以质量求发展，以服务铸品牌

护理学报 ›› 2021, Vol. 28 ›› Issue (13): 40-45.doi: 10.16460/j.issn1008-9969.2021.13.040

• 循证护理 • 上一篇    下一篇

临床实践项目持续性评估工具的范围综述

邓博a, 刘宁a, 杨琳b   

  1. 遵义医科大学珠海校区 a.护理学系; b.基础医学系,广东 珠海 519041
  • 收稿日期:2021-02-10 发布日期:2021-08-06
  • 通讯作者: 刘宁（1981-）,女,陕西西安人,博士,副教授。E-mail：761066906@qq.com
  • 作者简介:邓博（1996-）,女,广东高州人,本科学历,硕士研究生在读,护士。
  • 基金资助:
    遵义市科技局遵义医科大学科学技术联合资金项目[遵市科合HZ 字（2020）38号]; 遵义医科大学2018年度学术新苗培养及创新探索专项项目[黔科合平台人才（2018）5772-045]

Scoping Review of Clinical Practice Project Sustainability Assessment Tools

DENG Boa, LIU Ninga, YANG Linb   

  1. a.Department of Nursing; b. Department of Basic Medicine, Zhuhai Campus, Zunyi Medical University, Zhuhai 519041, China
  • Received:2021-02-10 Published:2021-08-06

PDF (PC)

295

赞

摘要： 目的 全面收集国内外用于评估项目持续性的工具,比较其内涵、开发过程、特点以及应用情况,为临床医护人员持续开展循证护理实践选择持续性评估工具,促进循证临床实践项目科学、有效地持续性开展提供参考。 方法 计算机检索 PubMed、Web of Science、EMbase、中国期刊全文数据库、中国生物医学文献数据库、万方数据库,查找用于评估项目实践持续性的工具,检索时限为从建库至2020年12月。提取各工具的条目数、信效度、评分方法、特点及适用范围等信息,对其进行描述。 结果 最终纳入7个持续性评估工具,共18篇全文文献,10篇关于评估工具的开发,8篇关于评估工具的运用。 结论 护理人员应根据我国国情与目前的医疗卫生资源来选择恰当的持续性评估工具,以促进基于最佳证据的循证实践项目持续进行,给患者带来最佳的临床结局。

关键词: 循证实践, 护理, 持续性, 评估工具, 综述

Abstract: Objective To comprehensively collect the tools used to evaluate project sustainability at home and abroad, and compare their connotation, development process, characteristics and application, so as to provide reference for clinical medical staff to select the tools for evidence-based nursing practice and promote the effective sustainable development of evidence-based practice projects in clinical practice. Methods PubMed, Web of Science, Embase, CKNI, China Biomedical Literature Database and Wanfang Database were searched by computer to find the tools used to evaluate the sustainability of project practice. The retrieval time was from the inception to December 2020. The number of items, reliability and validity, scoring method, characteristics and applicable scope of each tool were extracted and described. Results This study included 7 sustainability assessment tools and 18 full-text articles: 10 on the development of assessment tools and 8 on the application of assessment tools. Conclusion Nursing staff should choose appropriate sustainability assessment tools according to national conditions and current medical resources to promote the continuous implementation of evidence-based practice projects based on the best evidence for the best clinical outcomes of patients.

Key words: evidence-based practice, nursing, sustainability, assessment tool, review

中图分类号: 

