were published in journals related to nursing, 27.0% provided systematic searching strategies, 43.3% assessed the methodological quality of included articles. Yet, 74.3% did not assess the clinical applicability of evidence. Symptom management was the most popular topic of evidence implementation, which was up to 39.5%. 87.5% of articles adopted pre-and post-test study design to evaluate the effects of evidence implementation. All the literature developed multiinterventions, including evidence-based(42.1%) and barriers-based interventions(57.9%). 73.7% adopted multi-indicators for outcome evaluation while only 7.2% advocated for the continued evidence implementation. Conclusion: The amount of studies related to evidence implementation in nursing field in China has been increasing in recent years. However, quality of evidence and study methods of evidence implementation should be strengthened. It is recommended that strategies should be taken to promote continued evidence implementation.