Implementation of evidence based practice in a development project on nurse students’ clinical education

H. Melender, Y. Hilli
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引用次数: 1

Abstract

Title: Implementation of evidence based practice in a development project on nurse students’ clinical education Synopsis: The evidence based practice (EBP) movement started at the beginning of 1970s in the field of medicine. The famous definition by Sackett et al. (1997, p. 2) defined evidence-based medicine as ‘the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients’. The idea of EBP was later introduced to other fields of professional practice in health and social care, as well as to the education of health professionals such as nursing education. The project named Knowledge in development (KID) focused on the development of clinical preceptorship in the context of nursing. Clinical preceptors are registered nurses and practical nurses who have the responsibilities of caring for patients and teaching nursing students at the same time. Nursing teachers working in the KID project were enthusiastic to implement the evidence based practice approach in the project work, by using different evidence bases. Purpose: The purpose of this article is to present how evidence based practices in the project work were implemented and to describe the experiences of the project group members about the implementation of EBP. Project setting: Two universities of applied sciences, two vocational institutes and four health-care organizations in Western Finland. Year of project: 2009-2013 Target readers: Primarily project practitioners, project managers and teachers on the health care sector. Lessons learned: Based on the experiences gained in this project, the use of an evidence based practice approach in planning and implementing a development project in health care clinical and educational settings is recommended.   Competencies highlighted: Information literacy Related theory: The structure of different evidence bases presented by Rycroft-Malone et al. (2004), including research, clinical experience, patients, clients and carers, and local context and environment.
循证实践在护生临床教育发展项目中的实施
摘要:循证实践(EBP)运动始于20世纪70年代初的医学领域。Sackett等人(1997,第2页)的著名定义将循证医学定义为“认真、明确和明智地使用当前最好的证据来做出关于个体患者护理的决定”。EBP的思想后来被引入到卫生和社会护理的其他专业实践领域,以及卫生专业人员的教育,如护理教育。这个名为“发展中的知识”(KID)的项目侧重于护理背景下临床指导的发展。临床指导员是指既要照顾病人又要教护生的注册护士和实习护士。参与KID项目的护理教师在项目工作中积极采用循证实践方法,采用不同的循证依据。目的:本文的目的是展示如何在项目工作中实施基于证据的实践,并描述项目组成员关于实施EBP的经验。项目设置:芬兰西部的两所应用科学大学、两所职业学院和四个保健组织。项目年份:2009-2013目标读者:主要是保健部门的项目从业人员、项目经理和教师。经验教训:根据在本项目中获得的经验,建议在卫生保健临床和教育环境中规划和实施发展项目时采用循证实践方法。相关理论:Rycroft-Malone等人(2004)提出的不同证据基础的结构,包括研究、临床经验、患者、客户和护理人员以及当地背景和环境。
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