Prior Patsy, Wilkinson Jill, Neville Stephen
Child and Family Service, Waitemata District Health Board, Auckland.
Nurs Prax N Z. 2010 Aug;26(2):14-25.
The role of practice nurses is a specific feature of the modernisation agenda of the New Zealand health service. Increasing importance is being placed on service improvement through effective decision making and enhanced clinical performance. To contribute to the development of primary health care it is crucial that nurses have the skills to appropriately implement research based and other evidence in practice. This study involved 55 West Auckland practice nurses working in the general practice setting. The aim of the study was to describe nurses' perceptions of their use of evidence-based practice, attitudes toward evidence-based practice and perceptions of their knowledge/skills associated with evidence-based practice. An additional aim was to determine the effect of educational preparation on practice, attitudes and knowledge/skills toward evidence-based practice. A descriptive survey design was selected for this study. The results demonstrated that nurses' attitudes toward evidence-based practice, knowledge and skills relevant to the implementation of evidence-based practice and the educational preparation of the nurses were important factors influencing the effective utilisation and application of research results in practice. Educational interventions are identified as an integral aspect of implementing evidence-based practice and enhancing practice nurses' knowledge and skill relevant to the use of evidence in practice. Further research is needed to assess the contextual factors which can inhibit or promote achievement of evidence-based practice by practice nurses.
执业护士的角色是新西兰医疗服务现代化议程的一个显著特征。通过有效的决策制定和提升临床绩效来改善服务的重要性日益凸显。为推动初级卫生保健的发展，护士具备在实践中恰当运用基于研究的证据及其他证据的技能至关重要。本研究涉及55名在综合诊疗环境中工作的西奥克兰执业护士。该研究的目的是描述护士对其循证实践运用情况的认知、对循证实践的态度以及对其与循证实践相关的知识/技能的认知。另一个目的是确定教育准备对实践、态度以及对循证实践的知识/技能的影响。本研究选用了描述性调查设计。结果表明，护士对循证实践的态度、与循证实践实施相关的知识和技能以及护士的教育准备是影响研究成果在实践中有效利用和应用的重要因素。教育干预被视为实施循证实践以及提升执业护士在实践中运用证据相关知识和技能的一个不可或缺的方面。需要进一步开展研究，以评估可能抑制或促进执业护士实现循证实践的背景因素。
