Contemporary Nursing

Objective To carry out the evidence-based practice of stress hyperglycemia management in neurosevere patients, construct review indicators, analyze the barriers and promoting factors in the process of evidence-based practice, and formulate strategies for change. Methods Under the theoretical guidance of evidence-based health care model in Australian JBI, determine evidence-based care problems, literature search, evaluation and summarize evidence, develop clinical review indicators and clear review methods, conduct baseline review from August 1 to September 30,2023, analyze the obstacles and facilitating factors of evidence-based practice according to the baseline review results, and formulate corresponding strategies. Results The study included 15 best evidence and developed 15 quality review indicators, of which 10 were <60% compliant. Conclusion The review indicators constructed based on the best evidence and professional judgment are scientific, effective, appropriate and feasible. The analysis of obstacle factors and facilitating factors and the formulation of change strategies can provide guarantee for promoting the clinical practice of stress hyperglycemia management in patients with neurosevere diseases.

Neurological severity; Stress hyperglycemia; Review indicators; Disorder factors; Evidence-based care