— 照護管理 · HARD · MCQ —
護理長計劃推行一項基於實證的實務變革，第一步應該執行什麼？
A nurse manager is planning to implement a new evidence-based practice change. Which step should be taken first?
- AReview the current literature for relevant research evidence檢視相關研究證據的現行文獻
- BEducate all staff about the new protocol教育所有員工關於新協議
- CImplement the change in a small pilot group在小規模先導群組實施變革
- DAssess the need for the change based on clinical outcomes✓ 正解根據臨床結果評估變革需求
— Explanation · 中文詳解 —
實證護理（EBP）的第一步是界定問題（Ask a question），即評估目前臨床照護是否有改進需求。在試圖引入變革前，必須先透過資料評估確認現行照護是否達到預期結果，再進行後續的文獻回顧與執行規劃。
The first step in implementing evidence-based practice is to assess the need for change by evaluating current clinical outcomes and identifying specific problems in patient care. This initial assessment establishes the foundation for subsequent steps such as literature review and protocol development.
✦ 台美臨床差異
實證護理（EBP）流程在兩地皆採相似的學術模型，但台灣醫院常由品管部或學術專責單位推動，美國則強調單位自主參與。