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題名:精準護理--以人為本的知識轉譯
書刊名:護理雜誌
作者:蔣立琦葉美玲 引用關係蘇遂龍
作者(外文):Chiang, Li-chiYeh, Mei-lingSu, Sui-lung
出版日期:2016
卷期:63:6
頁次:頁23-29
主題關鍵詞:精準醫學精準護理實證護理知識轉譯Precision medicinePrecision nursingEvidence-based nursingKnowledge translation
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(3) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:3
  • 共同引用共同引用:0
  • 點閱點閱:18
美國總統歐巴馬宣告精準醫學的新時代,精準醫學倡議(precision medicine initiative)旨在發展考量個體差異的預防和治療,以加速個人化醫學的進步。最近快速發展的大規模生物數據庫(如人類基因組序列)用於區別病人特質(如:基因組學、微生物、多樣的生物標記物,甚至藥物基因組學),以及大數據分析的計算工具,可以提供精準醫藥的無限潛力。護理科學的未來發展,應遵循和緊跟上時代潮流,更清楚地闡明發展實徵性(empirical)的護理知識和專長,以及個人化護理的立場領域。護理科學家需要的是一個更廣泛的研究主題,以鼓勵創新的方法學來發展個人化精準護理,嚴格檢驗它們,最終並利用大數據來建立實證引導臨床實踐的需要。個人化精準護理包括解釋個人化的訊息、基因檢測、病人倡導和支持,並在整個疾病的軌跡共同參與決策支持,還必須注意家庭和個人化照護方式之倫理考量。護理人員面臨擁護精準護理的典範轉移,盡力推動跨領域學科合作,為病人提供最佳適配的個人化護理。最終能夠實現精準護理的潛力,以提供促進人們達到最好的身體健康機會。
U.S. President Obama announced a new era of precision medicine in the Precision Medicine Initiative (PMI). This initiative aims to accelerate the progress of personalized medicine in light of individual requirements for prevention and treatment in order to improve the state of individual and public health. The recent and dramatic development of large-scale biologic databases (such as the human genome sequence), powerful methods for characterizing patients (such as genomics, microbiome, diverse biomarkers, and even pharmacogenomics), and computational tools for analyzing big data are maximizing the potential benefits of precision medicine. Nursing science should follow and keep pace with this trend in order to develop empirical knowledge and expertise in the area of personalized nursing care. Nursing scientists must encourage, examine, and put into practice innovative research on precision nursing in order to provide evidence-based guidance to clinical practice. The applications in personalized precision nursing care include: explanations of personalized information such as the results of genetic testing; patient advocacy and support; anticipation of results and treatment; ongoing chronic monitoring; and support for shared decision-making throughout the disease trajectory. Further, attention must focus on the family and the ethical implications of taking a personalized approach to care. Nurses will need to embrace the paradigm shift to precision nursing and work collaboratively across disciplines to provide the optimal personalized care to patients. If realized, the full potential of precision nursing will provide the best chance for good health for all.
期刊論文
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2.Charles, Cathy、Gafni, Amiram、Whelan, Tim(1997)。SHARED Decision-Making In The medical encounter: What does it mean? (Or it takes at least two to tango)。Social Science & Medicine,44(5),681-692。  new window
3.Sackett, D. L.(1997)。Evidence-based medicine。Seminars in Perinatology,21(1),3-5。  new window
4.Balas, E. A.、Weingarten, S.、Garb, C. T.、Blumenthal, D.、Boren, S. A.、Brown, G. D.(2000)。Improving Preventive Care by Prompting Physicians。Archives of Internal Medicine,160(3),301-308。  new window
5.Straus, S. E.、Tetroe, J.、Graham, I.(2009)。Defining knowledge translation。CMAJ: Canadian Medical Association Journal,181(3/4),165-168。  new window
6.Straus, S. E.、Tetroe, J. M.、Graham, I. D.(2011)。Knowledge translation is the use of knowledge in health care decision making。Journal of Clinical Epidemiology,64(1),6-10。  new window
7.Alangari, A. A.(2010)。Genomic and non-genomic actions of glucocorticoids in asthma。Annals of Thoracic Medicine,5(3),133-139。  new window
8.Callahan, J. L.、Heath, C. J.、Aubuchon-Endsley, N. L.、Collins, F. L. Jr.、Herbert, G. L.(2013)。Enhancing information pertaining to client characteristics to facilitate evidence-based practice。Journal of Clinical Psychology,69(12),1239-1249。  new window
9.Charles, Cathy、Gafni, Amiram、Whelan, Tim(1999)。Decision-making in the physician-patient encounter: Revisiting the shared treatment decision-making model。Social Science & Medicine,49(5),651-661。  new window
10.Chen, C. H.、Lee, C. S.、Lee, M. T. M.、Ouyang, W. C.、Chen, C. C.、Chong, M. Y.、Cheng, A. T. A.(2014)。Variant GADL1 and response to lithium therapy in bipolar I disorder。The New England Journal of Medicine,370(2),119-128。  new window
