背景:循证实践(EBP)的实施在弥合知识-行动差距和减少健康不平等方面起着至关重要的作用。对其在中国的发展知之甚少。本研究旨在概述EBP在中国医疗保健领域的实施研究进展,并找出未来研究的差距。
方法:我们根据JoannaBriggsInstitute的范围审查方法和CochraneCollaboration的生活审查指南进行了范围审查。我们在四个中文数据库中进行了文献检索(即,中国国家知识基础设施,万方数据库,VIP数据库,和中国生物医学)和三个英文数据库(即,OvidMEDLINE,护理和相关健康文献的累积指数,和EMBASE),谷歌学者,和百度学者从1996年到2021年。我们纳入了在中国医疗机构进行的EBP实施研究,并在中英文文献中发表。搜索将定期进行,以监测新文献的发展并确定何时更新评论。
结果:在确定的11,276条记录中,我们最终收录了309篇论文。自2013年以来,出版物急剧增加,主要来自护理领域(292/309,94.50%)。通常研究的领域是症状管理(75/309,24.27%),管护理(46/309,14.89%),围手术期护理(43/309,13.92%),和基础护理(43/309,13.92%)。JoannaBriggs研究所模型是指导实施过程的最常用模型(92/159,59.75%)。通常由一个实施团队组成的平均人数为8人,113项研究(36.57%)采用多学科方法。204项研究报告说,利用审计标准来协助评估证据执行率,并采用多种方法衡量标准。缺乏知识,技能,和资源,不完整的程序或途径是阻碍EBP实施的最大障碍。领导支持被认为是最常见的推动者。教育和培训是医疗保健专业人员和患者最常描述的实施策略。优化工作流程和开发评估工具是组织采用的主要策略。291项研究测量了患者结果,174项研究测量了医疗保健专业结果。
结论:据我们所知,本次范围界定综述是首次系统地研究中国医疗保健领域EBP实施研究进展。基于这篇综述,我们确定了中国EBP实施研究对全球社会的贡献,并为中国研究人员今后开展实施研究提供了八项建议。
背景:无。
BACKGROUND: Evidence-based practice (EBP) implementation plays a crucial role in bridging the knowledge-action gaps and reducing health inequities. Little is known about its development in
China. This study aims to provide an overview of the EBP implementation research progress in healthcare in
China and identify gaps for future studies.
METHODS: We conducted a scoping review following the Joanna Briggs Institute scoping review methodology and the Cochrane Collaboration\'s guidance on living reviews. We performed a literature search in four Chinese databases (i.e.,
China National Knowledge Infrastructure, Wan Fang Database, The VIP Database, and
China Biology Medicine) and three English databases (i.e., Ovid MEDLINE, the Cumulative Index to Nursing and Allied Health Literature, and EMBASE), Google scholar, and Baidu scholar from 1996 to 2021. We included EBP implementation studies conducted in healthcare settings in
China and were published in Chinese and English literature. The search will be run on a regular basis to monitor the development of new literature and determine when to update the review.
RESULTS: Of the 11,276 records identified, we finally included 309 papers. The publications were on a sharp rise since 2013 and were predominantly from the nursing field (292/309, 94.50%). The commonly researched areas were symptom management (75/309, 24.27%), tube care (46/309, 14.89%), perioperative care (43/309, 13.92%), and fundamental care (43/309, 13.92%). Joanna Briggs Institute model was the most frequently used model to guide the implementation process (92/159, 59.75%). A median number of 8 people often comprised an implementation team, with 113 studies (36.57%) taking a multidisciplinary approach. 204 studies reported utilizing audit criteria to assist evaluation of evidence implementation rate with diversified methods measuring the criteria. Lack of knowledge, skills, and resources, and incomplete procedures or pathways were top barriers impeding EBP implementation. Leadership support was considered the most common facilitator. Education and training were the most frequently described implementation strategies for healthcare professionals and patients. Optimizing workflows and developing evaluation tools were the primary strategies adopted by organizations. 291 studies measured patient outcomes and 174 studies measured healthcare professional outcomes.
CONCLUSIONS: To our knowledge, this scoping review is the first one to systematically examine the EBP implementation research progress in healthcare in China. Based on this review, we identified contributions that Chinese EBP implementation research made to the global community, and provided eight recommendations for Chinese researchers in conducting implementation studies in the future.
BACKGROUND: None.