The framework of evidence-based continued quality improvement_Chinese Journal of Evidence-Based Medicine

Authors：

ZHOU Yingfeng ¹ ,  HU Yan ¹ , GU Ying ² , ZHU Zheng ¹ , XING Weijie ¹

1. School of Nursing/The JBI Collaborator of Evidence-based Nursing, Fudan University, Shanghai, 200032, P.R.China;
2. Department of Nursing, The Children's hospital of Fudan University, Shanghai, 201102, P.R.China;

Corresponding?author：

HU Yan, Email: huyan@fudan.edu.cn

Keywords：

Evidence-based nursing; Evidence implementation; Framework; Continued quality improvement

DOI：

10.7507/1672-2531.201611090

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective This study was to develop a framework of evidence-based continuous quality improvement and provide a framework for nursing professionals to promote evidence transfer and clinical nursing quality improvement. Methods Guided by the principles of PDCA, evidence-based nursing and work process, a framework of evidence-based quality continuous improvement was established through a citation analysis of evidence implementation related projects and literatures. Results The framework of evidence-based continuous quality improvement consisted of four stages and twelve steps, including evidence searching, practice audit, evidence implementation and outcome evaluation, and then it would turn to next cycle. Conclusion The framework of evidence-based continuous quality improvement provides nursing professionals a concept and method of promoting evidence into practice and promoting clinical nursing quality improvement.

Citation： ZHOU Yingfeng, HU Yan, GU Ying, ZHU Zheng, XING Weijie. The framework of evidence-based continued quality improvement. Chinese Journal of Evidence-Based Medicine, 2017, 17(5): 603-606. doi: 10.7507/1672-2531.201611090 Copy

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12.	周英鳳, 張俊平, 丁焱, 等. 基于循證的產后婦女乳房脹痛的預防和管理. 護理學雜志, 2013, 28(22): 18-20.
13.	顧鶯, 胡雁, 張玉俠, 等. 兒科外周靜脈留置針維護的最佳證據應用. 護理學雜志, 2014, 29(15): 52-55.
14.	馬慧, 程云, 薛一帆, 等. 神經外科使用身體約束預防患者自我拔管的最佳證據應用. 護理學雜志, 2015, 30(20): 5-8.
15.	Oliver V, Stephenson M. Prevention, assessment and management of post-dialysis fatigue in patients attending in-center hemodialysis: a best practice implementation project. JBI Database System Rev Implement Rep, 2016, 14(11): 278-288.
16.	Wainwright C, Wright KM. Nursing clinical handover improvement practices among acute inpatients in a tertiary hospital in Sydney: a best practice implementation project. JBI Database System Rev Implement Rep, 2016, 14(10): 263-275.
17.	胡雁. 循證護理實踐, 護理學科發展的必然趨勢. 中國護理管理, 2013, 13(1): 3-5.
18.	顧鶯. 國內兒科循證護理實踐現狀與思考. 護理學雜志, 2015, 30(20): 27-30.

1. Sudsawad P. Knowledge translation: introduction to models, strategies, and measures. Austin: Southwest Educational Development Laboratory, National Center for the Dissemination of Disability Research, 2007.
2. Pearson A, Jordan Z, Munn Z. Translational science and evidence-based healthcare: A clarification and reconceptualization of how knowledge is generated and used in healthcare. Nurs Res Pract, 2012, 2012(4): 792519.
3. International Council of Nurses. Closing the Gap: From Evidence to Action. Available at: .
4. 李繼平. 護理管理學. 北京: 人民衛生出版社, 2015: 228-230.
5. 李明子.現代管理的新理念—流程管理.中華護理雜志, 2005, 40(12): 956-958.
6. 胡雁, 周英鳳, 朱政, 等. 通過循證護理實踐促進護理知識轉化. 護士進修雜志, 2015, 30(11): 961-963.
7. 李幼平. 循證醫學. 北京: 人民衛生出版社, 2014: 33.
8. Pearson A, Wiechula R, Lockwood C. The JBI model of evidence-based health care. Int J Evid Based Healthc, 2005, 3(8): 207-215.
9. 趙慶華, 肖明朝, 劉婕, 等. 品管圈在護理質量管理中的應用現狀. 護理學雜志, 2014, 29(6): 94-96.
10. 丁勇, 葉大煒, 袁方, 等. 根本原因分析法（RCA）在醫療不良事件分析中的應用. 中國醫院, 2015, 19(5): 41-43.
11. 張悅, 夏玲. 失效模式和效應分析在護理流程管理中的應用. 護理學雜志, 2013, 28(4): 95-97.
12. 周英鳳, 張俊平, 丁焱, 等. 基于循證的產后婦女乳房脹痛的預防和管理. 護理學雜志, 2013, 28(22): 18-20.
13. 顧鶯, 胡雁, 張玉俠, 等. 兒科外周靜脈留置針維護的最佳證據應用. 護理學雜志, 2014, 29(15): 52-55.
14. 馬慧, 程云, 薛一帆, 等. 神經外科使用身體約束預防患者自我拔管的最佳證據應用. 護理學雜志, 2015, 30(20): 5-8.
15. Oliver V, Stephenson M. Prevention, assessment and management of post-dialysis fatigue in patients attending in-center hemodialysis: a best practice implementation project. JBI Database System Rev Implement Rep, 2016, 14(11): 278-288.
16. Wainwright C, Wright KM. Nursing clinical handover improvement practices among acute inpatients in a tertiary hospital in Sydney: a best practice implementation project. JBI Database System Rev Implement Rep, 2016, 14(10): 263-275.
17. 胡雁. 循證護理實踐, 護理學科發展的必然趨勢. 中國護理管理, 2013, 13(1): 3-5.
18. 顧鶯. 國內兒科循證護理實踐現狀與思考. 護理學雜志, 2015, 30(20): 27-30.

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