落實實證醫學在臨床照護：專科護理師的關鍵角色

Implementing Evidence-Based Practice in Clinical Care: The Critical Role of Nurse Practitioners

實證醫學（Evidence-Based Medicine, EBM）為當代醫療決策的核心理念，強調結合最佳研究證據、臨床專業判斷與病人價值觀，作為提供高品質照護的依據。在全球醫療體系強調病人安全與成本效益之趨勢下，專科護理師（Nurse Practitioners, NPs）不僅是臨床照護執行者，更是知識轉譯與品質改善的關鍵角色。本文聚焦於專科護理師在實證醫學落實過程中的角色與功能，探討其學習策略、行動與實證文化建構，並分享護理實踐模式。

Evidence-based medicine (EBM) has become a core principle of contemporary clinical decision-mak¬ing, emphasizing the integration of the best available research evidence, clinical expertise, and patient values to guide the delivery of high-quality care. As healthcare systems worldwide increasingly prior¬itize patient safety, quality outcomes, and cost-effectiveness, nurse practitioners (NPs) serve not only as frontline clinical providers but also as essential facilitators of knowledge translation and quality improvement. This article examines the roles and functions of nurse practitioners in implementing ev¬idence-based medicine, with particular attention to their learning strategies, clinical actions, and con¬tributions to building an organizational culture that supports evidence-based practice and illustrating how NPs operationalize evidence in daily clinical decision-making and care delivery.