11.Chen, P.、Lin, J. J.、Lu, C. S.、Ong, C. T.、Hsieh, P. F.、Yang, C. C.、Shen, C. Y.(2011)。Carbamazepine-induced toxic effects and HLA-B*1502 screening in Taiwan。The New England Journal of Medicine,364(12),1126-1133。  new window
12.Chung, W. H.、Hung, S. I.、Hong, H. S.、Hsih, M. S.、Yang, L. C.、Ho, H. C.、Chen, Y. T.(2004)。A marker for Stevens-Johnson syndrome。Nature,428(6982),486。  new window
13.Davidoff, F.、Haynes, B.、Sackett, D.、Smith, R.(1995)。Evidence-based medicine: A new journal to help doctors identify the information they need。BMJ,310,1085-1086。  new window
14.Doerr, M.、Edelman, E.、Gabitzsch, E.、Eng, C.、Teng, K.(2014)。Formative evaluation of clinician experience with integrating family history-based clinical decision support into clinical practice。Journal Personalized of Medicine,4(2),115-136。  new window
15.McMurran, M.(2012)。Individual-level interventions for alcohol-related violence: A rapid evidence assessment。Criminal Behaviour and Mental Health,22(1),14-28。  new window
16.Marchant, G. E.、Scheckel, K.、Campos-Outcalt, D.(2016)。Contrasting medical and legal standards of evidence: A precision medicine case study。Journal of Law, Medicine & Ethics,44(1),194-204。  new window
17.Leonard, M. M.、Camhi, S.、Huedo-Medina, T. B.、Fasano, A.(2015)。Celiac disease genomic, environmental, microbiome, and metabolomic (CDGEMM) study design: Approach to the future of personalized prevention of celiac disease。Nutrients,7(11),9325-9336。  new window
18.Li-Wan-Po, A.(2013)。The human genome: Its modifications and interactions with those of the microbiome, and the practice of genomic medicine。Discovery Medicine,15(84),283-290。  new window
19.Edelman, E. A.、Lin, B. K.、Doksum, T.、Drohan, B.、Edelson, V.、Dolan, S. M.、Scott, J.(2014)。Implementation of an electronic genomic and family health history tool in primary prenatal care。American Journal of Medical Genetics Part C: Seminars in Medical Genetics,166(1),34-44。  new window
20.Raja, K.、Dasot, N.、Goyal, P.、Jonnalagadda, S. R.(2016)。Towards evidence-based precision medicine: Extracting population information from biomedical text using binary classifiers and syntactic patterns。AMIA Joint Summits on Translational Science Proceedings,2016,203-212。  new window
21.Sigma Theta Tau International Evidence-Based Practice Task Force(2004)。Evidence-based nursing: Rationale and resources。Worldviews on Evidence-Based Nursing,1(1),69-75。  new window
22.Straus, S. E.、Sackett, D. L.(1999)。Applying evidence to the individual patient。Annals of Oncology,10(1),29-32。  new window
23.Wang, Y.、Zhao, W.、Zhou, X.(2016)。Integration of genomic data analysis for demonstrating potential targets in the subgroup populations of squamous cell lung cancer patients。Oncotarget。  new window
24.Twilt, M.(2016)。Precision medicine: The new era in medicine。EBioMedicine,4,24-25。  new window
25.Swanton, C.、Govindan, R.(2016)。Clinical implications of genomic discoveries in lung cancer。The New England Journal of Medicine,374(19),1864-1873。  new window
26.Williams, M. S.、Ritchie, M. D.、Payne, P. R. O.(2015)。Interdisciplinary training to build an informatics workforce for precision medicine。Applied & Translational Genomics,6,28-30。  new window
27.Sackett, David L.、Rosenberg, William M. C.、Gray, J. A. Muir、Haynes, R. Brian、Richardson, W. Scott(1996)。Evidence Based Medicine: What It Is and What It Isn't。British Medical Journal,312(7023),71-72。  new window
圖書
1.Sackett, D. L.、Richardson, W. S.、Rosenberg, W.、Haynes, R. B.(1997)。Evidence-based medicine: How to practice and teach EMB。London, England:Churchill Livingstone。  new window
2.Straus, S. E.、Tetroe, J.、Graham, I. D.(2013)。Knowledge translation in health care: Moving from evidence to practice。New York, NY:John Wiley & Sons。  new window
其他
1.World Health Organization(2005)。Bridging the "know-do" gap: Meeting on knowledge translation in global health,http://www.who.int/kms/WHO_EIP_KMS_2006_2.pdf。  new window
2.Obama, B.(2015)。The precision medicine initiative,https://www.whitehouse.gov/precision-medicine。  new window
3.The International Genome Sample Resource(2016)。Providing ongoing support for the 1000 genomes project data,http://www.1000genomes.org。  new window
 
 
 
 
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