护理领域中临床实践指南依从性的研究进展

doi:10.3761/j.issn.0254-1769.2023.06.017

摘要/Abstract

摘要：

临床实践指南是连接证据和实践的重要桥梁，实施指南可提高护理实践的科学性。然而指南的实施过程复杂，医护人员对指南的依从性较低，影响指南的实施效果。指南的制订、传播和实施是一个连续的过程，各环节均可能存在影响指南依从性的因素。该文基于护理领域综述了临床实践指南依从性的发展历程、现状、评价方法以及影响因素，旨在探讨提高指南依从性的策略，为指南的制订、传播及实施提供理论参考。

关键词: 临床实践指南, 指南依从性, 循证护理学, 综述

Abstract:

Clinical practice guidelines are important bridges between research-based evidence and clinical practice. Therefore，adherence to clinical practice guidelines by nurses will improve the scientific nature of the nursing practice. However，the implementation process of clinical practice guidelines is complex，which results in low adherence of recommended guidelines，and thus affecting the scientificity of nursing practice. The development，dissemination，and implementation of clinical guidelines is a continuous process. Several factors may affect guideline adherence in various levels. This paper summarizes the developmental history，status，evaluation methods，and factors influencing guideline adherence based on nursing fields. Possible countermeasures and suggestions are proposed for improving guideline adherence，and provide theoretical references for the formulation，dissemination，and application of clinical guidelines.

Key words: Clinical Practice Guidelines, Guideline Adherence, Evidence-Based Nursing, Review

张静, 梁士楚, 陈忠兰. 护理领域中临床实践指南依从性的研究进展[J]. 中华护理杂志, 2023, 58(6): 758-762.

ZHANG Jing, LIANG Shichu, CHEN Zhonglan. The adherence of clinical practice guidelines in nursing fields：where things stand[J]. Chinese Journal of Nursing, 2023, 58(6): 758-762.

图/表 1

参考文献 43

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