• Title/Summary/Keyword: Evidence-based practice

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Validity and Reliability of the Korean Version of Student Evidence-Based Practice Questionnairs(S-EBPQ) (한국어판 간호대학생의 근거기반실무 측정도구(S-EBPQ)의 타당도 및 신뢰도 검증)

  • Kim, Sun Kyung
    • Journal of Industrial Convergence
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    • v.18 no.1
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    • pp.35-43
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    • 2020
  • This study aimed to evaluate the reliability and validity of the Korean version of Student Evidence-Based Practice Questionnaire (S-EBPQ) which developed by Upton, Scurlock-Evans, and Upton. Data were collected from 209 nursing students with previous experience of education in evidence-based practice and clinical placement. Using SPSS 25.0, construct validity, concurrent validity and reliability were evaluated. The Korean version of S-EBPQ consisted of 21 items in four domains. The measurement explained 67.0% and the reliability using Cronbach's alpha was .927. The Korean version of S-EBPQ can be used to evaluate the ability of evidence-based practice among nursing students. The tool could be also used to examine the effectiveness of educational programs for evidence-based practice which would contribute to improving the quality of nursing education in Korea.

Mediating Effect of Innovative Behavior on the Relationship between Awareness of Nursing Manager's Leadership type in General Hospital Nurses and Future Use of Evidence-based Practice (종합병원 간호사의 간호관리자 리더십 유형 인식과 근거기반실무 적용의도와의 관계: 혁신행동의 매개효과)

  • Cho, Hyang-Sun;Kim, Yun-Hee;Kim, Hyo-Youn
    • Journal of the Korea Convergence Society
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    • v.10 no.11
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    • pp.511-521
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    • 2019
  • This study was conducted to examine the mediating effect of innovative behavior in the relationship between nurse manager's leadership and nurses' future use of evidence-based practice. Participants were 183 nurses working at general hospitals with over 500 beds in Korea. Nurse manager's transformational leadership was positively correlated with innovative behavior and nurses' future use of evidence-based practice. Innovative behavior showed partial mediating effects in the relationship between nurse manager's leadership and nurses' future use of evidence-based practice. These findings suggest that in order to enhance nurses' future use of evidence-based practice, the educational strategies to promote nurses' innovative behavior should be developed and provided in nursing field.

Evidence-Based Practice in Neurological Physical Therapy (1) -Applying EBP to Clinical Decision Making- (신경계물리치료에서의 근거중심실기(1) -임상의사결정과정에 EBP 적용하기-)

  • Lee, Moon-Kyu;Lim, Jae-Heon;Kim, Tae-Yoon
    • PNF and Movement
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    • v.14 no.3
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    • pp.157-176
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    • 2016
  • Purpose: The purpose of this study was to share an experience about processes and lessons learned to execute evidence-based practice (EBP) in neurological physical therapy. Methods: The most important thing in applying EBP to practice is to search, find, and appraise the existing evidence. Many evidence databases are available, such as CENTRAL, PEDro, PUBMED, and EMBASE. However, the knowledge represented in these databases is not always perfect. The practice model is a set of processes to resolve client problems. Therapists should make hypothesis-focused decisions through EBP. Integrating clinical reasoning and evidence is most important when it comes to the execution of EBP. Results: The process of EBP consisted of following: coming up with clinical questions, followed by searching for, appraising, evaluating, and integrating evidence. To integrate EBP into practice, it is necessary to consider clinical expertise, patient value and preferences, as well as research wth the best evidence. We provided an example of a clinical case with a stroke patient to show how this process and framework concerning clinical reasoning through evidences can be integrateds. During this process, we also utilized information technology to improve EBP ability. Conclusion: We should recognize what manner of information is needed to resolve eash patient's problem, and we should search for this information efficiently. Then, we should judge the value of the information obtained as it applies, to the clinical setting.

A Study on the Content and Methodology of Evidence-Based Library and Information Practice (근거중심 문헌정보실무의 내용과 방법론에 관한 연구)

  • Pyo, Soon-Hee
    • Journal of the Korean Society for information Management
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    • v.26 no.1
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    • pp.351-370
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    • 2009
  • The purpose of this study is to apply the evidence-based library and information practice(EBLIP) in Korean librarianship with analysis of concepts and research method on EBLIP. EBLIP seeks to improve library practice by utilising the best available evidence in conjunction with a pragmatic perspective developed from working experiences in librarianship. The EBLIP focused on the medicine library, however, it is spread to academic, special, school library. EBLIP process can be described through its five stage: formulate a question, find evidence, critically appraise the evidence, apply results of appraisal, evaluate change, redefine problem. It provides a standardized methodology of systematic review, which is a best evidence in EBLIP and is a new mixed research method.

