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
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• 护理质量 • 上一篇    下一篇

临床护士循证护理知信行现状与实践障碍研究

阎玲 魏婷婷 孙丽媛 强万敏   

  1. 天津医科大学肿瘤医院,国家肿瘤临床医学研究中心,天津市“肿瘤防治”重点实验室;天津医科大学肿瘤医院护理部
  • 出版日期:2015-11-25 发布日期:2015-11-25

The knowledge, attitude, practice and perceived barriers to evidence-based nursing among clinical nurses

  • Online:2015-11-25 Published:2015-11-25

摘要: 目的:调查并分析临床护士循证护理知信行现状及循证实践障碍因素。方法:采用方便抽样法对天津市4 所三级甲等医院的375 名临床护士进行问卷调查,包括一般资料、循证护理知信行量表和循证实践障碍量表。结果:临床护士循证护理知信行均分(4.38±1.02) 分,各维度由低到高依次为循证知识技能(4.26±1.01)、循证实践行为(4.31±1.32)、循证实践态度(4.59±1.24);经多元逐步线性回归分析显示,现任职务、工作压力、职业态度、护士对循证护理主观态度与能力、科研报道质量5 个因素进入回归方程,解释量为27.5%。结论:临床护士循证护理知信行水平有待提高,现任职务、职业态度、工作压力、护士对循证护理主观态度与能力、科研报道质量是影响临床护士循证护理知信行水平的因素。

Abstract: Objective: To investigate and analyze the level of knowledge, attitude, practice to evidence-based nursing and perceived barriers to evidence-based nursing in clinical nurses. Methods: A convenience sample of 375 registered nurses was investigated with demographic data questionnaire, the Evidence-Based Practice Questionnaire, The BARRIERS Scale. Results: The average score of knowledge, attitude, and practice to evidence-based nursing was 4.38±1.02. The score of each dimension from low to high was nursing knowledge and skill (4.26±1.01), nursing practice (4.31±1.32), nursing attitude to evidence-based nursing (4.59±1.24).Multiple stepwise regression analysis indicated that present position, working pressure, occupational attitude, attitude to evidencebased nursing and the quality of research reports entered regression equation, with 27.5% explanation for variance. Conclusion: The level of knowledge, attitude, practice to evidence-based nursing in clinical nurses should be improved, which is affected by nurses' present position, occupational attitude, working pressure, attitude to evidence-based nursing and the quality of research reports.