• 한국도서관정보학회지
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• 제50권1호
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• pp.43-60
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• 2019

본 연구의 목적은 대학도서관 사서가 인식한 근거기반실무의 지식 정도와 영향 요인을 파악하여 대학도서관의 경영과 사서직 발전에 기초자료를 제공하는데 있다. 본 연구에 응답한 대학도서관 사서의 근거기반실무 지식에서 유의한 차이가 나타난 변인은 연령, 교육정도, 고용유형, 직위, 학술지읽기, 학술대회 참여이었다. 이들의 근거기반실무 지식에 영향을 미치는 예측 요인은 교육정도, 학술지읽기로 나타났다. 또한, 근거기반실무 지식 중 근거의 비판적 평가와 실무적용 및 연구문헌 이해와 연구수행은 취약한 것으로 밝혀졌다. 대학도서관 사서의 근거기반실무 지식은 대학도서관과 사서직의 지속적 발전을 위한 혁신의 촉진요인이라고 간주할 수 있기 때문에 근거기반실무의 지식역량을 향상시킬 수 있도록 사서 개인의 노력 뿐 아니라 연구 관련 활동을 지원하는 조직단위, 도서관계, 학계차원의 지원과 정책이 필요하다.

• 치위생과학회지
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• 제23권4호
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• pp.330-342
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• 2023

Background: As the medical knowledge base grows at an accelerating rate, evidence-based clinical performance becomes increasingly important for providing quality care. Previous studies have highlighted the need to promote job crafting to actualize evidence-based practical skills in the medical field. This study aimed to investigate the degree of evidence-based practice among dental hygienists and assess the impact of job crafting on the evidence-based practical skills of dental hygienists. Methods: Dental hygienists working at dental hospitals and clinics in Seoul and Gyeonggi Province were surveyed between February 28 and April 6, 2023. The sample was comprised of 267 participants. The hypotheses were tested independent t-tests, one-way analysis of variance, Pearson's correlation coefficients, and multiple regression analyses using SPSS 29.0. Results: The degree of job crafting by dental hygienists demonstrated significant differences based on educational attainment, workplace size, and workplace type. Evidence-based practical skills exhibited significant variations based on educational attainment and job position. All job crafting subfactors demonstrated positive correlations with evidence-based practical skills. The job crafting subfactors affecting the evidence-based practical skills of dental hygienists were 'increasing structural job resources' and 'increasing challenging job demands,' which together explained 38.7% of the variance in evidence-based practical skills. Conclusion: This study demonstrates that job crafting was positively and significantly correlated with evidence-based practical skills. To strengthen the job crafting ability of dental hygienists, improving environmental conditions and fostering an organizational culture that motivates continued participation in education is necessary. The development and promotion of programs that enable learning of the latest evidence should be actively pursued. Additionally, regular attendance at workshops and participation in organizational evidence-based practice education programs are necessary.

• PNF and Movement
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• 제14권3호
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• pp.157-176
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• 2016

Purpose: The purpose of this study was to share an experience about processes and lessons learned to execute evidence-based practice (EBP) in neurological physical therapy. Methods: The most important thing in applying EBP to practice is to search, find, and appraise the existing evidence. Many evidence databases are available, such as CENTRAL, PEDro, PUBMED, and EMBASE. However, the knowledge represented in these databases is not always perfect. The practice model is a set of processes to resolve client problems. Therapists should make hypothesis-focused decisions through EBP. Integrating clinical reasoning and evidence is most important when it comes to the execution of EBP. Results: The process of EBP consisted of following: coming up with clinical questions, followed by searching for, appraising, evaluating, and integrating evidence. To integrate EBP into practice, it is necessary to consider clinical expertise, patient value and preferences, as well as research wth the best evidence. We provided an example of a clinical case with a stroke patient to show how this process and framework concerning clinical reasoning through evidences can be integrateds. During this process, we also utilized information technology to improve EBP ability. Conclusion: We should recognize what manner of information is needed to resolve eash patient's problem, and we should search for this information efficiently. Then, we should judge the value of the information obtained as it applies, to the clinical setting.

