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?????????. ???????????????????????????????????????????????????????. ????????????. ??????????????????????????????????????,???????????????,???????????????????????????????????. . ????????. . . Evidence. . (1) Intuition-based practice. (2) Trial and Error. . (3) Confusion. (4) Evidence-based practice.

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    1. ????????? ??? ??????????????? ??????????

    2. ????????? ?????????????????? ????????????? ????????? ???????? ???????

    3. ???????????? ?????????? ???????? ?????????? ??????????,??????? ????????,????? ??????? ???????????????? ???????

    4. ????????

    5. ??????????? ?????:???????? (?????????) ????????:?????? ?????????,?????????,???????? ??:???Vital sign ????????, ??????????????????? ?????:?????????????

    6. ????????? Evidenced-Based Health Care (Practice) (EBHC) ???????????????????????????????,????????????? ????????????? ?:?????Sackett et al. (2001) ?????(Evidenced-Based Medicine, EBM) ???

    7. ???? (Evidenced-Based Nursing, EBN) ??????? ?????????????????? ????????? ???????? ????? ????????? ????

    8. ?????????

    9. ????????? ????????? ????? ?????????? ??????????? ???? ????????? ????????

    10. ????????? ????????? ??????,???????????????????,?????????????????????,????????,??????????????? ???? ??????????????,?????????????????????????????,?????????????????,????????????????????

    11. ????????? ???:?????????? ???:????????? ???:????????? ???????? ???:??????,????????? ????????? ???:?????????

    12. ?????????? (1) Ask an answerable question ????????????,????? ????????? ??:??????(???) ??….. ???? ??:A ? B ???…(?????) ???….

    13. ??????????? (2) Ask an answerable question ??????????? ??????????????? ??????????? ????????????? ????????????????? ???????????? ??????????????

    14. ???????? ????? ?????????? (PICO) 1. Participant 2. Intervention or exposure 3. Comparison 4. Outcome

    15. ????????? Searching for the best available evidence ???????~???????,????? ????????????? ????????????????~??????? ?????????,???????????

    16. ??????????? ?????????????????? ??????????? ??---care ??---treat & cure ??????????? ??????? ????????

    17. ????? ????(????????????) Cochrane Library?EBN online: Evidence-Based Nursing?JBI ???? NGC: National Guideline Clearinghouse The Joanna Briggs Institute (JBI) ???????: CINAHL(??)?OVID MEDLINE (??) PSYCHLIT(????) ? ERIC(??) CEPS (???)??????????

    18. ??????

    19. ?????? The Cochrane Collaboration ?????????? http://www.cochrane.org/index.htm National Guideline Clearinghouse ?????????????????? http://www.guideline.gov/ Joanna Briggs Institute ???????? http://www.joannabriggs.edu.au/about/home.php

    20. ??????-? Evidence Based Nursing British Medicine Journal http://ebn.bmj.com/ American Psychologist Association Practice Guideline ?????? http://www.psychiatryonline.com/pracGuide/pracGuidehome.aspx ????????????????????? ( http://web2.tmu.edu.tw/clifchen/ ):????2002????????????????????????? ??????????????(http://www.wanfang.gov.tw/ebm/index.htm )

    21. ????? Cochrane library Up To Date Clinical Evidence

    22. ????? ???????????? CEPS-???????? ?????????? ????? PubMed CINAHL Medline

    23. ??????? Critical appraisal ???????:???????????? ?????????,??????????????????? ???????????????? ??????????? ??????

    24. ?????? The Evidence Hierarchy I. ??????????????? II. ??????????????????? III. ?????????????? IV. ?????????????? V. ?????????????? VI. ??????????? VII. ?????????

    25. ??????? Translate into clinical practice ????????????????????????????? ??????????? ?????? ????????? ??????????????????

    26. ?????????? audit ???????????

    27. ?????????

    28. ?????????????(1) ?????? ???????????? ??????? ??????????? ????????????????

    29. ???????????(2) ?????????? ???????????? ??????? ?????????????????? ????????????????? ????????

    30. ?????????????

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