Development of Evidenced Based Clinical-Research Collaborating System Facilitated with Certified Nursing Specialists

本研究的目的在于找出临床与学术机构之间的合作系统，将研究成果转化为临床实践，并发现儿童注册专科护士（CNS）在此过程中作为促进者的有效性。本研究由三个小组（疼痛缓解组、兵库大学出院支持组、圣路加护理学院家庭支持组、高知女子大学）合作，利用他们过去开发的临床仪器进行。各组均存在学术机构、医院-学术、中枢神经系统组、中枢神经系统-护士核心组之间的多层次合作。疼痛缓解组对6家医院的24名儿童及其家庭进行了《疼痛缓解/非药物支持方法评估工具》。出院支持组利用《气管切开术后护理手册》对4家医疗机构的12例患者进行干预。家庭支助小组向3家医院的12个病例介绍了“家庭赋权指南”。结果显示：(1)家属满意度提高；(2)护士对自身干预效果的认知提高；(3)其他医护人员对护理效果的认知提高。在将研究证据转化为临床护理的过程中，CNSs在研究小组的医院/诊所和学术机构之间发挥了翻译作用。详细介绍了中枢神经系统在翻译、介绍和促进新的护理方法中的作用。

The purposes of this study were to, identify the collaborative system between of the clinical and academic institutes to translate research findings for clinical practice and to find the effectiveness of Child Certified Nurse Specialist (CNS) as facilitator in the process.The research was conducted with collaboration of three groups (Pain Palliative group ; University of Hyogo, Discharge Support group ; St. Luke's College of Nursing, Family Support group ; Kochi Women's University, ) by utilizing the clinical instruments that they developed in past. The each groups had multilayered collaborations among academic institutions, hospitals - academic, CNS groups, and CNS-nurses core groups.The Pain Palliative group conducted "Assessment Tool for Pain Palliative/Non-Pharmacologic Support Methods" to the 24 children and family of 6 hospitals. The Discharge Support group utilized "The Care Manual after tracheotomy" and intervened 12 cases in 4 medical institutions. Family Support group introduced "Family Empowerment Guideline" to 12 cases of 3 hospitals.The results from each group had indicated following findings: 1) improvement of the family satisfaction, 2) improvement of the nurses' perceptions of the effectiveness of their intervention, and 3) increased awareness of the other medical personnel's for the nursing care effectiveness.In the process that translation of research evidence into the clinical care, the CNSs had played a role of translator between hospitals/clinics and academic institution in the research groups. Detailed CNS' skills for their role in translating, introducing and facilitating new care methods have been described.