實證護理的新時代－全面啟動發展護理科學

The New Era of Evidence-Based Nursing: Comprehensive Mobilization and Development of the Nursing Sciences

蔣立琦(Li-Chi Chiang) ； 林佳慧(Chia-Huei Lin) ； 王桂芸(Kwua-Yun Wang)

《護理雜誌》 60卷5期 (2013/10) Pp. 11-17

https://doi.org/10.6224/JN.60.5.11

摘要

科學的演化是必然發生的過程，科學哲學家孔恩指出，當科學處在革命階段，代表該學門即將產生典範轉移並邁向另一新的里程。以人為中心的跨專業團隊健康照護之普世價值下，實證健康照護促使近代護理科學的發展面臨必要的典範轉移，此意味著實證護理時代的來臨，將全面啟動發展護理科學。本文透過文獻的整合，介紹實證護理知識的建構、檢視國際重要的實證護理推動模式、再提出具體推動實證護理的策略，期望藉由本文能達到拋磚引玉之效，提升臨床實證護理的應用，及啟動護理科學在教育、研究、服務之全面性發展。

關鍵字

實證護理 ； 護理科學 ； 護理

並列摘要

Science is subject to inevitable evolutionary change. Philosopher of science Thomas Kuhn defined a scientific revolution as a period in time during which a particular field of scientific knowledge is set to transition to a new paradigm that will propel it toward a new milestone. Because person-centered care embraces the universal values of trans-disciplinary healthcare teams, evidence-based healthcare represents a paradigm shift toward evidence-based nursing. The rapid development of evidence-based practice is an evolutionary process of revolutionary importance to science. The resulting era of evidence based nursing will help fully realize the development potential of the nursing sciences. This article introduces the process of knowledge construction in evidence-based nursing, reviews the literature to identify the general model used to promote evidence-based nursing internationally, and proposes practical strategies to promote evidence-based nursing in Taiwan. We hope this article will help further promote the clinical application of evidence-based nursing and the development of nursing science.

並列關鍵字

evidence-based nursing ； nursing sciences ； nursing

參考文獻

林佳慧、陳玉如、蔣立琦（2013）．應用跨專業領域團隊之 實證醫療促進臨床病人安全及照護品質，榮總護理， 30（2），121－129。[Lin, C. H., Chen, Y. J., & Chiang, L. C. (2013). Trans-disciplinary EBP model to increase health quality and safety. VGH Nursing, 30(2), 121－ 129.]

洪瑄曼、王惠玲、張芸瑄、陳彰惠（2010）．科學哲學觀 演化與護理知識典範順勢．護理雜誌，57（1），64－ 70。doi:10.6224/JN.57.1.64 [Hung, H. M., Wang, H. L., Chang, Y. H., & Chen, C. H. (2010). Nursing knowledge:The evolution of scientific philosophies and paradigm trends. The Journal of Nursing, 57(1), 64－ 70.]

Bayne, H., Neukrug, E., Hays, D., & Britton, B. (in press). A comprehensive model for optimizing empathy in person-centered care. Patient Education and Counseling. doi:10.1016/j.pec.2013.05.016

Centre for Evidence Based Medicine. (July 1, 2013). Oxford centre for evidence-based medicine- Levels of evidence. Retrieved from http://www.cebm.net/?o=1025

Cummings, G. G., Estabrooks, C. A., Midodzi, W. K., Wallin, L., & Hayduk, L. (2007). Influence of organizational characteristics and context on research utilization. Nursing Research, 56(4, Suppl.), S24－S39. doi:10.1097/01. nnr.0000280629.63654.95