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題名：實證健康照護在臨床護理發展歷史與現況簡介
書刊名：護理雜誌
作者：蔡榮美
作者(外文)：Tsai, Jung-mei
出版日期：2014
卷期：61:6
頁次：頁17-22
主題關鍵詞：實證健康照護；臨床護理；歷史；Evidence-based healthcare；Clinical nursing；History
原始連結：連回原系統網址new window
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  • 共同引用共同引用:19
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實證健康照護（evidence-based healthcare）的實踐，是指將最好的研究證據、病人價值觀及專家意見等，整合至臨床決策。護理是實踐科學知識的專業學門，在醫療知識快速更新的時代，臨床護理人員提供民眾有效率及高品質醫療服務時需具備且應用專業的實證能力，因此實證健康照護的專業執行能力已經成為護理專業人員必須具備的核心能力。美國IOM（Institute of Medicine）指出實證研究結果往往無法有效傳達給臨床照護的決策者，故培養臨床護理人員具備實證健康照護的能力，是推展實證照護的基礎及重要議題。本文以實證健康照護的重要性、影響臨床實證健康照護推動之因素、及增加臨床運用實證健康照護之策略等三方面，說明實證健康照護在臨床護理發展歷史與現況，進而提供護理人員日後在實證健康照護教學與臨床實踐之參考。
Evidence-based healthcare (EBHC) emphasizes the integration of the best research evidence with patient values, specialist suggestions, and clinical circumstances during the process of clinical decision- making. EBHC is a recognized core competency in modern healthcare. Nursing is a professional discipline of empirical science that thrives in an environment marked by advances in knowledge and technology in medicine as well as in nursing. Clinical nurses must elevate their skills and professional qualifications, provide efficient and quality health services, and promote their proficiency in EBHC. The Institute of Medicine in the United States indicates that evidence-based research results often fail to disseminate efficiently to clinical decision makers. This problem highlights the importance of better promoting the evidence-based healthcare fundamentals and competencies to frontline clinical nurses. This article describes the historical background and present development of evidence-based healthcare from the perspective of modern clinical nursing in light of the importance of evidence-based healthcare in clinical nursing; describes the factors associated with evidence-based healthcare promotion; and suggests strategies and policies that may improve the promotion and application of EBHC in clinical settings. The authors hope that this paper provides a reference for efforts to improve clinical nursing in the realms of EBHC training, promotion, and application.
期刊論文
1.Fitzsimons, E、Cooper, J.(2012)。Embedding a culture of evidenced-based practice。Nursing Management，19(7)，14-19。  new window
2.蔡玉梅、郭倩琳、鄭夙芬(20100600)。臨床護理人員執行實證實務影響因素之探討。護理暨健康照護研究，6(2)，79-88。new window  延伸查詢new window
3.李佳諭、王維芳、張瑩如(20110400)。實證護理培訓課程對護理人員實證護理知識、態度及行為之成效探討。新臺北護理期刊，13(1)，19-31。  延伸查詢new window
4.陳玉枝(2014)。實證護理概念與臨床應用。領導護理，15(2)，2-12。  延伸查詢new window
5.蔡榮美、吳育弘(2012)。馬偕醫院實證競賽參賽及推動經驗分享。台灣實證醫學學會會刊，3(3)，19-21。  延伸查詢new window
6.穆佩芬(2009)。Joanna Briggs Institute之簡介。全聯護訊，68，13-14。  延伸查詢new window
7.Adib-Hajbaghery, M.(2007)。Factors facilitating and inhibiting evidencebased nursing in Iran。Journal of Advanced Nursing，58(6)，566-575。  new window
8.Ciliska, D. K.、Pinelli, J.、DiCenso, A.、Cullum, N.(2001)。Resources to enhance evidence-based nursing practice。Advanced Practice in Acute & Critical Care，12(4)，520-528。  new window
9.Cook, D. J.、Jaeschke, R.、Guyatt, G. H.(1992)。Critical appraisal of therapeutic interventions in the intensive care unit: Human monoclonal antibody treatment in sepsis. Journal Club of the Hamilton Regional Critical Care Group。Journal of Intensive Care Medicine，7(6)，275-282。  new window
