McSherry Robert, Artley Angela, Holloran Jan
School of Health and Social Care, Practice Development Team, University of Teesside, Middlesbrough, UK.
Worldviews Evid Based Nurs. 2006;3(3):103-15. doi: 10.1111/j.1741-6787.2006.00059.x.
Despite the growing body of literature, the reality of getting evidence into practice remains problematic.
The purpose of this study was to establish levels of research awareness amongst registered health care professionals (RHCPs) and the influence of research awareness on evidence-based practice activities.
This was a descriptive quantitative study. A convenience sample of 2,126 registered RHCPs working in a large acute hospital in Northeast England, the United Kingdom was used. A self-completion Research Awareness Questionnaire (RAQ) was directed towards measuring RHCP: attitudes towards research, understanding of research and the research process, and associations with practising using an evidence base. Data were entered into a Statistical Package for Social Science (SPSS) database and descriptive and inferential statistics were used.
A total of 843 questionnaires were returned. Seven hundred and thirty-three (91%) RHCPs overwhelmingly agreed with the principle that evidence-based practice has a large part to play in improving patient care. This point was reinforced by 86% (n = 701) of respondents strongly agreeing or agreeing with the idea that evidence-based practice is the way forward to change clinical practice. Significant associations were noted between levels of confidence to undertake a piece of research and whether the individual had received adequate information about the research process, had basic knowledge and understanding of the research process, or had research awareness education or training.
The study shows that RHCPs, regardless of position or grade, have a positive attitude towards research but face many obstacles. The key obstacles are lack of time, support, knowledge, and confidence. To address these obstacles, it is imperative that the organisation adopts a structured and coordinated approach to enable and empower individuals to practice using an evidence base.
尽管文献数量不断增加,但将证据应用于实践的现实情况仍然存在问题。
本研究的目的是确定注册医疗保健专业人员(RHCPs)的研究意识水平以及研究意识对循证实践活动的影响。
这是一项描述性定量研究。采用便利抽样法,选取了在英国英格兰东北部一家大型急症医院工作的2126名注册RHCPs。一份自我完成的研究意识问卷(RAQ)旨在测量RHCPs对研究的态度、对研究及研究过程的理解,以及与循证实践的关联。数据录入社会科学统计软件包(SPSS)数据库,并使用描述性和推断性统计方法。
共收回843份问卷。733名(91%)RHCPs压倒性地同意循证实践在改善患者护理方面发挥重要作用这一原则。86%(n = 701)的受访者强烈同意或同意循证实践是改变临床实践的前进方向,这进一步强化了这一点。在进行一项研究的信心水平与个人是否获得关于研究过程的充分信息、是否对研究过程有基本知识和理解,或是否接受过研究意识教育或培训之间,发现了显著关联。
该研究表明,RHCPs无论职位或级别如何,对研究都持积极态度,但面临许多障碍。关键障碍是缺乏时间、支持、知识和信心。为克服这些障碍,该组织必须采取结构化和协调一致的方法,以使个人能够并有权进行循证实践。