PART 01 CH01 CH02 EVIDENCE BASED NURSING

01 1-1 1-2 1-3 1-4

實證護理 Evidence Based Nursing 1-1 Archie Cochrane (1972) 3E(evidence, E) (expertise, E) (expectation, E) 1-2 (E)(E) (E) (International Council of Nursing, 2012) (Pearson, Field, & Jordan, 2007) (Burns, Rohrich, & Chung, 2011) 4

Chapter 01 (2012) 1-3 10 1-1 Institute of Medicine (IOM, 1990) IOM 了 1-1 5

實證護理 Evidence Based Nursing (1) 5A (2) (3) (4) (1) (doctor of nursing practice) (2) I(from knowledge need to discovery)ii(from discovery to clinical application)iii(from clinical application to action) (3) 6

Chapter 01 1-4 (Joanna Briggs Institute Model) Joanna Briggs Institute (JBI) (Pearson, Field, & Jordan, 2007) (1) (2)(3)(4)(5) 1-2 *FAME *FAME 2 1 3 5 4 1-2 JBI 7

實證護理 Evidence Based Nursing 1. 2. 3. JBI JBI 4. 5. ACE Star Model (ACE Star Model of Knowledge Transformation) ACE Star Model (Stevens, 2004) (1)(2)(3)(4) (5)1-3 8

Chapter 01 1. 5. 2. 4. 3. 1-3 ACE Star Iowa (Iowa Model of Evidencebased Practice to Promote Quality of Care) (1) (2) (3)(4) (5) (6) (7) (8)(9) (Titler et al., 2001) 9

實證護理 Evidence Based Nursing 1. 2. 3. 4. 5. 1. 2. 3. 4. 1. 2. 3. 4. 5. 6. 1. 2. 3. 4. 1-4 Iowa 10

Chapter 01 (The Knowledge-to-Action Framework) Straus, Tetroe, and Graham (2013)(the knowledgeto-action framework) 1-5 11

實證護理 Evidence Based Nursing Carper s (1978) (fundamental ways of knowing) 1. 2. 3E 3. 4. JBI 5. 理 1. 1-1 2. 1-1 3. 1-2 4. 1-4 5. 1-4 12

Chapter 01 Reference (2012) Burns, P. B., Rohrich, R. J., & Chung, C. K. (2011). The levels of evidence and their role in evidence-based medicine. Plastic and Reconstructive Surgery, 128 (1), 305-310. Carper, B. A. (1978). Fundamental patterns of knowing in nursing. Advances in Nursing Science, 1 (1), 13-24. Cochrane, A. L. (1972). Effectiveness and efficiency: Random reflections on health services. London: The Nuffield Provincial Hospital Trust. International Council of Nursing (2012). 2012 - Closing the gap: From evidence to action. Retrieved from http://www.icn.ch/publications/2012-closing-the-gapfrom-evidence-to-action/ Accessed September 15, 2016. International of Medicine. (1990). Medicare: A strategy for quality assurance, Vol.1. Washington, DC: National Academy Press. Pearson, A., Field, J., & Jordan, Z. (2007). Evidence-based clinical practice in nursing and health care: Assimilating research, experience and expertise. Oxford: Blackwell. Stevens, K. R. (2004). ACE star model of EBP: Knowledge transformation. Academic Center for Evidence-Based Practice. The University of Texas Health Science Center at San Antonio. Straus, S., Tetroe, J., & Graham, I. D. (2013). Knowledge translation in health care. Moving from evidence to practice. Wiley-Blackwell BMJ Books, Oxford. Titler, M. G., Kleiber, C., Steelman, V. J., Rakel, B. A., Budreau, G., Everett, L. Q., Goode, C. J. (2001). The Iowa model of evidence-based practice to promote quality care. Critical Care Nursing Clinical Northern America. 13 (4), 497-509. 13

14 實證護理 Evidence Based Nursing

02 2-1 2-2

實證護理 Evidence Based Nursing (evidence-based medicine, EBM)(evidence-based nursing, EBN)(evidence-based practice, EBP) (evidence-based health care) 2014 (Brown, Wickline, Ecoff, & Glaser, 2009)1990 (Upton, Upton, & Scurlock-Evans, 2014) 2012 (International Council of Nurses, ICN)(Closing the gap: From evidence to action)(international Council of Nurses, 2012) (evidence) (experience) (expectation) 3E 3E (Robinson et al., 2009) 16

Chapter 02 (evidence) (experience) (expectation) (evidence synthesis)(evidence transfer) (evidence utilization) (shared-decision making, SDM) 2014 (International Society for Evidence-Based Health Care, ISEHC)2014 1. 2. 3. 2016 17

實證護理 Evidence Based Nursing 2-1 (evidence synthesis)(evidence transfer)(evidence utilization) (knowledge translation)b2b (bench to bed) (bench)(bed) 2013 Burwell (studies) (syntheses) (synopses) (summaries) (systems) (Glasziou & Haynes, 2005) 1. (studies) MEDLINE, CINAHL 2. (syntheses) 3. (synopses) 18

Chapter 02 4. (summaries) DynaMed, Nursing Reference Center 5. (systems) (clinical guideline) (decision support aids)(mayo clinic) 20162014 1980 1990 (Wong, Tam, Wong, & Cheung, 2013) (gap) 1601C1865 264 8~15 (Solomons & Spross, 2011) Pathman (aware) (agree) (adopt)(adhere) 90%67% 46% 35%(Pathman, Konrad, Freed, Freeman, & Koch, 1996) 19

實證護理 Evidence Based Nursing 2. 1. 3. 4. 2-1 Glasziou McMaster Haynes2005 (evidence pipeline) Glasziou (leakage) 80% 21% (0.87 = 0.21)2-1 (Glasziou, Chalmers, Green, & Michie, 2014) Glasziou (the pipeline model) (7A) 1. (awareness) 2015 20