临床护士循证护理认知与实践现状的调查分析
Investigation and Analysis on Cognition and Practice of Clinical Nurses’ Evidence-Based Nursing
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摘要: 目的 了解临床护士循证护理认知与实践的现状,探讨改善措施,旨在促进循证护理在我国的发展。 方法 采用分层整群抽样的方法对某三甲医院临床护士进行问卷调查,通过Epidata3.1软件录入数据,运用SPSS 18.0软件进行统计学分析。 结果 ① 不同学历、不同职称的临床护理人员对循证护理的认知情况差异有统计学意义(χ2值分别为13.028、10.468,P值均小于0.05),学历越高、职称越高的临床护理人员对循证护理认知度越高(线性及线性组合χ2值分别为10.600、12.029,P值均<0.01)。②护士实行循证护理的最大障碍: 不了解统计学原理,没有时间进行相关研究,研究成果无法推广,英文文献难以理解等。③护士认为的最佳改进措施: 提高管理层的支持(73.0%),令研究报告更容易查询(70.8%),提供同事间的支持机制(70.1%)等。 结论 临床护士普遍缺乏循证护理理念,应从改善护士自身素质、提高管理层支持等角度出发,推动循证护理在我国的发展。Abstract: Objective To investigate nursing staff’s cognition and practice of evidence-based nursing, explore improvement measures, and promote the development of evidence-based nursing in our country. Method The questionnaire survey was conducted in a three level of first-class hospital with stratified-cluster sampling method. Result① There were statistical differences among different levels of education (χ2=13.028, P<0.01) or different technical titles (χ2=10.468, P<0.05) of people in understanding of evidence-based nursing. Nurses with higher education and higher title had more awareness of evidence-based nursing. ②Some big barriers in using research evidence in practice were unable to understand statistical principles; lack of enough time for related research; the results were not generalization to expand and research reports were published in English, therefore difficult to understand. ③The effective facilitators in using research evidence in practice were enhancing managerial support research implementation(73.0%); made study more easier to query(70.8%); provided colleagues support mechanism(70.1%). Conclusion Clinical nurses are lack in idea of evidence-based nursing, we should improve the nurses’ own quality, and the management support to promote the evidence-based nursing in the development of our country.