Clinical Practice Guideline of Korean Medicine for Stroke : Preliminary Guideline and Recommendation (중풍환자에 대한 일차 한의임상진료 가이드라인)

  • Han, Chang-Ho
    • The Journal of Internal Korean Medicine
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    • v.33 no.4
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    • pp.347-366
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    • 2012
  • The aim of this new statement is to provide comprehensive and timely evidence-based recommendations on stroke management for clinical practitioners. Many countries are already well engaged in developing and releasing their own clinical practice guidelines, whereas Korean Medicine (KM) is still beginning. It will take time and effort to develop evidence-based guidelines and recommendations of KM or other traditional medicine because they are weak in the area of scientific evidence. The clinical practice guideline of Korean medicine for stroke was formulated through extensive review of published literature and consensus meeting of Korean medicine specialists. This project was supported by a grant of the Oriental Medicine R&D Project, the Ministry of Health and Welfare. Referring to guidelines developed in other countries, the experts in the subject tried to organize and develop guidelines and recommendations adequate for domestic medical circumstances. In December, 2008, a multi-disciplinary team called the Evidence Based Clinical Practice Guidelines Development Group (EBCPGsDG) for Stroke was organized. The writing committee was comprised of experts in internal medicine, acupuncture, rehabilitation, and Sasang constitution. Outside specialists and associated panels were invited for consultation. The scope of the guideline encompasses acupuncture, moxibustion and herbal medicine (including Korean medicine, traditional Chinese medicine, Kampo medicine) as interventions for stroke patients. It includes statements about ischemic stroke (I63), stroke not specified as hemorrhage or infarction (I64), and sequelae of cerebrovascular disease (I69) according to the International Classification of Disease (ICD). The committee subdivided the description of herbal medications into acute stroke management, subacute stroke management, post-stroke management, and secondary prevention of stroke. Guidelines on the practice of acupuncture and moxibustion were described in order for acute stroke management, subacute stroke management, chronic stroke management, and post-stroke rehabilitation. Clinicians who are working in the field of stroke care can adopt this guideline for their practice.

Development and Evaluation of the Web-based Evidence-based Practice Guideline for the Operation Patients (수술환자를 위한 웹 기반 근거중심 실무 가이드라인의 개발 및 평가)

  • Hong, Sung-Jung;Chang, Jae-Sik;Jeon, Young-Hoon;Lee, Eun-Joo;Kim, Hwa-Sun
    • Journal of Internet Computing and Services
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    • v.12 no.1
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    • pp.131-139
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    • 2011
  • The purpose of this research is to evaluate patient's satisfaction and clinician' knowledge level about pain, nausea, vomiting, and temperature management of patients after operation by develop an web-based evidence-based practice guideline about pain, nausea, vomiting, and temperature control after operation in order to apply the guideline operation patients. The collected data was analyzed through real number, average, standard deviation, t-test and repeated ANOVA by using SPSS/WIN 17.0 program. The study subjects showed a significant difference in the level of knowledge about pain, nausea/vomiting, and temperature control after operation and patient's satisfaction, before and after applying the web-based evidence-based practice guideline.

Nurses' Access & Use of Information Resources and Barriers & Competency of Evidence Based Practice (간호사의 정보자원 접근 및 활용정도와 근거중심실무 장애요인 및 역량)

  • Yi, Ji-Eun;Park, Myong-Hwa
    • Korean Journal of Adult Nursing
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    • v.23 no.3
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    • pp.255-266
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    • 2011
  • Purpose: The purpose of this study was to explore nurses' access and use of information resources and to identify the barriers and competency to evidence based practice (EBP). This study used descriptive method to identify baseline data for the purpose of developing strategies for establishing EBP in clinical nursing practice. Methods: Participants in this study were 278 nurses from five hospitals in Daegu and Kyungsangbukdo. The data were collected by self administered questionnaires and SPSS/WIN 15.0 program was used to analyze the data with descriptive statistics, t-test, Pearson's correlation coefficients, and ANOVA. Results: Nurses reported $^*most$ frequently using paper and human resources. The mean score of barriers was $3.02{\pm}0.41$, and competency was $2.70{\pm}0.50$. The reported competency was correlated with nurse factors (r=-.31, p<.001) organization factors (r=-.20, p<.001) and research factors (r=-.12, p<.040) as the barriers to evidence based practice. Conclusion: To promote competency in EBP and to decrease the barriers, it would be necessary to develop the organizational culture that encourages nurses to be involved in research activities. In addition, the development of systemic methods to introduce and establish an education program for facilitating EBP in the clinical settings is needed.

