构建证据生态系统,推动循证护理实践发展
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摘要
在证据转化的大背景下,为推动证据从产生到应用的持续循环,本文系统介绍了MAGIC国际组织推出的证据生态系统的内涵、循环过程的6个环节,提出了推动证据在生态系统良性循环的四大策略,并探讨了证据生态系统对推动循证护理实践发展的意义。
Under the background of evidence translation,to promote the continuous cycle of evidence from generation to application,this article introduced the concept of evidence ecosystem established by the international organization of MAGIC.And this article also analyzed six stages of flowing process and proposed four strategies for promoting evidence circulating in the system.Finally,this article discussed how to promote the development of evidence-based nursing practice through establishment evidence ecosystem in nursing field.
Under the background of evidence translation,to promote the continuous cycle of evidence from generation to application,this article introduced the concept of evidence ecosystem established by the international organization of MAGIC.And this article also analyzed six stages of flowing process and proposed four strategies for promoting evidence circulating in the system.Finally,this article discussed how to promote the development of evidence-based nursing practice through establishment evidence ecosystem in nursing field.
引文
[1] Graham I D,Logan J,Harrison M B,et al.Lost in knowledge translation:Time for a map[J].Journal of Continuing Education in the Health Professions,2006,26(1):13-24.
[2]朱政,胡雁,周英凤,等.构建数据化和可信的证据生态系统:首届全球循证高峰论坛[J].中国循证医学杂志,2017,17(12):1378-1380.
[3] MAGIC.Making GRADE the irresistible choice[EB/OL][2018-12-11].http://magicproject.org/about/.
[4] Magicproject.The digital and trustworthy evidence ecosystem:Personalised eHealth solutions to increase value and reduce waste in health care[EB/OL][2018-12-10].http://magicproject.org/research-and-tools/the-evidence-ecosystem/.
[5] Sudsawad P.Knowledge translation:Introduction to models,strategies,and measures[M].Austin:Southwest Educational Development Laboratory,National Center for the Dissemination of Disability Research,2007.
[6] Shepherd J.How to achieve more effective services:The evidence ecosystem[C].Cardiff University,2014:1-55.
[7] Jordan Z,Lockwood C,Aromataris E,et al.The updated JBI model for evidence-based healthcare[S].The Joanna Briggs Institute,2016.
[8] Chalmers I,Glaziou P.Avoidable waste in the production and reporting of research evidence[J].Lancet,2009,374(9683):86-89.
[9] NHRMC.Better informed health care through better clinical guidelines[EB/OL][2018-12-12].https://consultations.nhmrc.gov.au/files/consultations/drafts/clinical guidelines draft discussion paper.pdf,2015-12.
[10] Thomas J,Noel-Storr A,et al.Living systematic reviews:2.Combining human and machine effort[J].Journal of Clinical Epidemiology,2017,91:31-37.
[11] Elliott J H,Turner T,et al.Living systematic reviews:An emerging opportunity to narrow the evidence-practice gap[J].PLoS Med,2014,11(2):e1001603.
[12] Morris Z,Wooding S.The answer is 17years,what is the question:Understanding time lags in translational research[J].Journal of the Royal Society of Medicine,2011,104(12):510-520.
[13] Grilli R,Magrini N,Penna A,et al.Practice guidelines developed by specialty societies:The need for a critical appraisal[J].Lancet,2000,355(9198):103-106.
[14]徐俊峰,安妮,周为文,等.《中国循证医学杂志》发表的干预类系统评价/meta分析方法学质量评价[J].中国循证医学杂志,2013,13(5):605-611.
[15] International Council of Nurses.Closing the gap:From evidence to action[EB/OL][2018-12-12].http://www.icn.ch/publications/2012-closing-the-gap-from-evidence-to-action/.
[16]胡雁,郝玉芳.循证护理学[M].北京:人民卫生出版社,2018:223-225.
[17]何梦雪,胡雁,应峻.我国干预性护理研究论文的质量评价[J].中华护理杂志,2012,47(7):588-590.
[18]唐琪,靳英辉,孙文茜,等.2012年-2015年国内护理领域系统评价及meta分析的方法学质量评价[J].护理研究,2016,30(10):3578-3581.