• 대한핵의학회지
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• 제35권4호
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• pp.224-230
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• 2001

EBM is "the conscientious, explicit and judicious use of current best evidence in mating decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research." EBM is the integration of clinical expertise, patient values, and the best evidence into the decision making process for patient care. The practice of EBM is usually triggered by patient encounters which generate questions about the effects of therapy, the utility of diagnostic tests, the prognosis of diseases, or the etiology of disorders. The best evidence is usually found in clinically relevant research that has been conducted using sound methodology. Evidence-based medicine requires new skills of the clinician, including efficient literature-searching, and the application of formal rules of evidence in evaluating the clinical literature. Evidence-based medicine converts the abstract exercise of reading and appraising the literature into the pragmatic process of using the literature to benefit individual patients while simultaneously expanding the clinician's knowledge base. This review will briefly discuss about concepts of evidence medicine and method of critical appraisal of literatures.

• 한국농촌간호학회지
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• 제12권2호
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• pp.29-44
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• 2017

Purpose: The purpose of this study was to identify community health practitioners' (CHP) perception of barriers to research utilization, current status and competence in evidence-based practice (EBP). Methods: From all over the country, 126 CHP completed an e-mail survey. Results: The items with the highest barrier scores were that it is difficult to understand articles written in English and physicians will not cooperate with implementation. There were statistically significant differences in the scores for attitude toward EBP and knowledge in EBP by education level and nursing academic society membership status. When faced with a problem, the nurses usually use related regulations or asked a colleague for advice. Conclusion: Results indicate an awareness of the necessity of applying EBP, need to improve readiness to use EBP voluntarily and actively, and need to search for various factors that are barriers to research utilization. There is a need to develop and apply EBP training/education programs to find new evidence that might actually support previous practice for which nurses lack confidence. Guidelines that consider CHP task characteristics and barrier factors to research utilization should be developed.

• 지역사회간호학회지
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• 제26권4호
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• pp.390-397
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• 2015

Purpose: The purpose of this study was to explore practice-based evidence for health promotion in vulnerable populations with hypertension in primary health care settings. Methods: Two methodological procedures were adopted for this triangulation study. In the first phase, the sample was obtained from the computerized clinical data repository of a community nursing center. A total of 286 clients were assessed for hypertension as an actual circulation problem as coded in the Omaha System. In the second phase, a qualitative focus group was surveyed through semi-structured interviews conducted by nine advanced practice nurses who had been serving the hypertensive patients. Results: The community nurses provided essential primary healthcare services including health teaching guidance and counseling, and surveillance to vulnerable populations living in medically underserved community. There was a significant positive correlation between knowledge and behavior (r=.53, p<.01), between knowledge and health status (r=.40, p<.05), and between behavior and health status (r=.48, p<.01). Conclusion: This triangulation study encompassed not only quantitative findings from the computerized records of clients but also other information acquired from advanced practice nurses. This study contributes to understanding the importance of health promotion nursing interventions even with populations already diagnosed with chronic diseases such as hypertension.

• 셀메드
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• 제6권3호
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• pp.15.1-15.4
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• 2016

Evidence based practice (EBP) is a system of applying the most current and valid high quality evidence to support clinical decision making in a healthcare setting. In the twenty five years since its inception, EBP has become the accepted benchmark for excellence in healthcare. Although the system emerged within the biomedical sciences, in the years since EBP has become normative across all healthcare modalities from dentistry, allied health to complementary and alternative medicine (CAM). Practicing evidence based medicine within any modality potentially offers the patient the best available care based on high quality evidence. Yet it is the nature of the evidence that provokes some questions about the suitability of EBP across all modalities of healthcare. The meta analysis of randomized controlled trial (RCT) stands at the pinnacle of the hierarchy of evidence in EBP. This forms a challenge to CAM due to the difficulty in reducing the elementals of a holistic naturopathic assessment of a patient into an answerable question to be tested within a RCT. On one level this makes EBP paradigmatically incompatible with CAM, yet on another level it presents the opportunity to redefine the parameters of what is considered high level evidence. EBP has become a tool, and at times a weapon wielded by governments and health insurance companies to direct healthcare funding and policy. The implications of the nature of accepted evidence are becoming far reaching. The pursuit of the best available healthcare for each individual is the focus of EBP. However, the injudicious use of this system to direct health policy is fraught with biomedical bias and dominance. This issue raises the challenge to CAM to present high level evidence according to the rules of evidence, or face the annihilation of centuries of empirical knowledge.