10.Dysart, A. M.、Tomlin, G. S.(2002)。Factors related to evidence-based practical among U.S. occupational therapy clinicians。American Journal Occupational Therapy，56(3)，275-284。  new window
11.Flores-Mateo, G.、Argimon, J. M.(2007)。Evidence based practice education in postgraduate health care: A systematic review。BMC Health Services Research，7，119-10。  new window
12.Guyatt, G.、Cook, D.、Haynes, B.(2004)。Evidence based medicine has come a long way。British Medical Journal，329(7473)，990-991。  new window
13.Lake, A. P. J.(2006)。EBM for the future。Journal of Evaluation in Clinical Practice，12(4)，433-437。  new window
14.Meats, E.、Heneghan, C.、Crilly, M.、Glasziou, P.(2009)。Evidence-based medicine teaching in UK medical schools。Medical Teacher，31(4)，332-337。  new window
15.Sigma Theta Tau International 2005-2007 Research and Scholarship Advisory Committee(2008)。Sigma theta tau international position statement on evidence-based practice February 2007 summary。Worldviews on Evidence-Based Nursing，5(2)，57-59。  new window
16.Tsai, J. M.、Wu, Y. H.、Yu, S.、Li, J. Y.、Buttrey, M. J.(2014)。Validated Chinese translation of the Fresno test for evidence-based health care training。International Journal of Gerontology，8(4)，209-212。  new window
17.郭雪敏、林貞秀、李秀現、張美珍、范聖心、張瑩如(20110400)。營造實證實務組織文化--實證護理與能力進階制度結合之經驗。護理雜誌，58(2)，68-74。new window  延伸查詢new window
18.陳杰峰、邱文達(20080700)。實證醫學之知識轉譯地圖。臺灣醫學，12(4)，455-460。  延伸查詢new window
19.黃靜宜、黃素猜、李雅文、廖以誠、張淑真(20061000)。中部某醫學中心推動實證護理經驗。護理雜誌，53(5)，52-57。new window  延伸查詢new window
20.Brown, C. E.、Wickline, M. A.、Ecoff, L.、Glaser, D.(2009)。Nursing practice, knowledge, attitudes and perceived barriers to evidence-based practice at an academic medical center。Journal of Advanced Nursing，65(2)，371-381。  new window
21.蔣立琦(2014)。護理新視界--實證護理的演變與發展。護理雜誌，61(4)，85-94。new window  延伸查詢new window
22.Retsas, A.(2000)。Barriers To Using Research Evidence In Nursing Practice。Journal of Advanced Nursing，31(3)，599-606。  new window
23.Mohide, E. A.,、King, B.(2003)。Building a foundation for evidence-based practice: experiences in a tertiary hospital。Evidence Based Nursing，6(4)，100-103。  new window
圖書
1.Mason, D. J.、Leavitt, J. K、Chaffee, M. W.(2012)。Policy and politics in nursing and health care。St. Louis, MO：Elsevier Saunders。  new window
2.Institute of Medicine、Olsen, L.、Aisner, D.、McGinnis, J. M.(2007)。The learning healthcare system: Workshop summary。Washington, DC：The National Academies Press。  new window
3.Rycroft-Malone, J.、Harvey, G.、Kitson, A.、Seers, K.、Titchen, A.、McCormack, B.(2003)。Getting evidence into practice: The experience of practitioners。London, England：Royal College of Nursing。  new window
4.Sackett, D. L.、Straus, S. E.、Richardson, W. S.、Rosenberg, W.、Haynes, R. B.(2000)。Evidencebased medicine: How to practice and teach EBM。London, England：Churchill Livingstone。  new window
5.Streiner, D.、Norman, G. R.(2008)。Health measurement scales: A practical guide to their development and use。New York, NY：Oxford University Press。  new window
6.Cochrane, A. L.(1972)。Effectiveness and efficiency: Random reflections on health services。Cambridge, UK：London, England：Cambridge University Press：Royal Society of Medicine Press。  new window
 
 
 
 
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