[19]王云云,靳英辉,梅晓凤,等.2014年-2016年中国临床护理实践指南的质量评价[J].护理研究,2018,32(5):665-673.
[20]王春青,胡雁,王旖磊,等.临床护理人员证据应用培训需求及影响因素分析[J].中华现代护理杂志,2017,23(16):2105-2108.
[21]朱政,邢唯杰,胡雁,等.证据传播平台的建设与效果评价[J].中华护理杂志,2017,52(3):271-274.
[22]周英凤,胡雁,邢唯杰,等.证据转化与临床应用培训项目的设计与实施[J].护理学杂志,2018,33(12):59-62.
[2]朱政,胡雁,周英凤,等.构建数据化和可信的证据生态系统:首届全球循证高峰论坛[J].中国循证医学杂志,2017,17(12):1378-1380.
[3] MAGIC.Making GRADE the irresistible choice[EB/OL][2018-12-11].http://magicproject.org/about/.
[4] Magicproject.The digital and trustworthy evidence ecosystem:Personalised eHealth solutions to increase value and reduce waste in health care[EB/OL][2018-12-10].http://magicproject.org/research-and-tools/the-evidence-ecosystem/.
[5] Sudsawad P.Knowledge translation:Introduction to models,strategies,and measures[M].Austin:Southwest Educational Development Laboratory,National Center for the Dissemination of Disability Research,2007.
[6] Shepherd J.How to achieve more effective services:The evidence ecosystem[C].Cardiff University,2014:1-55.
[7] Jordan Z,Lockwood C,Aromataris E,et al.The updated JBI model for evidence-based healthcare[S].The Joanna Briggs Institute,2016.
[8] Chalmers I,Glaziou P.Avoidable waste in the production and reporting of research evidence[J].Lancet,2009,374(9683):86-89.
[9] NHRMC.Better informed health care through better clinical guidelines[EB/OL][2018-12-12].https://consultations.nhmrc.gov.au/files/consultations/drafts/clinical guidelines draft discussion paper.pdf,2015-12.
[10] Thomas J,Noel-Storr A,et al.Living systematic reviews:2.Combining human and machine effort[J].Journal of Clinical Epidemiology,2017,91:31-37.
[11] Elliott J H,Turner T,et al.Living systematic reviews:An emerging opportunity to narrow the evidence-practice gap[J].PLoS Med,2014,11(2):e1001603.
[12] Morris Z,Wooding S.The answer is 17years,what is the question:Understanding time lags in translational research[J].Journal of the Royal Society of Medicine,2011,104(12):510-520.
[13] Grilli R,Magrini N,Penna A,et al.Practice guidelines developed by specialty societies:The need for a critical appraisal[J].Lancet,2000,355(9198):103-106.
[14]徐俊峰,安妮,周为文,等.《中国循证医学杂志》发表的干预类系统评价/meta分析方法学质量评价[J].中国循证医学杂志,2013,13(5):605-611.
[15] International Council of Nurses.Closing the gap:From evidence to action[EB/OL][2018-12-12].http://www.icn.ch/publications/2012-closing-the-gap-from-evidence-to-action/.
[16]胡雁,郝玉芳.循证护理学[M].北京:人民卫生出版社,2018:223-225.
[17]何梦雪,胡雁,应峻.我国干预性护理研究论文的质量评价[J].中华护理杂志,2012,47(7):588-590.
[18]唐琪,靳英辉,孙文茜,等.2012年-2015年国内护理领域系统评价及meta分析的方法学质量评价[J].护理研究,2016,30(10):3578-3581.
[19]王云云,靳英辉,梅晓凤,等.2014年-2016年中国临床护理实践指南的质量评价[J].护理研究,2018,32(5):665-673.
[20]王春青,胡雁,王旖磊,等.临床护理人员证据应用培训需求及影响因素分析[J].中华现代护理杂志,2017,23(16):2105-2108.
[21]朱政,邢唯杰,胡雁,等.证据传播平台的建设与效果评价[J].中华护理杂志,2017,52(3):271-274.
[22]周英凤,胡雁,邢唯杰,等.证据转化与临床应用培训项目的设计与实施[J].护理学杂志,2018,33(12):59-62.