The JBI model of evidence-based healthcare

The JBI model of evidence-based healthcare
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DOI:
10.1111/j.1479-6988.2005.00026.x
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发表时间:
2005-09-01
影响因子:
--
通讯作者:
Lockwood, Craig
Lockwood, Craig
中科院分区:
医学4区
文献类型:
--
作者:
Pearson, Alan;Wiechula, Rick;Lockwood, Craig

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循证医疗保健,因为它是当代构思的基础上认为,临床决策应基于最好的科学证据,但认识到病人的喜好,医疗保健的背景和临床医生的判断。目前正在进行的辩论的性质证据的做法在所有的卫生专业的影响,临床医生在日常实践中的经验,在使用证据,断言,有不同的来源,研究为基础的证据和非研究为基础的证据和证据为基础的做法的过程应该放在一个更广泛的背景下,是植根于实践;承认不同的证据基础;我们提出了一个循证实践的发展框架,该框架建立并扩展了循证医疗保健领域领导者的工作;是情境化的;包括各种形式的证据;并结合了对知识转移和利用的理解。该概念模型试图在全球实践环境的复杂性范围内解释医疗保健证据及其作用和用途。
Evidence-based healthcare as it is contemporarily conceived is based on the view that clinical decisions should be based on the best available scientific evidence but recognising patient preferences, the context of healthcare and the judgement of the clinician. The ongoing debate on the nature of evidence for practice across all of the health professions is influenced by the experience of clinicians in everyday practice who, in using the evidence, assert that there are diverse sources of research-based and non-research-based evidence and that the process of evidence-based practice should be placed within a broader context that is grounded in practice; recognises different evidentiary bases; and is directed towards improving global health across vasty different practice contexts.We present a developmental framework of evidence-based practice that builds and expands on the work of leaders in the field of evidence-based healthcare; is contextualised; is inclusive of diverse forms of evidence; and incorporates understandings of knowledge transfer and utilisation. The conceptual model attempts to situate healthcare evidence and its role and use within the complexity of practice settings globally.