210名外科护士循证护理能力现状及影响因素分析

doi:10.16460/j.issn1008-9969.2019.06.047

摘要/Abstract

摘要： 目的了解武汉市某三级甲等医院外科护士的循证护理能力现状,分析其影响因素,以期为制定外科护士个性化循证护理管理培训方案提供科学依据。方法采用目的抽样方法,于2018年6月抽取武汉市某三级甲等医院外科护士210名作为研究对象。采用一般情况调查表、循证护理能力评定量表对其进行调查。多元逐步回归分析其影响因素。结果本组210名外科护士的循证护理能力总分为（47.87±19.84）分,证据整合能力维度条目均分最低为（1.50±1.10）分。多元逐步回归分析结果显示：循证护理了解程度、研究经历是外科护士循证护理能力的影响因素（P<0.05）,共解释外科护士循证护理能力变异的24.3%。结论本组外科护士循证护理能力得分处于较低水平,循证护理了解程度、研究经历是外科护士循证护理能力得分的主要影响因素。建议管理者采取阶梯式循证护理培训模式,发挥循证护理骨干成员的指导作用,采取奖惩政策调动护士参与循证学习的积极性;合理安排人力资源,制定个性化培训方案,积极提供循证护理培训及学习的机会,培养外科护士的循证护理意识,提高循证护理能力。

关键词: 循证护理能力, 外科护士, 证据整合能力, 研究经历

Abstract: Objective To understand the current situation of evidence-based nursing (EBN) ability of surgical nurses in one tertiary grade A hospital in Wuhan and analyze its influencing factors, and to provide scientific basis for the individualized EBN management training program for surgical nurses. Methods With objective sampling method, 210 surgical nurses in one tertiary grade A hospital of Wuhan were selected in June 2018 as the research objects and investigated with the general information questionnaire and Evidence-based Nursing Ability Scale. Multiple stepwise regression analysis was used to analyze the influence factors of EBN. Results The total score of EBN ability of 210 surgical nurses in this group was 47.87±19.84, and the lowest score was 1.50±1.10 from the item of evidence integration ability. Multiple stepwise regression analysis showed that the degree of understanding of evidence-based nursing and research experience were the main factors affecting the total score of EBN ability of surgical nurses（P<0.05） and explained 24.3% of the total variance. Conclusion EBN ability of surgical nurses is at a low level and it is influenced by the degree of understanding of evidence-based nursing and research experience. Stepwise evidence-based nursing training, the role of key members of EBN and reward and punishment policies are critical for the promoting the enthusiasm of nurses participating in EBN training. Meanwhile, personalized training programs and more training opportunities are significant to cultivate the awareness of EBN of surgical nurses and improve their EBN ability.

Key words: evidence-based nursing ability, surgical nurse, evidence integration ability, research experience

中图分类号:

晏蓉, 李素云, 刘云访. 210名外科护士循证护理能力现状及影响因素分析[J]. 护理学报, 2019, 26(6): 47-50.

YAN Rong, LI Su-yun, LIU Yun-fang. Evidence-based Nursing Ability of Surgical Nurses and Its Influence Factors: A 210-case Study[J]. Journal of Nursing, 2019, 26(6): 47-50.

