中国循证医学杂志

中国循证医学杂志

护理临床实践指南制订的关键环节解析与思考

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随着循证医学发展,临床护理专家关注指南中推荐意见的证据来源逐渐增加,对护理临床实践指南需求日益强烈。本文从护理专业角度出发,聚焦护理临床实践指南制订的关键环节,包括指南范围(或主题)和护理问题的确定、护理证据的检索、结局指标的选择和应用、证据及推荐意见的分级、证据至推荐意见转化的方法、患者偏好和价值观,并进行深入解析,以期为制订护理临床实践指南提供建议。

With the development of evidence-based medicine, more and more clinical care experts pay attention to recommendations in the guidelines, try to apply guidelines to guide clinical nursing practice and the demand for clinical practice guidelines is becoming more and more intense. Based on characteristics of nursing, this paper focuses on primary steps in the formulation of nursing-clinical practice guideline, such as clinical problems, outcomes, nursing evidence retrieval and selection, evidence and recommendations classification, methods from evidence to recommendations, patients' preference and value, and provides suggestions for development of nursing-clinical practice guideline.

关键词: 护理临床实践指南; 证据; 推荐意见; 关键环节

Key words: Nursing clinical practice guidelines; Evidence; Recommendation; Primary steps

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