Evidence-based Clinical Practice Protocol of Physical Restraints by Adaptation Process for Patients in a Geriatric Hospital (요양병원 입원 노인을 위한 신체 억제대 프로토콜의 수용개작)

  • Park, Mi Hwa;Sohng, Kyeong-Yae
    • The Korean Journal of Rehabilitation Nursing
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    • v.19 no.2
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    • pp.118-127
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    • 2016
  • Purpose: This study was to develop an evidence-based clinical practice protocol of physical restraints by adaptation process for patients with a geriatric hospital. Methods: Protocol adaptation process was conducted in accordance with manual for guideline adaptation version 1.0 by ADAPTE collaboration. Results: The adapted physical restraint protocol was consisted of 3 domains and 37 recommendations. The number of recommendations in each domain were: 7 nursing assessment, 19 nursing intervention, and 11 nursing evaluation. More than half (56.8%) of the recommendations were rated as grade B, 37.8% as grade C, and 5.4% were rated as grade D. Conclusion: The adapted physical restraint protocol is expected to contribute as an evidence-based clinical practice protocol for healthcare workers in geriatric hospitals for reducing and improving efficiency of appropriate physical restraints use.

Clinical Dental Hygiene Education and Practice based on Dental Hygiene Process (치위생 과정 기반의 임상 치위생 교육과 실무)

  • Cho, Young-Sik
    • Journal of dental hygiene science
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    • v.11 no.3
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    • pp.135-154
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    • 2011
  • Dental hygiene was originated from dentistry and dental hygiene knowledge was a component of dental knowledge body. Since the late 1980s dental hygiene theory was began to develop. Nursing theories such as metaparadigm, nursing process and human need theory affected theory development as dental hygiene process. Dental hygiene process provides a framework for high quality dental hygiene care. Dental hygiene process include five phases; assessment, dental hygiene diagnosis, dental hygiene planning, implementation, evaluation. Dental hygiene process of care is recognized as standard for dental hygiene education and clinical dental hygiene practice. Dental hygiene practice has moved from auxiliary model to professional model. Critical thinking skill and disposition are necessary to provide evidence-based dental hygiene care using dental hygiene process as clinical process and critical thinking process. Critical thinking, problem solving and evidence-based practice must be integrated into dental hygiene process for quality dental hygiene care.

Evidence based practice within the complementary medicine context

  • McLean, Lisa;Micalos, Peter Steve;McClean, Rhett;Pak, Sok Cheon
    • CELLMED
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    • v.6 no.3
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    • pp.15.1-15.4
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    • 2016
  • Evidence based practice (EBP) is a system of applying the most current and valid high quality evidence to support clinical decision making in a healthcare setting. In the twenty five years since its inception, EBP has become the accepted benchmark for excellence in healthcare. Although the system emerged within the biomedical sciences, in the years since EBP has become normative across all healthcare modalities from dentistry, allied health to complementary and alternative medicine (CAM). Practicing evidence based medicine within any modality potentially offers the patient the best available care based on high quality evidence. Yet it is the nature of the evidence that provokes some questions about the suitability of EBP across all modalities of healthcare. The meta analysis of randomized controlled trial (RCT) stands at the pinnacle of the hierarchy of evidence in EBP. This forms a challenge to CAM due to the difficulty in reducing the elementals of a holistic naturopathic assessment of a patient into an answerable question to be tested within a RCT. On one level this makes EBP paradigmatically incompatible with CAM, yet on another level it presents the opportunity to redefine the parameters of what is considered high level evidence. EBP has become a tool, and at times a weapon wielded by governments and health insurance companies to direct healthcare funding and policy. The implications of the nature of accepted evidence are becoming far reaching. The pursuit of the best available healthcare for each individual is the focus of EBP. However, the injudicious use of this system to direct health policy is fraught with biomedical bias and dominance. This issue raises the challenge to CAM to present high level evidence according to the rules of evidence, or face the annihilation of centuries of empirical knowledge.