  • R47
[1] Shelton RC, Cooper BR, Stirman SW.The Sustainability of Evidence-based Interventions and Practices in Public Health and Health Care[J]. Annu Rev Public Health, 2018(39):55-76.DOI:10.1146/annurev-publhealth-040617-014731.
[2] Fleiszer AR, Semenic SE, Ritchie JA, et al.Nursing Unit Leaders' Influence on the Long-term Sustainability of Evidence-based Practice Improvements[J].J Nurs Manag, 2016,24(3):309-318.DOI:10.1111/jonm.12320.
[3] Fleiszer AR, Semenic SE, Ritchie JA, et al.The Sustainability of Healthcare Innovations: A Concept Analysis[J]. J Adv Nurs, 2015,71(7):1484-1498.DOI:10.1111/jan.12633.
[4] Shah PS, Dunn M, Aziz K, et al.Sustained Quality Improvement in Outcomes of Preterm Neonates with a Gestational Age Less than 29 Weeks: Results from the Evidence-based Practice for Improving Quality Phase 31[J]. Can J Physiol Pharmacol,2019,97(3):213-221.DOI:10.1139/cjpp-2018-0439.
[5] Belostotsky V, Laing C, White D.The Sustainability of a Quality Improvement Initiative[J]. Healthc Manage Forum, 2020,33(5):195-199.DOI:10.1177/0840470420913055.
[6] Mancini JA, Marek LI.Sustaining Community-based Programs for Families: Conceptualization and Measurement[J]. Fam Relat, 2004, 53(10):339-347.DOI:10.3390/ijerph15102142.
[7] Schell SF, Luke DA, Schooley MW, et al.Public Health Program Capacity for Sustainability: A New Framework[J]. Implement Sci, 2013(8):15.DOI:10.1186/1748-5908-8-15.
[8] Luke DA, Calhoun A, Robichaux CB, et al.The Program Sustainability Assessment Tool: A New Instrument for Public Health Programs[J]. Prev Chronic Dis, 2014(11):130184.DOI:10.5888/pcd11.130184.
[9] Palinkas LA, Chou CP, Spear SE, et al.Measurement of Sustainment of Prevention Programs and Initiatives: The Sustainment Measurement System Scale[J]. Implement Sci, 2020,15(1):71.DOI:10.1186/s13012-020-01030-x.
[10] Lennox L, Doyle C, Reed JE, et al.What Makes a Sustainability Tool Valuable, Practical and Useful in Real-world Healthcare Practice? A Mixed-methods Study on the Development of the Long Term Success Tool in Northwest London[J]. BMJ Open, 2017,7(9):e014417.DOI:10.1136/bmjopen-2016-014417.
[11] Maher L, Gustafson D, Evans A. NHS Sustainability Model and Guide[EB/OL].(2021-02-01)[2010].https://www.england.nhs.uk/improvement-hub/wp-content/uploads/sites/44/2017/11/NHS-Sustainability-Model-2010.pdf.
[12] Doyle C, Howe C, Woodcock T, et al.Making Change Last: Applying the NHS Institute for Innovation and Improvement Sustainability Model to Healthcare Improvement[J]. Implement Sci, 2013(8):127. DOI:10.1186/1748-5908-8-127.
[13] Georgia Health Policy Center.Sustainability Formative Self-Assessment Tool[EB/OL].(2021-02-01)[2011].https://www.ruralhealthinfo.org/sustainability/pdf/sustainability-self-assessment-tool.pdf
[14] Georgia Health Policy Center. Positioning for Sustainability: A Formative Assessment Tool[EB/OL].(2021-02-01)[2011].https://www.ruralhealthinfo.org/sustainability/pdf/formative-assessment-tool-quick-course.pdf.
[15] Goodman RM, Steckler A.A Framework for Assessing Pogram Institutionalization[J]. Knowledge Soc Int J Knowledge Transfer, 1989,2(1):57-71.
[16] Goodman RM, McLeroy KR, Steckler AB, et al. Development of Level of Institutionalization Scales for Health Promotion Programs[J]. Health Educ Q, 1993,20(2):161-178.DOI:10.1177/109019819302000208.
[17] Ahmad M, Abu Talib N.Analysis of Community Empowerment on Projects Sustainability: Moderating Role of Sense of Community[J]. Soc Indic Res, 2014(129):1039-1056.DOI:10.1007/s11205-014-0781-9.
[18] Stoll S, Janevic M, Lara M, et al.A Mixed-method Application of the Program Sustainability Assessment Tool to Evaluate the Sustainability of 4 Pediatric Asthma Care Coordination Programs[J]. Prev Chronic Dis, 2015(12):E214.DOI:10.5888/pcd12.150133.
