主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2025, Vol. 25 ›› Issue (6): 927-931.doi: 10.3969/j.issn.1672-1756.2025.06.024

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三级医院护士循证实践行为现状及影响因素调查

周婧 赵雅洁 王轶 李立玉 李策 于明明 王志稳   

  1. 北京大学护理学院,100191 北京市(周婧,于明明,王志稳);北京医院心血管内科(赵雅洁);北京大学第一医院重症医学科(王轶);护理部(李立玉);中国医学科学院阜外医院成人外科(李策)
  • 出版日期:2025-06-15 发布日期:2025-06-15
  • 通讯作者: 于明明,博士,副教授,硕士生导师,E-mail:yumm@hsc.pku.edu.cn;王志稳,博士,教授,博士生导师,E-mail:wzwjing@sina.com E-mail:E-mail:zhoujing@bjmu.edu.cn
  • 作者简介:周婧,硕士,助理研究员,副院长,E-mail:zhoujing@bjmu.edu.cn
  • 基金资助:
    《中国护理管理》杂志社护理管理科研基金资助项目(CNM-2017-09)

The behavior of evidence-based nursing and its influencing factors among nurses in tertiary hospitals in China

ZHOU Jing, ZHAO Yajie, WANG Yi, LI Liyu, LI Ce, YU Mingming, WANG Zhiwen   

  1. School of Nursing, Peking University, Beijing, 100191, China
  • Online:2025-06-15 Published:2025-06-15
  • Contact: E-mail:yumm@hsc.pku.edu.cn;E-mail:wzwjing@sina.com E-mail:E-mail:zhoujing@bjmu.edu.cn

摘要: 目的:分析三级医院护士循证实践行为现状及影响因素,为科学有效地开展护士循证护理科研能力培训提供依据和参考。方法:采用方便抽样法,于2024年10月—12月选取866名三级医院的护士进行问卷调查,调查问卷包括一般资料调查表、循证实践知识态度行为问卷、科研成果应用障碍量表、科研成果应用促进量表,通过多元线性回归分析循证实践行为的影响因素。结果:三级医院护士循证实践行为维度均分为(4.77±1.44)分,循证实践态度维度均分为(4.87±1.36)分,循证实践知识维度均分为(4.50±1.18)分。护士年龄、循证实践知识、循证实践态度是循证实践行为的影响因素。科研成果的应用交流不畅是循证实践应用较为突出的障碍。领导层的支持和鼓励以及聘用有科研能力的护士作带头人是促进护士循证实践应用的前两位因素。结论:三级医院临床护士循证实践的行为水平仍需要提高,年龄、循证实践知识、循证实践态度是循证实践行为的影响因素,通过毕业后教育和培训有望提高护士循证实践的行为水平。

关键词: 护士;循证;知识;态度;行为

Abstract: Objective: To analyze the behavior of evidence-based nursing and the influencing factors among nurses in tertiary hospitals, in order to provide a basis and reference for the scientific and effective implementation of training on the evidence-based nursing research capabilities of nurses. Methods: A total of 866 nurses were recruited from tertiary hospitals from October to December 2024 through convenience sampling. Questionnaires used in this study were the Evidence-based Practice Questionnaire, the Barriers to Research Utilization Scale, and the Facilitators of Research Utilization Scale. Besides, participants' demographic characteristics were also collected. Multiple linear regression was used to analyze the influencing factors of evidence-based practice behavior. Results: The mean scores of behaviors, attitudes, and knowledge towards evidence-based nursing were 4.77±1.44, 4.87±1.36, and 4.50±1.18, respectively. Age, nurses' knowledge and attitudes of evidence-based nursing were the influencing factors of behaviors of evidence-based nursing. The greatest barrier to research utilization was the communication factors. The top two factors that could facilitate research utilization were leaders' support and encouragement and a capable nurse as the group leader. Conclusion: The level of behaviors of evidence-based nursing among nurses in tertiary hospitals remains to be improved. Nurses' age, knowledge and attitudes of evidence-based nursing were the influencing factors of behaviors of evidence-based nursing. Continuing education and training are expected to improve the knowledge, attitudes, and behaviors of evidence-based practice among nurses.

Key words: nurse; evidence-based; knowledge; attitude; behavior

中图分类号:  R47;R197