EBP Leadership Summit: Improving health outcomes for high risk children and teens

描述（由申请人提供）：研究表明，当临床护理基于证据而不是沉浸在传统中时，患者的结局会更好。美国国家科学院在其具有里程碑意义的2000年报告中指出，对儿童早期发展的研究未能影响到对国家儿童的照顾。尽管系统性综述表明，当哮喘儿童使用带雾化器的定量吸入器而不是雾化器给予支气管扩张剂时，住院率更低，结局更好，但大多数儿科医院仍继续使用雾化器。参加第一届美国EBP领导峰会的国家组织以及医疗保健领导人和循证实践（EBP）专家建议教授和实施EBP，但只有一小部分护士和其他医疗保健提供者使用EBP方法进行护理。来自美国10家儿童医院的EBP专家/护士研究人员的这一具有里程碑意义的峰会的主要目的是制定一项战略行动计划，以启动一个国家EBP/研究网络，以改善高危儿童和青少年的护理和结果。这次首脑会议是一个极好的匹配与AHRQ的长期承诺，将研究转化为实践中的一个高度优先领域（即，儿童）。全国各地的许多儿童医院都在开展类似的EBP项目，并制定EBP协议，但在一个孤立的背景下。因此，迫切需要建立一个正式的国家EBP/研究儿科和青少年联盟，以改善儿童的健康结果。拟议的峰会将启动这个合作的国家联盟，以推进EBP和改善全国几家儿童医院的医疗保健。峰会的主要目标是：（a）制定一项行动计划，在这些医院开展第一个EBP实施/研究项目，作为进一步合作项目的模式;（B）制定一项行动计划，在没有循证临床实践指南的情况下，至少制定一项循证临床实践指南，以改善一组高危儿童的结局，以及（c）通过出版物、作为新成立的EBP联盟一部分的医院网络和国家会议，包括我们的第八届全国EBP年度会议，将研究转化为弱势群体的最佳实践，将于2007年2月22日和23日在亚利桑那州凤凰城举行。本次峰会将汇集15名儿科和循证实践（EBP）专家和领导人，旨在启动一个全国联盟，旨在加速全美10家儿童医院的EBP，以改善我国儿童和青少年的健康状况。

DESCRIPTION (PROVIDED BY APPLICANT): Research has supported that patient outcomes are substantially better when clinical care is based upon evidence versus steeped in tradition. In its landmark 2000 report, the National Academy of Sciences stated that research on early child development has failed to influence the care of the nation's children. Although systematic reviews have indicated that there are less hospital admissions and better outcomes when children with asthma are given bronchodilators with a metered dose inhaler with a spacer instead of a nebulizer, most pediatric hospitals continue to use nebulizers. National organizations as well as healthcare leaders and evidence-based practice (EBP) experts who attended the first U.S. EBP Leadership Summit have recommended that EBP be taught and implemented, yet only a small percentage of nurses and other healthcare providers are using an EBP approach to care. The major purpose of this landmark Summit of EBP experts/nurse researchers from 10 children's hospitals throughout the U.S. is to develop a strategic action plan to launch a national EBP/research network to improve the care and outcomes of high-risk children and adolescents. This Summit is an excellent match with AHRQ's long-term commitment to translating research into practice in one of its high priority areas (i.e., children). Many children's hospitals throughout the country are working on similar EBP projects and establishing EBP protocols, but within an isolated context. As a result, there is an urgent need to establish a formal national EBP/ research pediatric and adolescent consortium to improve health outcomes for children. The proposed Summit will launch this collaborative national consortium to advance EBP and improve healthcare in several children's hospitals across the country. Major goals of the Summit are to (a) develop an action plan to conduct the first EBP implementation/research project across these hospitals that can serve as a model for further collaborative projects, (b) develop an action plan to generate at least one evidence-based clinical practice guideline where none exist to improve outcomes for a group of high-risk children, and (c) disseminate the outcome strategies from the Summit through publications, the network of hospitals that are part of this newly formed EBP consortium, and national conferences, including our 8th annual national EBP conference, Translating Research into Best Practice with Vulnerable Populations, to be held in Phoenix, Arizona, on February 22 and 23, 2007. This Summit will bring together 15 pediatric and evidence-based practice (EBP) experts and leaders for the purpose of launching a national consortium aimed at accelerating EBP in 10 children's hospitals throughout the U.S. to improve health outcomes for our nation's children and adolescents.