摘要
文章系统分析了我国护理领域证据转化研究中的常见问题,重点关注证据总结、循证护理实践和质量改进3个关键研究环节.各研究环节均存在对研究性质认识不清、方法学应用不当和缺乏科学理论指导等共性问题.文章针对问题提出了厘清循证护理实践、质量改进和证据总结之间的关系,重视其他类型的证据收集和评价,以情境为导向注重干预策略的选择和评价的科学性,引入"适应性设计"等改进策略.建议未来向"循证护理+"模式转变,通过概念认知更新、方法创新和实践革新,推动循证护理实践的持续发展.
Abstract
This paper systematically analyzes the common problems in knowledge translation research in the field of nursing in China,focusing on three key research components:evidence summary,evidence-based nursing practice,and quality improvement,which share common issues including insufficient understanding of research nature,inappropriate application of methodology,and lack of scientific theoretical guidance.The paper proposes several strategies for improvement:clarifying the relationships and definitions among the three components,emphasizing collection and evaluation of diverse evidence types,enhancing scientific rigor in context-oriented intervention selection and evaluation,and incorporating adaptive designs.Future directions suggest transitioning toward an"Evidence-based Nursing+"model,advancing evidence-based nursing practice through conceptual updates,methodological innovations,and practical reforms.
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