科研之友
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摘要
You are concerned about something in your clinical practice; you are aware that the way a certain procedure is performed is, well, archaic. Or, perhaps a process for how patients navigate through the emergency department is so inefficient that it affects patient outcomes. You are sure that there must be a better way that can improve the quality of emergency care delivered to the patients in your institution or possibly one that can be disseminated for all your fellow emergency nurses to share. Any investigation into possible changes requires that you examine the available literature to identify possibilities and determine the strength of the evidence. The most critical piece to this process is determining exactly what it is that you want to know by developing a sound clinical question. %26lt;br%26gt;We are practicing at a time when both the need to conduct research, to generate new knowledge in the field of emergency nursing care, and the expertise to draw from existing knowledge, bringing it from %26quot;bench to bedside,%26quot; 1 have become even more essential. We need to ask and answer clinical questions. %26lt;br%26gt;One must begin by determining whether evidence exists related to the issue we are looking at; if not, perhaps you need to create the evidence by doing a study yourself. If evidence does exist, does it apply to the practice setting of interest? In either case, a well-developed clinical question serves as a starting point, allowing the investigator to consider who will benefit from the change and specifically what the interventions and outcomes to be measured will be. This article is intended to help the emergency nurse who is interested in implementing changes that will positively affect patient care by using a framework to consider and develop a solid clinical question.
- 出版日期2013-5
