臨床決策：實證實務的步驟

Clinical Decision-making: The Steps of Evidence-based Practice

實證實務的步驟可協助引導護理人員對病人臨床照護的決策過程，此決策過程須考量臨床專業經驗、統合現有最好的證據、病人的偏好及現有資源等因素。護理人員在照顧病人時，應藉由最佳的證據來引導臨床決策，以提供合適的護理照護措施。以實證實務為基礎的照護方式較能促進病人照護品質及降低成本，因此，護理人員應具備實證實務的相關知識及技能，以期跟進以實證為基礎的照護趨勢。多數護理人員都聽過實證實務，但對實證實務的過程及步驟仍然模糊，本文就實證實務的步驟做一介紹。

The steps of evidence-based practice can assist in guiding nurses' clinical decision-making for patient care. This process requires consideration of clinical professional experiences, synthesis of the best available evidence, patient preferences, and available resources. Nurses need to make clinical decisions based on best evidence in order to provide appropriate nursing care. Care based on evidence can improve quality of patient care and reduce health cost. Therefore, nurses should obtain knowledge and skills of evidence-based practice in order to catch up with the trend of evidencebased practice. Most nurses heard about evidence-based practice, but are not clear about the process and steps of evidence-based practice. This paper aims to introduce steps of evidence-based practice.