本研究目的在於分析醫護人員參與實證醫學工作坊前、後對於實證醫學的認知是否有差異。本研究以小組討論工作坊並利用問卷調查的方式,包括(1).醫護人員對實證醫學之臨床問題(5小題);(2).醫護人員對實證醫學之文獻搜尋(7小題);(3).醫護人員對實證醫學之文獻評讀(4小題);(4).醫護人員對實證醫學之臨床應用(6小題);及(5).醫護人員對實證醫學之態度(4小題)等五大構面。 本研究有效樣本為205份,回收率為97.16%。研究結果發現,醫護人員參與實證醫學工作坊後對於實證醫學的認知及態度有達到統計上顯著差異(p<.001)。包含實證醫學之臨床問題(前測2.87±1.04,後測3.74±0.80,p<.001);實證醫學文獻搜尋(前測 2.74±1.04,後測3.53±0.88,p<.001);實證醫學文獻評讀(前測2.31±1.04,後測3.24±0.95,p<.001);實證醫學臨床應用(前測2.44±1.04,後測3.30±0.89,p<.001);及實證醫學的態度(前測3.60±0.96,後測4.01±0.82,p<.001)。 本研究結果顯示實證醫學工作坊可以有效地提高醫護人員對實證醫學的認知及態度。參與實證醫學工作坊不只能測量知識,亦能刺激學生正確學習,是教導臨床技能不可或缺的教學方式。
Evidence-based medicine (EBM) became more and more important to today healthcare practice. The effectiveness of EBM educational programs in terms of change in knowledge and attitude is still unclear. This study aims to identify the impacts of EBM workshop on related knowledge and attitudes of healthcare professionals. A self-reported questionnaire including EBM knowledge of and attitude to EBM was conducted before and after EBM educational workshop emphasizing on small group learning. EBM knowledge domain covered main EBM principles such as “Ask PICO question (5 items)”,”Acquire evidences (7 items)”,”Appraisal articles (4 items)”, “Apply evidences (6 items)” and the domain of “Attitude (4 items)”.This study comprised 205 participants, resulting in a completion rate of 97.16%. Participants’ EBM knowledge and attitudes showed significant improvement after workshop. In “Ask” (pre-workshop mean 2.87±1.04, post-workshop mean3.74±0.80, p<.001),”Acquire” (pre-workshop mean 2.74±1.04, post-workshop mean 3.53±0.88 p<.001),”Appraisal” (pre-workshop mean 2.31±1.04, post-workshop mean 3.24±0.95, p<.001), “Apply” (pre-workshop mean 2.44±1.04, post-workshop mean 3.30±0.89, p<.001) and “Attitude” (pre-workshop mean 3.60±0.96, post-workshop mean 4.01±0.82, p<.001). EBM educational workshop combined with small group learningprovidea useful strategy to enhance healthcare professionals’ knowledge of and attitudes in EBM.