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An observational study of health professionals' use of evidence to inform the development of clinical management tools.

机译:对卫生专业人员使用证据进行临床研究工具开发的观察性研究。

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AIM: This observational study sought to investigate the process of evidence use by health professionals during development of evidence-based clinical management tools. BACKGROUND: Studies conducted to explore the process of research use are scarce and knowledge of this process is essential for our understanding of the influences on research use in practice. DESIGN: A qualitative, non-participant, observational design. METHODS: Behaviour and actions of two separate multidisciplinary teams were observed and audio-recorded during a combined total of seven meetings for the development of clinical management tools. Semi-structured, one-to-one interviews were conducted approximately half-way through the development process and following completion of the clinical management tools. RESULTS: Three major themes emerged from this research. First, the process of clinical management tool development and evidence use. Nurses assumed responsibility for coordination of development which focused on describing current practice. Second, the forms of evidence employed during the development process included the use of experiential knowledge, opinions and knowledge of the context, in addition to research evidence. However, reference to research evidence was limited and its incorporation into the instrument was infrequently observed. Third, the use of research evidence emerged with respect to how such evidence was employed. CONCLUSION: This study focused on real-life discussion and decision-making that occurred between health professionals when developing evidence-based clinical management tools. Health professionals may have a tendency to rely on their professional experience and current practice in preference to seeking and applying relevant research evidence. RELEVANCE TO CLINICAL PRACTICE: Nurses have an important role to play in the development of multidisciplinary evidence-based clinical management tools, but to actively participate in this process they need to be familiar with the relevant research evidence and have theskills and confidence to integrate the evidence into practice.
机译:目的:该观察性研究旨在调查卫生专业人员在开发基于证据的临床管理工具期间使用证据的过程。背景:为探索研究使用过程而进行的研究十分稀少,并且对该过程的了解对于我们理解实践中对研究使用的影响至关重要。设计:定性,无参与的观察性设计。方法:在总共七个会议上,观察了两个独立的多学科团队的行为和行动并进行了录音,以开发临床管理工具。在整个开发过程的中途以及临床管理工具完成后,进行了半结构化的一对一访谈。结果:这项研究提出了三个主要主题。首先,临床管理工具开发和证据使用的过程。护士负责协调发展,重点是描述当前的做法。第二,在开发过程中采用的证据形式除研究证据外,还包括经验知识,观点和背景知识的使用。但是,对研究证据的引用是有限的,很少有人将其纳入该仪器。第三,关于如何使用研究证据,出现了研究证据的使用。结论:本研究着重于卫生专业人员在开发基于证据的临床管理工具时发生的现实生活中的讨论和决策。卫生专业人员可能倾向于依靠其专业经验和当前实践,而不是寻求和应用相关的研究证据。与临床实践的关系:护士在开发基于多学科证据的临床管理工具中扮演着重要角色,但是要积极参与这一过程,他们需要熟悉相关的研究证据,并具有将证据整合的技能和信心。付诸实践。

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