Iowa循证实践模式及在护理实践中的应用

The Iowa Model of Evidence-based Practice and its application in nursing practice

本文系统阐述了Iowa循证实践模式的三个决策点,包括问题的优先度、证据的充分性及变革的适宜性;介绍了该模式从基于临床问题和基于知识更新而开展实践变革的触发器,到证据筛选、开展实践变革及结果评价的全过程;全面分析了该模式在护理教育培训、症状护理及护理管理实践中的应用现状,指出该模式对开展循证实践的启示,包括提供了框架及触发器,为用证和创证提供了决策方向。

This article stated the three decision-making points of Iowa model of evidence-based practice,which included priority of topic,sufficiency of evidence and appropriateness of evidence.And this article also introduced the whole process of change from triggers identified,screening of evidence,implementation of evidence and outcome evaluation.Then this article analyzed the current status of its application in nursing practice based on systematic literature searching.This model mainly used in three area of symptom management,training program and nursing management.The finding indicated that this model provided practitioners a framework and triggers of promoting research into practice,and decision-making direction of evidence use and production.