绵阳市5家三级综合医院临床护士循证护理能力现状及影响因素
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摘要
目的了解绵阳市三级综合医院临床护士循证护理能力现状并分析其影响因素,为制定提升临床护士循证护理能力相关规定提供参考。方法采用一般资料问卷、循证护理能力量表、循证护理实践自我效能量表,对绵阳市5所三级综合医院827名临床护士进行调查。结果 827名临床护士循证护理能力总均分为48.21±4.53,其中证据形成能力得分为13.07±2.22,证据整合能力得分为10.12±1.97,证据传播与评估能力得分为6.16±1.15,证据应用能力得分为18.85±2.57。循证护理实践自我效能总分为115.38±12.32,与循证护理能力呈正相关(r=0.751)。多元回归分析显示,是否参加循证护理培训、职业态度、现任职务、工龄、职称、学历、循证护理实践自我效能是临床护士循证护理能力的主要影响因素。结论三级综合医院临床护士循证护理能力欠佳,有待进一步提升。循证护理实践自我效能、是否参加循证护理培训、职业态度、现任职务、工龄、职称、学历与临床护士循证护理能力有关,管理者应着重关注,以全面提升临床护理工作者循证护理能力,从而提升临床护理质量。
[Objective] To investigate the present situation of evidence-based nursing ability of clinical nurses in third-class comprehensive hospitals of Mianyang City,analyze its influencing factors,provide reference for making relevant measures to improve the evidence-based nursing ability of clinical nurses. [Methods]827 clinical nurses from five third-class comprehensive hospitals in Mianyang City were selected as survey objects,and were investigated by the general information questionnaire,evidence-based nursing ability scale and evidence-based nursing practice self-efficacy scale.[Results]The total score of evidencebased nursing ability of 827 clinical nurses was 48.21 ±4.53,in which the score of the ability of evidence formation was 13.07 ±2.22,the score of ability of evidence integration was 10.12±1.97,the score of the ability of evidence dissemination and evaluation was 6.16±1.15,and the score of the ability of application of evidence was 18.85 ±2.57. The total score of evidence-based nursing practice self-efficacy scale was 115.38 ±12.32,which was positively correlated with evidence-based nursing ability(r=0.751).Multiple regression analysis showed that participation in evidence-based nursing training,professional attitude,current position,length of service,professional ranks and titles,educational background,evidence-based nursing practice self-efficacy were the main influencing factors of evidence-based nursing ability of clinical nurses. [Conclusion]The evidence-based nursing ability of clinical nurses in third-class comprehensive hospitals is poor and needs to be further improved. Factors should be considered to improve the ability of third-class comprehensive hospital clinical nurses' Evidence-based nursing ability,such as participation in evidence-based nursing training current position,length of service,professional ranks and titles,educational background,so as to improve the evidence-based nursing ability of clinical nursing workers and the quality of clinical nursing.
[Objective] To investigate the present situation of evidence-based nursing ability of clinical nurses in third-class comprehensive hospitals of Mianyang City,analyze its influencing factors,provide reference for making relevant measures to improve the evidence-based nursing ability of clinical nurses. [Methods]827 clinical nurses from five third-class comprehensive hospitals in Mianyang City were selected as survey objects,and were investigated by the general information questionnaire,evidence-based nursing ability scale and evidence-based nursing practice self-efficacy scale.[Results]The total score of evidencebased nursing ability of 827 clinical nurses was 48.21 ±4.53,in which the score of the ability of evidence formation was 13.07 ±2.22,the score of ability of evidence integration was 10.12±1.97,the score of the ability of evidence dissemination and evaluation was 6.16±1.15,and the score of the ability of application of evidence was 18.85 ±2.57. The total score of evidence-based nursing practice self-efficacy scale was 115.38 ±12.32,which was positively correlated with evidence-based nursing ability(r=0.751).Multiple regression analysis showed that participation in evidence-based nursing training,professional attitude,current position,length of service,professional ranks and titles,educational background,evidence-based nursing practice self-efficacy were the main influencing factors of evidence-based nursing ability of clinical nurses. [Conclusion]The evidence-based nursing ability of clinical nurses in third-class comprehensive hospitals is poor and needs to be further improved. Factors should be considered to improve the ability of third-class comprehensive hospital clinical nurses' Evidence-based nursing ability,such as participation in evidence-based nursing training current position,length of service,professional ranks and titles,educational background,so as to improve the evidence-based nursing ability of clinical nursing workers and the quality of clinical nursing.
引文
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[14]赵梦遐,罗菊英,孔令磷.开展临床循证护理实践的影响因素探究[J].中国护理管理,2015,15(4):481-484.
[15]刘洁,蒋燕,王强.临床护理人员对循证护理知识、态度及行为的现状分析[J].中国医药指南,2014(5):241-242.
[16]付强强,嵇承栋,张建琴,等.上海某三级医院护理人员临床护理决策依据认知与实践现况调查[J].中国护理管理,2016,16(5):677-680.
