以實證為基礎的護理轉型照護

Transformative Care Rooted in Evidence-Based Nursing

10.6224/JN.000005

蔣立琦(Li-Chi Chiang)；廖美南(Mei-Nan Liao)

實證護理 ； 護理科學 ； 轉型照護 ； evidence-based nursing ； nursing science ； transforming care

護理雜誌

64卷1期（2017 / 02 / 01）

25 - 31

繁體中文

護理人員是跨健康照顧專業團隊的靈魂人物，基於護理知識發展的藝術與科學，提供每位個案與家庭實證健康照護。護理人員不僅是人數最多且提供24小時床邊照護的守護者，更應透過反思實踐，發展獨特的護理知識，五項策略以發展實證為基礎的護理科學知識於轉型照護，包括：(1)實徵地反思執業服務範疇、(2)嚴格建構護理知識之方法學、(3)解放護理科學知識的創新轉型、(4)以病人為中心的跨專業領域之間的合作、及(5)倡議護理教育轉型改革。護理人員在各層級醫療體系服務，是重要的健康照護提供者。護理人員提供最前線的實證轉型照顧，理應與其他醫事人員價值相等且相互尊重，都是以病人為中心，進行解放行動研究實施實證健康照護。

As clinical scientists on the interdisciplinary healthcare team, nurses use the art and science of current nursing knowledge to provide evidence-based healthcare to each patient and his/her family. Nurses not only comprise the largest contingent of medical personnel and provide 24-hour patient care but are also professional scientists that develop unique nursing knowledge through reflective practice. Five strategies for expanding the body of current evidence-based nursing scientific knowledge include: (1) reflecting empirically on the practice-service domain, (2) developing nursing knowledge using rigorous methodology, (3) emancipating nursing knowledge using innovative transformation, (4) using collaborative interdisciplinary healthcare that is based in patient-centered care, and (5) initiating innovative transformation in nursing education. Nurses are critical healthcare providers that make important contributions to today's healthcare system. Nursing scientists provide frontline, evidence-based transforming care that deserves to be respected and valued on an equal basis with the care and services that are provided by other medical personnel.

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