Cobban S J, Profetto-McGrath J
Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, Canada.
Int J Dent Hyg. 2008 Aug;6(3):229-37. doi: 10.1111/j.1601-5037.2008.00299.x.
In order to test interventions for increasing uptake of research findings into dental hygiene practice, we must first identify factors that influence research use. There has been little work on this topic in dental hygiene, but much in other disciplines that can provide exemplars of how others have approached the study of this phenomenon.
A pilot study was conducted to determine if protocols used to study research utilization (RU) behaviours and critical thinking dispositions (CTD) in nursing could also be applied to dental hygiene.
A cross-sectional survey design was used with a random sample of 640 practicing dental hygienists in Alberta, Canada. Three questionnaires were included: one to capture measures of RU including direct, indirect and symbolic RU; the California Critical Thinking Dispositions Inventory (CCTDI) and a demographics questionnaire.
Mean responses for the three types of RU were highest for indirect at 3.52 (SD 0.720), followed by direct at 3.13 (SD 0.903) and symbolic 2.86 (SD 0.959). The majority (74.8%) scored between 280 and 350 on the CCTDI (maximum 420). Cronbach's alpha reliability for the RU measures and four of the seven sub-scales were over .7, indicating internal consistency reliability.
The instruments proved reliable for this population, but other challenges, including a low response rate, were identified during the process of using the RU questionnaire in the context of dental hygiene practice. Pilot testing identified the need for improvements to the presentation of scales to reduce cognitive load and improve the response rate.
为了测试能促进将研究成果应用于口腔卫生实践的干预措施,我们必须首先确定影响研究成果应用的因素。在口腔卫生领域,关于这一主题的研究很少,但其他学科有很多相关研究,可为我们提供他人研究这一现象的范例。
开展一项试点研究,以确定用于研究护理领域研究应用(RU)行为和批判性思维倾向(CTD)的方案是否也可应用于口腔卫生领域。
采用横断面调查设计,对加拿大艾伯塔省640名执业口腔卫生工作者进行随机抽样。共纳入三份问卷:一份用于获取RU的测量指标,包括直接、间接和象征性RU;加利福尼亚批判性思维倾向问卷(CCTDI)和一份人口统计学问卷。
三种类型的RU的平均得分中,间接RU最高,为3.52(标准差0.720),其次是直接RU,为3.13(标准差0.903),象征性RU为2.86(标准差0.959)。大多数人(74.8%)在CCTDI上的得分在280至350分之间(满分420分)。RU测量指标和七个子量表中的四个的克朗巴哈α信度超过0.7,表明具有内部一致性信度。
这些工具经证明对此人群可靠,但在口腔卫生实践中使用RU问卷的过程中,发现了其他挑战,包括低回复率。试点测试确定需要改进量表的呈现方式,以减轻认知负担并提高回复率。