Glacken Michèle, Chaney David
School of Nursing and Midwifery Studies, University of Dublin, Trinity College, Dublin, Ireland.
J Clin Nurs. 2004 Sep;13(6):731-40. doi: 10.1111/j.1365-2702.2004.00941.x.
Studies have consistently demonstrated that nurses are increasingly recognizing the role research has to play in their daily practice. Despite this recognition the actual application of research findings in the practice setting is still poor. To date, the barriers to implementing research findings in the Republic of Ireland's practice setting have not been explored empirically. This study sought to address this gap.
The aims of this study were to ascertain what Registered Nurses practising in the Republic of Ireland perceive as barriers to the implementation of research findings in the practice setting and to explore what they perceive would facilitate them in using research findings in their daily practice.
Cross-sectional survey.
A non-probability strategy was employed with all Registered Nurses who commenced a nursing-focused academic course accredited by the University of Dublin, Trinity College, between September 2001 and February 2002 invited to participate. The ethical rights of the participants in terms of anonymity, privacy and informed consent were assured through a number of mechanisms. Data were collected via the Barriers scale.
Eight of the top 10 ranked barriers were organization centred. The top barrier was a perception of insufficient authority to instigate change in the practice setting. The perceived key facilitators to implementing research findings included protected time for retrieval and evaluation of research findings, instrumental support from management, informed supportive personnel in the practice settings and accessible educational opportunities to augment critical reading skills.
The Irish Government is committed to provide the people of Ireland with an evidence-based health service. From a nursing perspective the findings of this study indicate that a number of strategies have to be introduced or enhanced in the practice settings before this commitment can be realized.
研究一直表明,护士越来越认识到研究在其日常实践中所起的作用。尽管有这种认识,但研究结果在实践环境中的实际应用仍然很差。迄今为止,尚未对爱尔兰共和国实践环境中实施研究结果的障碍进行实证探索。本研究旨在填补这一空白。
本研究的目的是确定在爱尔兰共和国执业的注册护士认为在实践环境中实施研究结果的障碍是什么,并探讨他们认为哪些因素将有助于他们在日常实践中使用研究结果。
横断面调查。
采用非概率抽样策略,邀请了2001年9月至2002年2月期间开始参加都柏林大学三一学院认可的以护理为重点的学术课程的所有注册护士参与。通过多种机制确保了参与者在匿名、隐私和知情同意方面的道德权利。通过障碍量表收集数据。
排名前十的障碍中有八个是以组织为中心的。首要障碍是认为没有足够的权力在实践环境中推动变革。实施研究结果的关键促进因素包括用于检索和评估研究结果的受保护时间、管理层的工具性支持、实践环境中有见识的支持人员以及可获得的增强批判性阅读技能的教育机会。
爱尔兰政府致力于为爱尔兰人民提供循证医疗服务。从护理角度来看,本研究结果表明,在实现这一承诺之前,必须在实践环境中引入或加强一些策略。