Chiu Ya-Wen, Weng Yi-Hao, Lo Heng-Lien, Hsu Chih-Cheng, Shih Ya-Hui, Kuo Ken N
Division of Health Policy Research and Development, Institute of Population Health Sciences, National Health Research Institutes, 35 Keyan Road, Zhunan, Miaoli, Taiwan.
J Contin Educ Health Prof. 2010 Spring;30(2):132-8. doi: 10.1002/chp.20070.
Although evidence-based practice (EBP) has been widely investigated, few studies compare physicians and nurses on performance.
A structured questionnaire survey was used to investigate EBP among physicians and nurses in 61 regional hospitals of Taiwan. Valid postal questionnaires were collected from 605 physicians and 551 nurses during February to May 2007.
Physicians were more aware of EBP than nurses. Although both groups had high recognition of belief in and favorable attitudes toward EBP, their knowledge of and skill in EBP were relatively low. When compared with nurses, physicians were more willing to support the promotion of EBP implementations in clinical services. Physicians' knowledge and skills regarding the application of EBP principles were greater than nurses. Furthermore, physicians more often accessed the on-line evidence-retrieval databases, including the Cochrane Library. The most commonly ranked barriers to EBP applications for both groups included lack of designated personnel, lack of convenient kits, limited basic knowledge of EBP, and time. In general, nurses generated more barriers than physicians.
There were significant discrepancies between physicians and nurses in their awareness of, attitude toward, knowledge of, skill in, behavior toward, and barriers regarding EBP. In implementing EBP, strategies to overcome barriers and provide on-line evidence-retrieval systems should differ for physicians and nurses.
尽管循证实践（EBP）已得到广泛研究，但很少有研究比较医生和护士在这方面的表现。
采用结构化问卷调查法，对台湾61家地区医院的医生和护士的循证实践情况进行调查。2007年2月至5月期间，共收集到605名医生和551名护士有效的邮寄问卷。
医生比护士更了解循证实践。虽然两组对循证实践的信念和态度都有较高的认可度，但他们在循证实践方面的知识和技能相对较低。与护士相比，医生更愿意支持在临床服务中推广循证实践的实施。医生在循证实践原则应用方面的知识和技能比护士更强。此外，医生更常访问在线证据检索数据库，包括Cochrane图书馆。两组在循证实践应用中最常提到的障碍包括缺乏指定人员、缺乏便捷工具包、循证实践基础知识有限和时间问题。总体而言，护士面临的障碍比医生更多。
医生和护士在循证实践的认知、态度、知识、技能、行为和障碍方面存在显著差异。在实施循证实践时，针对医生和护士克服障碍和提供在线证据检索系统的策略应有所不同。
