A Survey of Evidence Translation: Getting “HIV/AIDS Clinical Nursing Practice Guideline” into Clinical Practice_Chinese Journal of Evidence-Based Medicine

Authors：

 ZHUZheng ¹ ,  HUYan ¹ , BAOMei-juan ² , ZHANGLin ² , ZHALi-jun ² , HOUXue-hong ² , LUHong-zhou ²

1. School of Nursing, Fudan University, Shanghai 200032, China;
2. Shanghai Public Health Clinical Center, Shanghai 201058, China;

Corresponding?author：

HUYan, Email: huyan@fudan.edu.cn

Keywords：

Evidence-based practice; Clinical practice guideline; Evidence translation; HIV/AIDS

DOI：

10.7507/1672-2531.20160078

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To translate evidence of "HIV/AIDS Clinical Nursing Practice Guideline" into clinical practice, in order to reduce the incidence and severity of symptoms of AIDS and to improve the quality of life of patients. Methods We integrated the best evidence into the HIV/AIDS inpatient unit of a tertiary hospital for infectious disease in Shanghai, China between September 2013 and February 2015. Based on the "Ottawa Model of Research Use", this study was divided into four stages: evaluating the status quo, building the evidence-based strategy, applying evidence-based decision-making, and evaluating results and reflecting. 148 patients were either assigned to an intervention group with HIV/AIDS-related symptom management protocol (n=74), or to a usual care group (n=74) for the duration of their antiretroviral therapy. Then Medical Outcomes Questionnaire (MOS-HIV) were applied to evaluate the life quality after intervention. Results Mixed-effects regression indicated significant difference between groups across time in total MOS-HIV score. The intervention group increased more than the control group 2.72 points in total MOS-HIV scores per month (P<0.05). Conclusion The evidence-translation and evidence-based decision-making of "HIV/AIDS Clinical Nursing Practice Guideline" can regulate nurse behavior, raise the quality of clinical care and improve the patients' quality of life.

Citation： ZHUZheng, HUYan, BAOMei-juan, ZHANGLin, ZHALi-jun, HOUXue-hong, LUHong-zhou. A Survey of Evidence Translation: Getting “HIV/AIDS Clinical Nursing Practice Guideline” into Clinical Practice. Chinese Journal of Evidence-Based Medicine, 2016, 16(5): 505-509. doi: 10.7507/1672-2531.20160078 Copy

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1. Goldman L, Ausiello D, 王賢才. 西氏內科學. Elsevier, 2009: 3307.
2. Blank MB, Hanrahan NP, Fishbein M, et al. A randomized trial of a nursing intervention for HIV disease management among persons with serious mental illness. Psychiatr Serv, 2011, 62(11): 1318-1324.
3. Grimwood A, Fatti G, Mothibi E, et al. Community adherence support improves programme retention in children on antiretroviral treatment: a multicentre cohort study in South Africa. J Int AIDS Soc, 2012, 15(2): 17381.
4. 傅亮. 艾滋病臨床護理實踐指南的構建研究. 上海: 復旦大學, 2014.
5. Graham ID, Logan J. Innovations in knowledge transfer and continuity of care. Can J Nurs Res, 2004, 36(2): 89-103.
6. 傅亮, 胡雁, 盧洪洲, 等.反思艾滋病護理實踐的質性研究. 解放軍護理雜志, 2015, 32(7): 6-10.
7. 胡雁. 循證護理學. 北京: 人民衛生出版社, 2012: 102-104.
8. 楊芬, 柳青, 賈衛東, 等. 簡體中文版MOS-HIV量表信度與效度評價. 中國公共衛生, 2007, 23(8): 981-982.
9. School of Translational Health Science and The Joanna Briggs Institute (JBI). A stagey for strengthening the translation of evidence into action across JBI programs. 2013, 11.
10. Dobrow MJ, Goel V, Lemieux-Charles L, et al. The impact of context on evidence utilization: A framework for expert groups developing health policy recommendations. Soc Sci Med, 2006, 63(7): 1811-1824.
11. Scott IA. 研究證據向臨床實踐轉化的科學進展. 中國循證醫學雜志, 2007, 7(6): 403-406.
12. Flitcroft K, Gillespie J, Salkeld G, et al. Getting evidence into policy: The need for deliberative strategies. Soc Sci Med, 2011, 72(7): 1039-1046.
13. Mark J. Dobrow MJ, Goel V, et al. Evidence-based health policy: context and utilization. Soc Sci Med, 2004, 58(1): 207-217.

Chinese Journal of Evidence-Based Medicine

A Survey of Evidence Translation: Getting “HIV/AIDS Clinical Nursing Practice Guideline” into Clinical Practice

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