van der Weide Marian, Smits Jeroen
Departments of Urology and Nursing Science, University Medical Centre St. Radboud, Secretariat CSS/2 970, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands.
Health Policy. 2004 Apr;68(1):81-92. doi: 10.1016/j.healthpol.2003.09.007.
To gain insight in the factors that influence the adoption of professional information by specialised nurses, we studied the effects of individual, work and organisational characteristics on the extent to which continence nurses gained knowledge and made use of a book on nursing diagnosis and interventions for patients with urinary incontinence, which they received as a present.
Subjects were all members of the Dutch Association of Continence Nurses. Data collection took place via a postal questionnaire with closed questions. In total, 109 valid questionnaires (78%) were received back. Stepwise selected ordered logit models were estimated with reading the book and knowledge and use of five selected parts of it as dependent variables and individual, work and organisational characteristics as independent variables.
The most important factors found to promote reading of the book and taking knowledge of the parts of it were a personal characteristic of the nurses called "information directedness" (or eagerness to acquire professional information from other sources), the presence of an "innovative atmosphere" at the department, and "relevance" of the information for daily nursing practice. The most important factors found to promote the use of the book are (again) information directedness, working at a (relatively) small department and having experience with nursing diagnosis.
Results suggest that nurses differ in the degree to which they are open to innovations and that information directedness might be a useful indicator of this characteristic. In addition, the degree of innovativeness of the atmosphere at the department and the relevance of the innovation for nursing practice are important factors influencing the success or failure of innovations in nursing practice.
为深入了解影响专科护士采用专业信息的因素，我们研究了个人、工作和组织特征对尿失禁专科护士获取知识以及使用一本作为礼物收到的关于尿失禁患者护理诊断与干预的书籍的程度的影响。
研究对象为荷兰尿失禁专科护士协会的所有成员。通过一份包含封闭式问题的邮政问卷进行数据收集。总共回收了109份有效问卷（回收率78%）。以阅读该书、对书中五个选定部分的知识掌握及使用情况作为因变量，以个人、工作和组织特征作为自变量，估计逐步选择的有序logit模型。
发现促进阅读该书并了解其中内容的最重要因素是护士的一种个人特质，即“信息导向性”（或渴望从其他来源获取专业信息）、科室存在“创新氛围”以及信息对日常护理实践的“相关性”。发现促进使用该书的最重要因素再次是信息导向性、在（相对）小科室工作以及有护理诊断经验。
结果表明护士对创新的接受程度存在差异，信息导向性可能是这一特征的有用指标。此外，科室氛围的创新程度以及创新对护理实践的相关性是影响护理实践中创新成败的重要因素。