• 한국산학기술학회논문지
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• 제14권6호
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• pp.2945-2957
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• 2013

본 연구는 상급종합병원간호사의 비판적사고, 간호조직문화 유형, 근거기반실무 준비도를 파악하고, 근거기반실무 준비도(지식/기술, 태도, 조직의 지원)에 영향을 미치는 요인을 규명하기 위한 서술적 조사연구이다. 자료는 2013년 3월 21일부터 3월 28일까지 2개 상급종합병원에서 근무하는 간호사 160명을 대상으로 조사하였다. 수집된 자료는 t-test, ANOVA, 상관분석, 회귀분석으로 검정하였으며, 모든 검정의 유의수준은 p<.05이었다. 근거기반실무지식/기술의 영향요인은 비판적사고이었으며 34.7% 예측 설명하였고, 근거기반실무 태도의 영향요인은 근거기반실무지식/기술, 외과병동이었으며 14.2% 예측 설명하였다. 근거기반실무를 위한 조직의 지원에 대한 영향요인은 혁신지향문화, 관계지향문화이었으며 24.6% 예측 설명하였다. 따라서 근거기반실무 도입과 활성화를 위해서 간호부 차원에서의 비판적 사고와 근거기반실무 지식/기술을 높이기 위한 교육프로그램 개발 및 적용과 더불어 간호조직의 문화를 혁신지향문화로 조성하기 위한 체계적 지원구축이 요구된다.

• Journal of Korean Dental Science
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• 제3권2호
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• pp.34-39
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• 2010

In our daily practice, we think about the diagnosis of our patient and get into a situation wherein we have to make a clinical decision. Diagnosis and treatment come from the knowledge and experiences that each dentist should have, but sometimes, we can have doubts on our decisions. "On what evidence did I make such decision? Was that really right?" Drawing our attention these days as a possible answer to this question, evidence-based dentistry seeks to apply the best available evidence gained from the scientific method to medical decision making. To make a good decision, the strength of evidence is assessed. Specifically, randomized controlled trial, systematic review, and meta-analysis are considered the highest level of evidence; cohort study, case control study, case series, animal study, bench test, and biological plausibility follow. With the approach of evidence-based dentistry, we can make objective, scientifically sound clinical decisions. It is also patient-oriented, incorporating clinical experiences and stressing good judgments; thorough and comprehensive, it uses transparent methodology. That is the reason evidence-based dentistry can be better than other assessment methods when we make a clinical decision in modern dentistry.

• 디지털융복합연구
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• 제16권7호
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• pp.277-288
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• 2018

본 연구는 투석실에서 간호사들 사이의 혈액 투석에 대한 실무 지침에 근거한 지식 수준과 수행도를 조사하는 서술연구로서 자기기입식 설문지를 사용하여 데이터를 수집했다. 표본은 한국의 3개 지역에 위치한 혈액 투석실의 간호사 173명으로 구성되었다. 자료 분석은 SPSS / WIN 20.0 으로 t-test, ANOVA 및 Scheff's 분석을 수행했다. 투석실 간호사의 약 98.8 %는 주로 투석회의나 심포지움에서 교육을 받았다. 근거중심실무에 대한 지식 점수는 평균 15.77 (23 개 중)로 나타났으며, 8년 이상의 경력자, 석사 학위 및 3차병원에서 일하는 간호사들이 유의하게 높은 점수를 보였다. 혈액 투석에 대한 국제적으로 인정되는 근거중심실무지침이 있음에도 불구하고 지침에 대한 실제 준수는 경험, 교육 수준 및 병원 유형에 따라 다르게 보였다. 이 연구의 결과는 혈액 투석 간호사에 대한 지식 향상 및 근거중심실무지침 활용을 위한 전략 개발에 대한 추가 연구를 위한 기본 데이터가 될 수 있다.