提昇應用實證知識於臨床健康照護實務之能力。增進解決個人或社區臨床健康問題的能力。體認實證健康照護實務之重要性，並展現追求專業領域之成長。
This course is designed to understand and solve patients’ problems by using evidence based methods, hence to provide evidence based health care. After this course, students should achieve the following goal: Understanding the concepts of evidence-based health care and application; Promoting the ability of applied evidence-based practice in clinical health care; Enhancing the ability of solving health problem in client and community care; Identifying the importance of evidence-based health care and developing the growth in specialist area.
先修科目Prerequisites
無
Nil
教學方式Teaching Methods
講課
Lecturing
學生實作
Student hands-on practice
習題練習、書面報告
Exercise, Written report
小組討論、腦力激盪(如案例討論、電影欣賞等)
Group discussion, Brain storming, e.g., Case study, Event discussion, Movie review
學生上台報告、角色演練
Oral presentation, Role playing
評量方式Assessment
期末報告
Final report
實作作品與反思
Practical work and introspection
小組上台報告
Group oral report
出席狀況
Class attendance
課堂參與與表現
Class involvement
心得與反思報告
Learning gain and introspection report
參考書目Reference
1. Roussel, Linda,|Hall, Heather R., (2017). Evidence-based practice :an integrative approach to research, administration, and practice.
2. 穆佩芬 (2018). 實證護理 Evidence based nursing. 新文京開發
3. 郭怡良|李映琪|赫柏特(Herbert, Rob). (2013). 實證物理治療實務.臺灣愛思唯爾
4. 臺灣實證醫學學會|蓋亞特(Guyatt, Gordon), (2017). 醫學文獻導讀 : 實證臨床實務精要. 麥格羅希爾
5. Related journals and course video in each week.
教學進度Course Schedule
2024/09/10 課程介紹與實證實務簡介
Course introduction & introduction of evidence based practice
吳至容(Wu, Chih-Jung) 2024/09/17 獨立研究
Independent study
廖玟君(Liao, Wen-Chun) 2024/09/24 實證實務步驟介紹
提出可回答臨床問題
實證證據的搜尋策略與資源介紹
活動: 敘述臨床情境，提出問題並設立PICO。依所設立之PICO進行搜尋，並由題目選擇可能相關之所有文獻
Steps of evidence based practice
Ask an answerably clinical problem
Searching strategies of evidence articles and introduction of resource in evidence based bank
Describe clinical scenario, set up question and PICO. Search literature based on the above PICO and select the related articles.
廖玟君(Liao, Wen-Chun) 2024/10/01 分組討論-選擇情境設立PICO，依所設立之PICO搜尋選擇文獻，說明選擇原則與選取原因。問題應包含發生率與處置效果: ex. 老年人衰弱之發生率、影響因子；重力訓練相較於散步是否能減少社區老年人之身體衰弱?
Group discussion: choose a situation to establish a PICO question, searching and selecting literature. The question should consist of prevalence and intervention-related issues. Ex. Prevalence of frailty in the older adults, influencing factors, the effect of weight training on physical frailty in community-dwelling older adults.
吳至容(Wu, Chih-Jung)何雅芳(Ho, Ya- Fang)吳至容(Wu, Chih-Jung) 2024/10/08 實證文獻的研究設計與證據等級
包含質性系統性文獻回顧
實證文獻評析綜論
活動: 從所選取之文獻中閱讀其摘要，並列表說明其研究設計與證據等級，依文獻之研究設計列出所需使用的文獻評析工具
Study designs and level of evidence in evidence-based practice.
Critical appraisal of studies
Activity: Make a table for the related articles about their study designs and level of evidence
吳至容(Wu, Chih-Jung) 2024/10/15 觀察性文獻評析:實作與討論
活動: 觀察性文獻評析報告&隨機試驗性文獻評析報告
隨機試驗性文獻評析:實作與討論
活動: 隨機試驗性文獻評析報告
Critical appraisal of observational studies: application and discussion
Critical appraisal of randomised controlled trials: application and discussion
吳至容(Wu, Chih-Jung) 2024/10/22 分組討論: 觀察性文獻評析&隨機試驗性文獻評析
2. Group discussion- Critical appraisal for randomised controlled trials
吳至容(Wu, Chih-Jung)廖玟君(Liao, Wen-Chun)何雅芳(Ho, Ya- Fang) 2024/10/29 系統性文獻回顧與統合分析文獻評析:實作與討論含GRADE
活動: 系統性文獻回顧與統合分析文獻評析報告含GRADE
Systematic literature review and meta-analysis literature review: practice and discussion, including the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system of rating quality of evidence and grading strength of recommendations and JBI Grade
Activity: systematic literature review and meta-analysis literature review report, including GRADE and JBI Grade
廖玟君(Liao, Wen-Chun) 2024/11/05 分組討論: 系統性文獻回顧與統合分析文獻評析
Group discussion- Critical appraisal for systematic review and meta-analysis, including GRADE and JBI Grade
廖玟君(Liao, Wen-Chun)吳至容(Wu, Chih-Jung)何雅芳(Ho, Ya- Fang) 2024/11/12 網絡統合分析文獻評析:實作與討論
活動: 網絡系統性文獻回顧與統合分析文獻評析報告
Network meta-analysis: practice and discussion, including GRADE and JBI Grade
Activity: Network meta-analysis literature review report, including GRADE and JBI Grade
廖玟君(Liao, Wen-Chun) 2024/11/19 分組討論-網絡統合分析文獻評析
Group discussion- Critical appraisal for network meta-analysis, including GRADE and JBI Grade.
廖玟君(Liao, Wen-Chun)何雅芳(Ho, Ya- Fang)吳至容(Wu, Chih-Jung) 2024/11/26 質性系統性文獻回顧-範域文獻回顧
Qualitative systematic review- Scoping review
廖玟君(Liao, Wen-Chun) 2024/12/03 臨床照護指引與實證護理實施計畫
Clinical guideline & Evidence-based implementation program
廖玟君(Liao, Wen-Chun) 2024/12/10 分組討論-質性系統性文獻與臨床照護指引評析
Group discussion- Appraisal for Scoping review
廖玟君(Liao, Wen-Chun)何雅芳(Ho, Ya- Fang)吳至容(Wu, Chih-Jung) 2024/12/17 實證實例分享
Clinical practice of evidence-based health care
彭月珠(Peng, Yueh-Chu) 2024/12/24 學生實證報告 I
Practice: Introduction of topic: Title, names, in English. Others Chinese
廖玟君(Liao, Wen-Chun)何雅芳(Ho, Ya- Fang) 2024/12/31 學生實證報告 II
Practice: Introduction of topic: Title, names, in English, Others Chinese
廖玟君(Liao, Wen-Chun)何雅芳(Ho, Ya- Fang) 2025/01/07 期末考與課程評值
Final evaluation
廖玟君(Liao, Wen-Chun)