背景:在欧洲范围内,注册护士的循证实践(EBP)能力和相关学习成果尚未达成共识。
目的:为护士建立一套核心EBP能力和最重要的EBP学习成果,包括态度,知识,以及在欧洲国家实施护理教育的技能维度。
方法:进行了多阶段改进的Delphi调查:第1阶段,文献综述;第2阶段,专家的两轮共识;第3阶段,Delphi调查。来自六个欧洲国家的专家参加了会议。
结果:在第一阶段,选择了88条记录,提取了835条陈述,根据EBP的七个步骤进行分组。删除157个重复项之后,其余能力(n=678)在第2阶段进行评估.然后,达成了两轮专家共识,确定了24项能力和120项学习成果,并将其分为情感,认知,和技能领域。在第三阶段,根据德尔福调查专家共识,所有评估的陈述都包含在最终的能力和学习成果集合中.只建议将两种学习成果分配到不同的领域,四个按建议重新制定,对其他人没有进一步的改变。
■一组EBP能力和学习成果可以指导护士教育工作者,经理,和EBP利益相关者在开发包含EBP知识的内容中,技能,以及对教育项目的态度。优先考虑最必要的EBP能力和学习成果,并使其适应各种情况,将为医疗机构提供加强护士继续教育的指南。这些结果可以促进有效工具的开发,以评估护理学生和护士对EBP过程所需能力的看法。
BACKGROUND: Consensus on evidence-based practice (EBP) competencies and associated learning outcomes for registered nurses has not yet been achieved in the European context.
OBJECTIVE: To establish a set of core EBP competencies for nurses and the most important EBP learning outcomes encompassing attitudes, knowledge, and skills dimensions for implementation into nursing education in European countries.
METHODS: A multi-phase modified Delphi survey was conducted: Phase 1, a literature review; Phase 2, a two-round
consensus of experts; and Phase 3, a Delphi survey. Experts from six European countries participated.
RESULTS: In Phase 1, 88 records were selected and 835 statements extracted, which were grouped according to the seven steps of EBP. After removing 157 duplicates, the remaining competencies (n = 678) were evaluated in Phase 2. Then, a two-round expert
consensus was reached, with 24 competencies and 120 learning outcomes identified and divided into affective, cognitive, and skills domains. In Phase 3, based on a Delphi survey expert
consensus, all evaluated statements were included in a final set of competencies and learning outcomes. Only two learning outcomes were recommended for allocation to a different domain, and four were reformulated as suggested, with no further changes to the others.
UNASSIGNED: The set of EBP competencies and learning outcomes can guide nurse educators, managers, and EBP stakeholders in the development of content that incorporates EBP knowledge, skills, and attitudes into educational programs. Prioritizing the EBP competencies and learning outcomes that are most necessary and adapting them to every context will provide healthcare organizations with
guidelines for enhancing the continuing education of nurses. These results could facilitate the development of effective tools for assessing nursing students\' and nurses\' perception of competencies required for EBP processes.