Interventions to enhance the use of Evidence Based Decision Making for Quality Care among Nurses: A Systematic Review.

The East African health research journal Pub Date : 2024-01-01 Epub Date: 2024-03-28 DOI:10.24248/eahrj.v8i1.760
Safari Agure, Barbara Miyeso, Leyla Abdullahi
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Abstract

Background: Decision-making is the cognitive process that results in the selection of a course of action from several possible alternative options. The complexity of nurses' decisions requires a broad knowledge base and access to reliable sources of information; as well as a supportive working environment therefore requiring that decision making be evidence based with robust knowledge translation platforms to disseminate the evidence. This review aimed to assess interventions for enhancing the use of evidence-based decision making for quality care among nurses.

Methods: This study followed the Preferred Reporting Items for Systematic Review and Meta-Analysis review (PRISMA 2020) checklist. This study protocol was registered with PROSPERO number CRD42021262318.

Results: The search revealed a total of 143 papers divided as follows: PubMed- 65 papers, CINAHL 25 papers and Cochrane 53 papers. In addition, references of included studies were scanned manually for potential papers and another 46 papers extracted. A total of 133 papers were chosen for detailed extraction following removal of 10 duplicate studies.

Conclusion: Results of this review revealed that the interventions that have been used to enhance the use of evidence for decision making are majorly educational. A few interventions have taken the form of modelling, guidelines and programming. Online solutions have also been seen to enhance the use of evidence for clinical practice of nurses.

在护士中加强使用循证决策促进优质护理的干预措施:系统回顾。
背景:决策是从多个可能的备选方案中选择行动方案的认知过程。护士决策的复杂性要求其具备广泛的知识基础,能够获得可靠的信息来源;同时还要求有一个支持性的工作环境,因此决策必须以证据为基础,并有强大的知识转化平台来传播证据。本综述旨在评估在护士中加强使用循证决策促进优质护理的干预措施:本研究遵循了系统综述和荟萃分析首选报告项目(PRISMA 2020)清单。本研究方案已在 PROSPERO 注册,编号为 CRD42021262318:检索结果显示共有 143 篇论文,具体分布如下:PubMed-65篇,CINAHL-25篇,Cochrane-53篇。此外,还对纳入研究的参考文献进行了人工扫描,以寻找潜在的论文,并提取了另外 46 篇论文。在删除了 10 篇重复研究后,共选择了 133 篇论文进行详细提取:综述结果表明,为加强决策中对证据的使用而采取的干预措施主要是教育性的。少数干预措施采取了建模、指南和编程的形式。在线解决方案也被认为能促进护士在临床实践中使用证据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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