[19] Scudder AT, Taber-Thomas SM, Schaffner K, et al.A Mixed-methods Study of System-level Sustainability of Evidence-based Practices in 12 Large-scale Implementation Initiatives[J]. Health Res Policy Syst, 2017,15(1):102.DOI:10.1186/s12961-017-0230-8.
[20] Silver SA, McQuillan R, Harel Z, et al. How to Sustain Change and Support Continuous Quality Improvement[J]. Clin J Am Soc Nephrol, 2016,11(5):916-924.DOI:10.2215/cjn.11501015.
[21] Mahomed OH, Asmall S, Voce A.Sustainability of the Integrated Chronic Disease Management Model at primary Care Clinics in South Africa[J].Afr J Prim Health Care Fam Med, 2016,8(1):e1-e7.DOI:10.4102/phcfm.v8i1.1248.
[22] Van Acker R, De Bourdeaudhuij I, De Cocker K, et al.Sustainability of the Whole-community Project ‘10,000 Steps': A Longitudinal Study[J]. BMC Public Health, 2012(12):155.DOI:10.1186/1471-2458-12-155.
[23] Zakumumpa H, Bennett S, Ssengooba F.Accounting for Variations in ART Program Sustainability Outcomes in Health Facilities in Uganda: A Comparative Case Study Analysis[J]. BMC Health Serv Res, 2016,16(1):584.DOI:10.1186/s12913-016-1833-4.
[24] Clavijo-Chamorro MZ, Romero-Zarallo G, Gómez-Luque A,et al.Leadership as a Facilitator of Evidence Implementation by Nurse Managers: A Metasynthesis[J].West J Nurs Res,2021(15):1939459211004905.DOI:10.1177/01939459211004905.
[25] 陈丽玲, 周春兰, 吴艳妮,等. 临床护士参与循证实践培训体验的质性研究[J]. 护理学报, 2020,27(23):49-52.DOI:10.16460/j.issn1008-9969.2020.23.049.
[26] 毛秋婷, 曾铁英. 循证护理实践水平与医院循证组织文化建设相关性研究[J]. 护理研究, 2017,31(20):2520-2523.DOI:10.3969/j.issn.1009-6493.2017.20.026.
[27] 顾莺, 胡雁, 周英凤,等. 推动证据向实践转化 (十五)变革维持的策略[J]. 护士进修杂志, 2020,35(21):1967-1972.DOI:10.16821/j.cnki.hsjx 2020.21.010.
[28] 陈瑜,胡雁,周英凤,等. 推动证据向临床转化 (十四)证据临床转化的效果评价[J]. 护士进修杂志, 2020,35(20): 1868-1870.DOI:10.16821/j.cnki.hsjx.2020.20.006.
[29] Berta WB, Wagg A, Cranley L, et al.Sustainment, Sustainability, and Spread Study (SSaSSy): Protocol for a Study of Factors that Contribute to the Sustainment, Sustainability, and Spread of Practice Changes Introduced through an Evidence-based Quality-Improvement Intervention in Canadian Nursing Homes[J]. Implement Sci, 2019,14(1):109.DOI:10.1186/s13012-019-0959-2.
[30] 周英凤,黄娜,胡雁,等. 我国护理领域证据临床转化研究的范围综述[J]. 中国护理管理, 2020,20(4):513-518.DOI:10.3969/j.issn.1672-1756.2020.04.008.
[1] 陈羽双, 杨斯钰, 张叶霞. 2010-2019年基于PubMed数据库家庭参与式护理研究热点的共词聚类分析[J]. 护理学报, 2021, 28(9): 14-18.
[2] 李萍, 靳小雯, 李燕玲, 徐玉兰, 喻姣花, 李卓颖, 李应, 邓睿. 成年患者结直肠镜检查肠道准备不充分的预防及管理证据总结[J]. 护理学报, 2021, 28(9): 22-28.
[3] 张丽娟, 李金兰, 钟巧玲, 罗庆华, 张慧珍, 谢新华, 覃惠英. 癌症患者术后下肢淋巴水肿行综合消肿治疗联合泡沫颗粒绷带的效果观察[J]. 护理学报, 2021, 28(9): 62-65.
[4] 李洁, 张斯秀, 徐翠荣. 以家庭为中心的护理对ICU患者家属满意度影响的研究进展[J]. 护理学报, 2021, 28(9): 19-21.
[5] 陈晓霞, 刘小民, 宋海娟, 张新芳, 谢庆. 7例胎儿行宫内肺动脉瓣成形术的术中护理[J]. 护理学报, 2021, 28(9): 71-73.
[6] 韦耀猛, 凌云, 宋亚敏, 陈官映. 5例肥胖患者在心脏术后发生低氧血症行俯卧位通气治疗的护理[J]. 护理学报, 2021, 28(8): 56-58.
[7] 肖洁晨茗, 邓秋兰. 歌唱疗法在COPD稳定期患者中的应用进展[J]. 护理学报, 2021, 28(8): 8-12.
[8] 吴晓珩, 杨元立, 胡馨予, 王翠萍, 张萦, 王艳春, 陶艳玲. 住院患者输血全流程管理的循证实践[J]. 护理学报, 2021, 28(8): 33-38.
[9] 黄海英, 苏小玲, 黄永贤, 曹燕锋, 李晓华. 4例血液肿瘤患儿PICC拔管困难的原因分析及对策[J]. 护理学报, 2021, 28(8): 69-71.
[10] 李炫桦, 胡燕琪, 唐红梅. 对中小学生开展脑卒中健康教育的研究进展[J]. 护理学报, 2021, 28(8): 13-16.
[11] 巫春兰, 黄佳诚, 常珍, 陈炜, 帅燕珍. 静脉输液管理系统的设计和应用[J]. 护理学报, 2021, 28(8): 62-64.
[12] 赵志勇, 徐筱. 皮试结果可视窗判断圆尺的研制及应用[J]. 护理学报, 2021, 28(8): 65-68.
[13] 刘雨安, 杨小文, 李乐之. 机器学习在疾病预测的应用研究进展[J]. 护理学报, 2021, 28(7): 30-34.
[14] 刘鑫, 江锦芳, 覃彦珠, 周帅, 施洁, 刘彦君. 215例结直肠癌造口患者家庭主要照顾者照顾能力现状及影响因素分析[J]. 护理学报, 2021, 28(7): 53-58.
[15] 杜金磊, 陈志美, 秦兰芳, 廉洁, 孙文静, 王翔, 徐巍, 邹晓月. 基于昼夜节律机制对ICU老年患者肠内营养延续性护理的对照研究[J]. 护理学报, 2021, 28(7): 1-5.
Viewed
Full text


