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对研究利用的认知:医疗保健专业人员、护理专业学生与护士临床医生参考组之间的比较

Perceptions of research utilization: comparisons between health care professionals, nursing students and a reference group of nurse clinicians.

作者信息

Kajermo K N, Nordström G, Krusebrant A, Björvell H

机构信息

Department of Nursing, Karolinska Institutet, Stockholm, Sweden.

出版信息

J Adv Nurs. 2000 Jan;31(1):99-109. doi: 10.1046/j.1365-2648.2000.01255.x.

Abstract

The study reported in this paper was carried out to investigate a group of nursing teachers' (n=37), nursing students' (n=166), nursing administrators' (n=33) and physicians' (n=127) perceptions of barriers to and facilitators of nurses' use of research findings in clinical practice. The results were compared with the corresponding figures for a reference group of nurse clinicians (n=237). The Barriers Scale and a questionnaire for the demographic issues were used for data collection. The organization and the communication of research were seen as barriers to research utilization by the nursing teachers, students and administrators in agreement with the nurse clinicians. The nurses' research-related competence and awareness were seen as barriers by the nursing teachers, students and administrators to a greater extent than by the nurse clinicians themselves. The physicians perceived barriers to a lesser extent than the other groups did. The students' perceptions were closest to the nurse clinicians, while the physicians' perceptions differed most. Education to increase the nurses' knowledge of research and to develop their competence to evaluate research results, increased resources for education, more staff, support from the administration and research presented in a user-friendly way were the most frequently suggested facilitators. The nurses' isolation from knowledgeable colleagues with whom to discuss the research was seen as a barrier by the majority of the participants. This indicates a need for positions in clinical practice for nursing researchers, in order to promote a research-based, nursing practice.

摘要

本文所报告的研究旨在调查一组护理教师(n = 37)、护理专业学生(n = 166)、护理管理人员(n = 33)和医生(n = 127)对于护士在临床实践中运用研究成果的障碍和促进因素的看法。将结果与一组护士临床医生参照组(n = 237)的相应数据进行比较。使用障碍量表和一份关于人口统计学问题的问卷来收集数据。护理教师、学生和管理人员与护士临床医生一致认为,研究的组织和沟通是研究成果应用的障碍。护理教师、学生和管理人员比护士临床医生自身更认为护士的研究相关能力和意识是障碍。医生所察觉到的障碍程度低于其他组。学生的看法最接近护士临床医生,而医生的看法差异最大。最常被提及的促进因素包括:开展教育以增加护士的研究知识并培养其评估研究结果的能力、增加教育资源、增加人员配备、获得管理层支持以及以用户友好的方式呈现研究。大多数参与者认为护士与有知识的同事隔离,无法与之讨论研究是一个障碍。这表明临床实践中需要设立护理研究人员的职位,以促进基于研究的护理实践。

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