Addressing the Missing Part of Evidence-based Practice: The Importance of Respecting Clinical Judgment in the Process of Adopting a New Screening Tool for Postpartum Depression.
Addressing the Missing Part of Evidence-based Practice: The Importance of Respecting Clinical Judgment in the Process of Adopting a New Screening Tool for Postpartum Depression.
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DOI：
10.1080/01612840.2017.1347221
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发表时间：
2017-12
影响因子：
2.1
通讯作者：
Tompkins R
中科院分区：
文献类型：
--
作者：
Ben-David V;Jonson-Reid M;Tompkins R
本研究的目的是探讨护士的临床判断的作用，在摄取的循证工具评估产后抑郁症，爱丁堡产后抑郁量表。一个家访项目的护士被要求定期筛查产后抑郁症。筛选器被引入作为护士实践的新标准。护士的反应进行了定性调查，以证据为基础的筛选。在实施之前和实施过程中，与护士和研究团队举行了几次会议，讨论护士使用该工具的经验。护士参加了半结构化的访谈和笔记进行了审查，以确定主题，可能是有用的，以进一步了解EBP在护士之家的访问。结果发现，摄取的过程包括三个阶段：不满意的工具的效用;解决问题和整合的临床判断到一个免费的工具，并最终依赖于标准化的工具。尊重护士的现场经验和临床判断是采用循证工具的关键。这里揭示的过程需要更大规模的研究，看看这是否可以用于各种设置和不同的筛选机制，以增加使用推荐的非健康筛选工具的舒适度。
The aim of the present study was to examine the role of nurse’s clinical judgment in the uptake of an evidence-based tool assessing postpartum depression, the Edinburgh Postpartum Depression Scale. Nurses in a home visitation program were being asked to regularly screen for postpartum depression. The screener was introduced as a new standard of practice for nurses. A qualitative investigation of the nurses’ reactions to the addition of an evidence based screener was conducted. Prior to and during implementation, several meetings were held with the nurses and the research team to discuss the nurses’ experience with the tool. Nurses participated in semi-structured interviews and notes were reviewed to identify themes that may be useful to further understanding EBP in nurse home visitation. It was found that the process of uptake included three phases: dissatisfaction with the utility of the tool; problem-solving and integration of clinical judgment into a complimentary instrument, and eventual reliance on the standardized tool. Respecting the nurses’ field experience and clinical judgment was key to the process of adoption of an evidence-based tool. The process uncovered here requires larger scale study to see if this can be used across various settings and with differing screening mechanisms to increase comfort with the use of recommended non-health screening tools.
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影响因子：
6.9
作者：
Brugha, T. S.;Morrell, C. J.;Slade, P.;Walters, S. J.
通讯作者：
Walters, S. J.
影响因子：
8
作者：
Chaudron, Linda H.;Szilagyi, Peter G.;Wisner, Katherine L.
通讯作者：
Wisner, Katherine L.
影响因子：
6.3
作者：
Ammerman, Robert T.;Putnam, Frank W.;Van Ginkel, Judith B.
通讯作者：
Van Ginkel, Judith B.
影响因子：
3.8
作者：
Brown, Caroline E.;Wickline, Mary A.;Glaser, Dale
通讯作者：
Glaser, Dale
影响因子：
1.6
作者：
Barth, Richard P.
通讯作者：
Barth, Richard P.