循证实践(英语:Evidence-based practice,简称为:EBP),或循证实务,是一种跨学科的临床医学实践之方法,在1992年正式引入临床医学实践之后一直在不断的发展。循证实践始于医学上之循证医学(英语:Evidence-based medicine),并已扩展应用到联合卫生专业、教育、管理、立法及公共政策等相关领域。[1] 循证实践传统上是根据三条基本原则,所谓的“三足凳(three legged stool)原则”来定义的:(1).关于治疗是否以及为何起作用的最佳研究证据,(2).临床的专业知识(临床判断与经验),以快速确定每个患者的独特健康状况及诊断结果、即如患者们的个人健康风险与潜在医疗处置效益,以及(3).患者的偏好与价值观。[2][3]
循证行为实践(EBBP)“即借由需要通过将最佳可用的证据与医学从业者的专业知识及其他资源,以及那些将受到影响的特征、状态、需求、价值观与偏好加以整合,而来决定如何促进健康的方法或提供护理照护之步骤。即是以环境和组织背景兼容的方式来完成循证实践。循证是通过观察与实验、以及问题的提出与假设检验,进而得出由系统收集来的数据之研究结果”。[4]
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- 循证医学
- 临床医学期刊(Clinical Medicine)
- NREPP National Registry of Evidence-based Programs and Practices