Abstract

Cited
  Shared   
[1] 叶丽, 黄厚强, 郭声敏, 刘琰, 郑思琳. 脑卒中后神经源性膀胱管理的最佳证据总结[J]. 护理学报, 2021, 28(10): 40 -44 .
[2] 秦鸿利, 赵震, 王艳芳, 卢颖, 王志霞, 李黎明. ICU患者压力性损伤预防的最佳证据总结[J]. 护理学报, 2021, 28(10): 45 -51 .
[3] 李菁菁, 潘文彦, 王晓容, 赵金萍, 蔡诗凝. ICU成人危重症患者血糖管理的最佳证据总结[J]. 护理学报, 2021, 28(12): 21 -26 .
[4] 刘瑾, 路娜, 张凤娃, 牛晓丹, 袁蓉敬, 李雯艳, 王叶同, 王艳红. 乳腺癌患者癌症复发恐惧影响因素的Meta分析[J]. 护理学报, 2021, 28(14): 1 -7 .
[5] 蒙艺, 孙家乐, 谭静. 澳大利亚喘息服务的特征与启示[J]. 护理学报, 2021, 28(14): 64 -68 .
[6] 宋姗, 魏琳, 刘杨晨, 王秋婷, 罗尧岳, 林美珍. 基于数据包络分析法的护理人力资源效率评价[J]. 护理学报, 2021, 28(13): 1 -5 .
[7] 丁寒琴, 李立华, 何夏君. 精神科护士护理面谈能力培训体系的构建及信效度检验[J]. 护理学报, 2021, 28(13): 6 -12 .
[8] 张丽秀, 樊落, 李琳, 王雪, 魏婧昀, 冯兰棱. 急诊护理质量敏感指标的构建研究[J]. 护理学报, 2021, 28(13): 13 -18 .
[9] 王宁, 吕琳, 耿晨, 杨艳林, 苗丽珍, 韩琳. 伤口造口专科护理敏感质量指标研究进展及改进策略[J]. 护理学报, 2021, 28(13): 19 -23 .
[10] 侯坤华, 李芊芊, 彭燕秋, 杨雨晴, 赵海平. 预防性吞咽训练在头颈部肿瘤放化疗患者的应用进展[J]. 护理学报, 2021, 28(13): 24 -28 .