Hoare Karen J, Steele Jane, Ram Felix S F, Arroll Bruce
Goodfellow Unit, School of Nursing, ProCare Department of General Practice and Primary Health Care, School of Population Health, The University of Auckland, Private Bag 92019, Auckland, New Zealand.
N Z Med J. 2008 Oct 3;121(1283):51-8.
To determine self-reported use of New Zealand's Guidelines Group (NZGG) and BPAC resources by practice nurses (PNs) in the Greater Auckland area of New Zealand.
A postal survey of all PNs registered on the University of Auckland's Department of General Practice and Primary Health Care's database.
A total of 419 of 917 (46%) PNs working in 280 general practices returned completed questionnaires. The majority of PNs did not use either the NZGG (53%) or BPAC guidelines (57%) and 35% did not use any evidence resources. The main reason these resources were not used was lack of knowledge about them, one-third of PNs had never heard of NZGG guidelines and 42% had never heard of BPAC guidelines. Of those who knew of NZGG guidelines, 74% found them useful, (a 'fair amount' or 'very') and 94% found BPAC guidelines useful (a 'fair amount' or 'very'). When PNs knew of these resources, 74% used NZGG guidelines and 69% used BPAC guidelines for patient care.
PNs who knew of New Zealand Guidelines and BPAC found them useful in patient management. Practice nurses are not routinely on the mailing list of these two organisations. Strategies to increase PN awareness of these publicly funded evidence-based resources may increase their use and thus contribute to the reduction in health inequalities between ethnic groups in New Zealand.
确定新西兰大奥克兰地区执业护士(PNs)自我报告使用新西兰指南小组(NZGG)和BPAC资源的情况。
对奥克兰大学全科与初级卫生保健系数据库中注册的所有执业护士进行邮政调查。
在280家全科诊所工作的917名执业护士中,共有419名(46%)返回了完整的调查问卷。大多数执业护士未使用NZGG(53%)或BPAC指南(57%),35%的人未使用任何循证资源。这些资源未被使用的主要原因是对其缺乏了解,三分之一的执业护士从未听说过NZGG指南,42%的人从未听说过BPAC指南。在那些了解NZGG指南的人中,74%的人(“相当多”或“非常”)认为它们有用,94%的人认为BPAC指南有用(“相当多”或“非常”)。当执业护士了解这些资源时,74%的人在患者护理中使用NZGG指南,69%的人使用BPAC指南。
了解新西兰指南和BPAC的执业护士发现它们在患者管理中有用。执业护士通常不在这两个组织的邮件列表中。提高执业护士对这些公共资助的循证资源的认识的策略可能会增加其使用,从而有助于减少新西兰不同种族之间的健康不平等。