[17]汪惠才,薛爱华,胡娟,等.循证护理培训对临床护理教师循证实践能力影响的研究[J].护理研究,2012,26(35):3342-3343.
[18]张雪梅.徐州市两所三甲医院临床护士循证护理实践能力现状的调查[J].国际护理学杂志,2013,32(12):2787-2789.
[19]赵梦遐,王惠连,朱乐凤,等.临床护士循证护理行为、态度、技能的调查研究[J].护理学杂志,2011,26(17):24-26.
[20]CHENG L,FENG S,HU Y,et al. Leadership practices of nurse managers for implementing evidence-based nursing in China[J].J Nurs Manag,2018,26(8):1-8.
[21]邵辉,周佳,史瑞芬.临床护理骨干评判性思维能力调查分析[J].护理学杂志,2010,25(17):41-43.
[22]毛虹羽,姜安丽.护士职业态度相关测量工具临床应用研究现状[J].中华护理杂志,2016,51(3):340-343.
[2]BECCARIA L,KEK M,HUIJSER H. Exploring nursing educators'use of theory and methods in search for evidence based credibility in nursing education[J/OL].Nurse Education Today,2018,65:60-66.[2018-10-07].Http://www.ncbi.nlm.nih.gov/pubmed//29529453.DOI:10.1016/j.nedt.2018.02.032.
[3]LIU Y,MO L,TANG Y,et al. The application of an evidence-based clinical nursing path for improving the preoperative and postoperative quality of care of pediatric retroperitoneal neuroblastoma patients:A randomized controlled trial at a tertiary medical institution[J].Cancer Nurs,2016,40(4):314-322.
[4]HORNTVEDT MET,NORDSTEIEN A,FERMANN T,et al. Strategies for teaching evidence-based practice in nursing education:a thematic literature review[J].Bmc Med Edu,2018,18(1):172-182.
[5]HICKMAN LD,DIGIACOMO M,PHILLIPS J,et al. Improving evidence based practice in postgraduate nursing programs:A systematic review:Bridging the evidence practice gap(BRIDGE project)[J/OL].Nurse Educ Today,2018,63:69-75.[2018-10-07].http://www.ncbi.nlm.nih.gov/pubmed/29407264.DOI:10.1016/j.nhedt.2018.01.015.
[6]韩硕,柯云楠,张莉,等.某省综合医院护理人员循证护理能力评估研究[J].中国医院管理,2016,36(1):70-71.
[7]王旖磊,胡雁,周英凤,等.循证护理能力评定量表的建立与信效度研究[J].护理学杂志,2017,32(2):49-52.
[8]TUCKER SJ,OLSON ME,FRUSTI DK. Evidence-based practice selfefficacy scale[J].Clin Nurs Speciali,2009,23(4):207-215.
[9]王冰,王维宁.中文版循证护理实践自我效能量表的信效度研究[J].护理研究,2016,30(14):1706-1709.
[10]ALVING BE,CHRISTENSEN JB,THRY L. Hospital nurses’information retrieval behaviours in relation to evidence based nursing:a literature review[J].Health Info Libr J,2018,35(1):3-23.
[11]王春青,胡雁,周英凤,等.证据应用培训方案的设计及实施效果研究[J].中华护理杂志,2017,52(4):464-469.
[12] LIZARONDO LM,GRIMMER-SOMERS K,KUMAR S,et al. Does journal club membership improve research evidence uptake in different allied health disciplines:a pre-post study[J].BMC Res Notes,2012,5(1):1-9.
[13]阎玲,魏婷婷,孙丽媛,等.临床护士循证护理知信行现状与实践障碍研究[J].中国护理管理,2015,15(11):1375-1378.
[14]赵梦遐,罗菊英,孔令磷.开展临床循证护理实践的影响因素探究[J].中国护理管理,2015,15(4):481-484.
[15]刘洁,蒋燕,王强.临床护理人员对循证护理知识、态度及行为的现状分析[J].中国医药指南,2014(5):241-242.
[16]付强强,嵇承栋,张建琴,等.上海某三级医院护理人员临床护理决策依据认知与实践现况调查[J].中国护理管理,2016,16(5):677-680.
[17]汪惠才,薛爱华,胡娟,等.循证护理培训对临床护理教师循证实践能力影响的研究[J].护理研究,2012,26(35):3342-3343.
[18]张雪梅.徐州市两所三甲医院临床护士循证护理实践能力现状的调查[J].国际护理学杂志,2013,32(12):2787-2789.
[19]赵梦遐,王惠连,朱乐凤,等.临床护士循证护理行为、态度、技能的调查研究[J].护理学杂志,2011,26(17):24-26.
[20]CHENG L,FENG S,HU Y,et al. Leadership practices of nurse managers for implementing evidence-based nursing in China[J].J Nurs Manag,2018,26(8):1-8.
[21]邵辉,周佳,史瑞芬.临床护理骨干评判性思维能力调查分析[J].护理学杂志,2010,25(17):41-43.
[22]毛虹羽,姜安丽.护士职业态度相关测量工具临床应用研究现状[J].中华护理杂志,2016,51(3):340-343.