参考文献

[1] Aviles C, Hockenberry M, Vrochides D, etal. Perioperative Care Implementation: Evidence-based Practice for Patients with Pancreaticoduodenectomy Using the Enhanced Recovery After Surgery Guidelines[J]. Clin J Oncol Nurs,2017,21(4):466-472.DOI:10.1188/17.CJON.466-472.
[2] Hsu L L, Hsieh S I, Huang Y H.A Study of the Evidence-based Nursing Practice Competence of Nurses and Its Clinical Applications[J].Hu Li Za Zhi,2015,62(5):30-40.DOI:10.6224/JN62.5.30.
[3] Chiang L C, Liao M N.Transformative Care Rooted in Evidence-based Nursing[J]. Hu Li Za Zhi,2017,64(1):25-31. DOI:10.6224/JN.64.1.25.
[4] 王旖磊,胡雁.循证护理能力的概念分析[J].护士进修杂志,2015,30(11):971-974.DOI:10.16821/j.cnki.hsjx.2015.11.004.
[5] Farokhzadian J, Khajouei R, Ahmadian L.Evaluating Factors Associated with Implementing Evidence-based Practice in Nursing[J].J Eval Clin Pract,2015,21(6):1107-1113.DOI:10.1111/jep.12480.
[6] 王贺芳,贵艳玲,张金华,等.护理人员循证护理认知现状调查及影响因素分析[J].护理管理杂志,2015,15(2):98-100.
[7] Leung K, Trevena L, Waters D.Systematic Review of Instruments for Measuring Nurses' Knowledge, Skills and Attitudes for Evidence-based Practice[J]. J Adv Nurs, 2014,70(10):2181-2195.DOI:10.1111/jan.12454.
[8] Melnyk B M, Gallagher-Ford L, Long L E, 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.
[9] LeungK, Trevena L, Waters D.Development of a Competency Framework for Evidence-based Practice in Nursing[J]. Nurse Educ Today,2016(39):189-96.DOI:10.1016/j.nedt.2016.01.026.
[10] 毛秋婷,曾铁英.中文版循证护理信念和实施量表的信效度分析[J].护理管理杂志,2013,13(12):872-874.
[11] 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(8C):2572-2575.
[12] 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.DOI:10.3870/j.issn.1001-4152.2017.02.049.
[13] 王旖磊,胡雁.循证护理能力评价指标体系的构建[J].护理学杂志,2016,31(1):63-66.DOI:10.3870/j.issn.1001-4152.2016.01.063.
[14] 王旖磊,胡雁.上海市三级医院护士循证护理能力现况及影响因素分析[J].中国实用护理杂志,2017,33(11):867-871.DOI:10.3760/cma.j.issn.1672-7088.2017.11.017.
[15] 王灵晓,李漓,彭刚艺.广东省骨科专科护士循证实践知识态度及行为调查分析[J].护理学报, 2013,20(1):4-7.DOI:10.16460/j.issn1008-9969.2013.01.022.
[16] Koehn M L, Lehman K.Nurses' Perceptions of Evidence-based Nursing Practice[J].J Adv Nurs, 2008,62(2):209-215.DOI:10.1111/j.1365-2648.2007.04589.x.
[17] Mclnerney P, Suleman F. Exploring Knowledge, Attitudes,and Barriers toward the Use of Evidence Based Practice amongst Acdemic Health Care Practitioners in their Teaching in a South African University: A Pilot Study[J].Worldviews Evid Based Nurs,2010,7(2):90-97.DOI:10.1111/j.1741-6787.2009.00180.x.
[18] Breimaier H E, Halfens R J, Lohrmann C.Nurses'Wishes, Knowledge, Attitudes and Perceived Barriers on Implementing Research Findings into Practice among Graduate Nurses in Austria[J].J Clin Nurs,2011,20(11/12):1744-56.DOI: 10.1111/j.1365-2702.2010.03491.x.
[19] 刘文静,杨瑞贞,孙菲,等.三级医院循证护理实施现状及影响因素分析[J].护理研究,2014,28(3C):1047-1049.DOI:10.3969/j.issn.1009-6493.2014.09.009.
[20] 胡力云,吕露露,徐小菁,等.我国开展循证护理实践的SWOT分析[J].护理学报,2016,23(6):69-72.DOI:10.16460/j.issn1008-9969.2016.06.069.
[21] Magers T L.An EBP Mentor and Unit-based EBP Team:A Strategy for Successful Implementation of a Practice Change to Reduce Catheter-associated Urinarytr Act Infections[J].Worldviews Evid Based Nurs,2014,11(5):341-343. DOI:10.1111/wvn.12056.
[22] Spiva L, Hart P L, Patrick S, et al.Effectiveness of an Evidence-based Practice Nurse Mentor Training Program[J].Worldviews Evid Based Nurs,2017,14(3):183-191. DOI:10.1111/wvn.12219.

Metrics

Viewed

Full text

Abstract

Cited

Shared