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出 处:《中国循证医学杂志》2007年第7期542-546,共5页Chinese Journal of Evidence-based Medicine
摘 要:目的通过对中国近年来发表的循证护理文献进行回顾调查,探析“循证”冠名的中国护理文献发表现状及中国护理人员开展循证护理时存在的问题和难点。方法检索中国科技期刊数据库2000~2006年初6种中文护理期刊,对其以“循证”冠名的中国护理文献进行分类和分析。结果①循证护理研究类型正从理论探讨向临床应用转化。②90.9%的临床研究文献没有说明检索证据的路径与策略,63.6%没有说明所遵循的研究证据的来源途径。③93.9%未说明研究证据的质量等级,运用SR及RCT研究结果指导临床实践的仅占6.1%。④72.7%缺乏有效方法评价循证护理的实际效果。结论“循证”冠名的中国护理文献的内涵质量有待提高,中国护士需要学习更多的有关循证实践的知识与技能,以促进临床护理实践,并提高循证相关的护理研究文献的质量。Objective To explore the characteristics of articles related to Evidence-based Nursing (EBN) and to identify the problems and difficulties encountered by clinical nurses when they were engaged in evidence-based practice in China. Methods We searched for articles published in 6 nursing journals in China from 2000 to early 2006, and classified, investigated and analyzed the retrieved articles. Results Research on EBN has been changing from explaining theories and methods to applying research results in nursing practice. Among articles on clinical application, 90.9% did not describe the methods and search strategy used; 63.6% did notspecify the sources of the evidence applied in practice; 93.9% did not describe the methodological quality of the evidence; only 6.1% used the results of systematicreviews or randomized trials to guide clinical practice; and 72.7% did not use effective evaluation methods to identify the nursing outcomes after applying evidences in clinical practice. Conclusions The quality of EBN related artides needs to improve further. Nurses should learn more about the knowledge and skills associated with EBN so as to improve the quality of nursing practice and of academicarticles on EBN.
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