护士循证护理综合能力影响因素分析
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摘要
目的探讨护士循证护理综合能力水平及其影响因素。方法 2018年6月至7月对沈阳市4所三甲医院800名护士采用自行设计的一般资料调查表和护士循证护理素质与实施水平量表进行调查。结果临床护士循证护理综合能力总分为(70.86±14.59)分,影响护士循证护理综合能力的主要因素依次是循证护理小组或循证护理专家对临床实践指导、循证护理知识培训、护理专业热爱程度以及沟通能力,可解释因变量的27.9%。结论护士循证护理综合能力处于中等合格水平。建议护理管理者加强循证护理培训力度,积极培养循证护理人才,激发护士的专业热情,从而提高护理团队循证水平。
Objective To explore the comprehensive competency level and influencing factors of evidence-based nursing(EBN) among nurses. Methods From June to July 2018,800 nurses from among four of the 3 A-grade hospitals in Shenyang were surveyed by a self-designed general data questionnaire and the nurses' competency for EBN practice and implementation was measured. Results The total score of clinical nurses' comprehensive competency for EBN was 70.86± 14.59. The main factors were the guidance of EBN teams or EBN experts on clinical practice,training for EBN knowledge,enthusiasm for the nursing profession,and communication ability; these explained 27.9% of the dependent variable. Conclusion The comprehensive competency for EBN of nurses is at an intermediate level.Nursing managers should strengthen the training for EBN,actively cultivate EBN-related skills,and motivate the professional enthusiasm of nurses,so as to improve the level of EBN level in the nursing team.
Objective To explore the comprehensive competency level and influencing factors of evidence-based nursing(EBN) among nurses. Methods From June to July 2018,800 nurses from among four of the 3 A-grade hospitals in Shenyang were surveyed by a self-designed general data questionnaire and the nurses' competency for EBN practice and implementation was measured. Results The total score of clinical nurses' comprehensive competency for EBN was 70.86± 14.59. The main factors were the guidance of EBN teams or EBN experts on clinical practice,training for EBN knowledge,enthusiasm for the nursing profession,and communication ability; these explained 27.9% of the dependent variable. Conclusion The comprehensive competency for EBN of nurses is at an intermediate level.Nursing managers should strengthen the training for EBN,actively cultivate EBN-related skills,and motivate the professional enthusiasm of nurses,so as to improve the level of EBN level in the nursing team.
引文
[1]AMMOURI AA,RADDAHA AA,DSOUZA P,et al.Evidence-based practice:knowledge,attitudes,practice and perceived barriers among nurses in Oman[J].Sultan Qaboos University Med J,2014,14(4):e537-e545.DOI:10.1097/00004630-200031060-00017.
[2]JAYAKUMAR KL,LAVENBERG JA,MITCHELL MD,et al.Evidence synthesis activities of a hospital evidence‐based practice center and impact on hospital decision making[J].J Hospital Med,2016,11(3):185-192.DOI:10.1002/jhm.2498.
[3]MOORE L.Effectiveness of an online educational module in improving evidence-based practice skills of practicing registered nurses[J].Worldviews Evid Based Nurs,2017,14(5):358-366.DOI:10.1111/wvn.12214.
[4]WILSON M,SLEUTEL M,NEWCOMB P,et al.Empowering nurses with evidence-based practice environments:surveying magnet?,pathway to excellence?,and non-magnet facilities in one healthcare system[J].Worldviews Evid Based Nurs,2015,12(1):12-21.DOI:10.1111/wvn.12077.
[5]SKELASAVIC B,PESJAK K,LOBE B.Evidence-based practice among nurses in Slovenian hospitals:a national survey[J].Inter Nurs Rev,2016,63(1):122-131.DOI:10.1111/inr.12233.
[6]GULZAR M,LISA MK,VIRGINIA P.Perceived knowledge,skills,attitude and contextual factors affecting evidence-based practice among nurse educators,clinical coaches and nurse specialists[J].Inter J Nurs Prac,2015,21(S2):46-57.DOI:10.1111/ijn.12366.
[7]郑先琳,谢文.广州地区三级甲等医院儿科护士循证护理素质调查研究[J].循证护理,2018,4(1):80-83.DOI:10.3969/j.issn.2095-8668.2018.01.023.
[8]赵梅珍,毛秋婷,曾铁英.护士循证护理实践素质及实施水平量表的研制与信效度分析[J].护理研究,2013,27(24):2572-2575.DOI:10.3969/j.issn.1009-6493.2013.24.006.
[9]DEBRUYN RR,OCHOA-MARIN SC,SEMENIC S.Barriers and facilitators to evidence-based nursing in colombia:perspectives of nurse educators,nurse researchers and graduate students[J].Invest Edu Enfermeria,2014,32(1):9-21.DOI:10.1590/S0120-53072014000100002.
[10]李春燕,黄丽华,叶向红,等.浙江省临床护士循证实践障碍及影响因素分析[J].护理学报,2013,20(1):32-36.DOI:10.16460/j.issn1008-9969.2013.01.004.
[11]曾铁英,杨阳,黄德钦.新入职护士循证护理信念、实施情况调查及影响因素分析[J].中华现代护理杂志,2016,22(9):1213-1216.DOI:10.3760/cma.j.issn.1674-2907.2016.09.007.
[12]HART P,EATON L,BUCKNER M,et al.Effectiveness of a computer-based educational program on nurses’knowledge,attitude,and skill level related to evidence-based practice[J].Worldviews Evid Based Nurs,2008,5(2):75-84.DOI:10.1111/j.1741-6787.2008.00123.x.
