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臨床照護指引臨床推行模式及運用策略

Clinical Implementation Model and Strategic Application of Clinical Practice Guidelines

摘要


臨床照護指引(clinical practice guideline, CPG)是必須透過嚴謹的系統性證據審查,以促進臨床服務之最大有效性及減少最小或非必要偏差做法,主要是提供優化照護病人服務的最佳建議。而應用臨床照護指引以優化護理措施和提升病人預後潛力,是護理人員必備能力。本文將介紹兩個常用臨床照護指引應用之模式,包括知識行動架構及“能”執行架構,同時輔以兩個實例作為說明。同時也引用非醫療專業角度建議臨床照護指引應用之不同建議。

並列摘要


The Clinical Practice Guideline (CPG) must be reviewed through rigorous and systematic method in order to promote the maximum effectiveness of clinical services and also reduce the variation of the practices. The main purpose of this paper is to provide the better quality of CPG for optimizing patient care services. The application of CPG to optimize nursing interventions and enhance the patient's prognostic potential is an essential ability of nursing staff. This article will introduce two frequently applied clinical care guidelines application models, including the knowledge to action framework and the CAN-implement framework, with two examples as rationales. At the same time, distinctive suggestions for the application of clinical care guidelines are also cited from the perspective of non-medical professionals.

參考文獻


Ruan, X., ma, l., Vo, N., & Chiravuri, S. (2015). Clinical practice guidelines: the more, the better? North American Journal of Medicine & Science, 2015. https://doi.org/10.7156/najms.2015.0802077
Schenone, A. L., Cohen, A., Patarroyo, G., Harper, L., Wang, X., Shishehbor, M. H., Menon, V., & Duggal, A. (2016). Therapeutic hypothermia after cardiac arrest: A systematic review/meta-analysis exploring the impact of expanded criteria and targeted temperature. Resuscitation, 108, 102-110. https://doi.org/10.1016/j.resuscitation.2016.07.238
Straus, S. E., Tetroe, J., & Graham, I. (2009). Defining knowledge translation. Canadian Medical Association Journal, 181(3-4), 165-168. https://doi.org/10.1503/cmaj.081229
Weisz, G., Cambrosio, A., Keating, P., Knaapen, L., Schlich, T., & Tournay, V. J. (2007). The emergence of clinical practice guidelines. The Milbank Quarterly, 85(4), 691-727. https://doi.org/10.1111/j.1468-0009.2007.00505.x
Graham, I. D., Logan, J., Harrison, M. B., Straus, S. E., Tetroe, J., Caswell, W., & Robinson, N. (2006). Lost in knowledge translation: time for a map? The Journal of Continuing Education in the Health Professions, 26(1), 13-24. https://doi.org/10.1002/chp.47

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