[13]HAGGMAN-LAITILA A,MATTILA LR,MELENDER HL.Educational interventions on evidence-based nursing in clinical practice:a systematic review with qualitative analysis[J].Nurse Edu Today,2016,43:50-59.DOI:10.1016/j.nedt.2016.04.023.
[14]PRIOR P,WILKINSON J,NEVILLE S.Practice nurse use of evidence in clinical practice:a descriptive survey[J].Nurs Praxis New Zealand Inc,2010,26(2):14-25.
[15]张青月,肖珊,魏婷婷,等.临床带教护士循证护理行为态度技能现状调查[J].天津护理,2017,25(4):299-301.DOI:10.3969/j.issn.1006-9143.2017.04.008.
[16]MELNYK BM,GALLAGHERFORD L,LONG LE,et al.The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings:proficiencies to improve healthcare quality,reliability,patient outcomes,and costs[J].Worldviews Evid Based Nurs,2014,11(1):5-15.DOI:10.1111/wvn.12021.
[17]UNDERHILL M,ROPER K,SIEFERT ML,et al.Evidence-based practice beliefs and implementation before and after an initiative to promote evidence-based nursing in an ambulatory oncology setting[J].Worldviews Evid Based Nurs,2015,12(2):70-78.DOI:10.1111/wvn.12080.
[2]JAYAKUMAR KL,LAVENBERG JA,MITCHELL MD,et al.Evidence synthesis activities of a hospital evidence‐based practice center and impact on hospital decision making[J].J Hospital Med,2016,11(3):185-192.DOI:10.1002/jhm.2498.
[3]MOORE L.Effectiveness of an online educational module in improving evidence-based practice skills of practicing registered nurses[J].Worldviews Evid Based Nurs,2017,14(5):358-366.DOI:10.1111/wvn.12214.
[4]WILSON M,SLEUTEL M,NEWCOMB P,et al.Empowering nurses with evidence-based practice environments:surveying magnet?,pathway to excellence?,and non-magnet facilities in one healthcare system[J].Worldviews Evid Based Nurs,2015,12(1):12-21.DOI:10.1111/wvn.12077.
[5]SKELASAVIC B,PESJAK K,LOBE B.Evidence-based practice among nurses in Slovenian hospitals:a national survey[J].Inter Nurs Rev,2016,63(1):122-131.DOI:10.1111/inr.12233.
[6]GULZAR M,LISA MK,VIRGINIA P.Perceived knowledge,skills,attitude and contextual factors affecting evidence-based practice among nurse educators,clinical coaches and nurse specialists[J].Inter J Nurs Prac,2015,21(S2):46-57.DOI:10.1111/ijn.12366.
[7]郑先琳,谢文.广州地区三级甲等医院儿科护士循证护理素质调查研究[J].循证护理,2018,4(1):80-83.DOI:10.3969/j.issn.2095-8668.2018.01.023.
[8]赵梅珍,毛秋婷,曾铁英.护士循证护理实践素质及实施水平量表的研制与信效度分析[J].护理研究,2013,27(24):2572-2575.DOI:10.3969/j.issn.1009-6493.2013.24.006.
[9]DEBRUYN RR,OCHOA-MARIN SC,SEMENIC S.Barriers and facilitators to evidence-based nursing in colombia:perspectives of nurse educators,nurse researchers and graduate students[J].Invest Edu Enfermeria,2014,32(1):9-21.DOI:10.1590/S0120-53072014000100002.
[10]李春燕,黄丽华,叶向红,等.浙江省临床护士循证实践障碍及影响因素分析[J].护理学报,2013,20(1):32-36.DOI:10.16460/j.issn1008-9969.2013.01.004.
[11]曾铁英,杨阳,黄德钦.新入职护士循证护理信念、实施情况调查及影响因素分析[J].中华现代护理杂志,2016,22(9):1213-1216.DOI:10.3760/cma.j.issn.1674-2907.2016.09.007.
[12]HART P,EATON L,BUCKNER M,et al.Effectiveness of a computer-based educational program on nurses’knowledge,attitude,and skill level related to evidence-based practice[J].Worldviews Evid Based Nurs,2008,5(2):75-84.DOI:10.1111/j.1741-6787.2008.00123.x.
[13]HAGGMAN-LAITILA A,MATTILA LR,MELENDER HL.Educational interventions on evidence-based nursing in clinical practice:a systematic review with qualitative analysis[J].Nurse Edu Today,2016,43:50-59.DOI:10.1016/j.nedt.2016.04.023.
[14]PRIOR P,WILKINSON J,NEVILLE S.Practice nurse use of evidence in clinical practice:a descriptive survey[J].Nurs Praxis New Zealand Inc,2010,26(2):14-25.
[15]张青月,肖珊,魏婷婷,等.临床带教护士循证护理行为态度技能现状调查[J].天津护理,2017,25(4):299-301.DOI:10.3969/j.issn.1006-9143.2017.04.008.
[16]MELNYK BM,GALLAGHERFORD L,LONG LE,et al.The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings:proficiencies to improve healthcare quality,reliability,patient outcomes,and costs[J].Worldviews Evid Based Nurs,2014,11(1):5-15.DOI:10.1111/wvn.12021.
[17]UNDERHILL M,ROPER K,SIEFERT ML,et al.Evidence-based practice beliefs and implementation before and after an initiative to promote evidence-based nursing in an ambulatory oncology setting[J].Worldviews Evid Based Nurs,2015,12(2):70-78.DOI:10.1111/wvn.12080.