Kuronen Risto, Jallinoja Piia, Patja Kristiina
Joint Authority for Päijät-Häme Social and Health Care, Sykekatu, Lahti, Finland.
Clin Nurs Res. 2011 Aug;20(3):310-25. doi: 10.1177/1054773811407765. Epub 2011 May 10.
Attitudes toward, familiarity with, and use of clinical guidelines in general and the national Hypertension Guideline were studied. A questionnaire study was conducted before and after an educational program (VALTIT) among primary and secondary care nurses in Päijät-Häme, Finland. The program included centralized training sessions and interactive local workshops. Prior to the program, a majority of nurses had a positive attitude toward guidelines but used guidelines seldom. Primary care nurses were better aware of the Hypertension Guideline than secondary care nurses, but the guideline was poorly used by both groups. At the follow-up, familiarity with the Hypertension Guideline and use of guidelines increased among primary care nurses. In future, primary care nurses will have a more autonomous role in patient care and should participate in clinical guideline development and related research. Our study has shown they are a potential target of such interventions.
研究了对一般临床指南以及国家高血压指南的态度、熟悉程度和使用情况。在芬兰派亚特-海梅地区的初级和二级护理护士中,于一项教育项目(VALTIT)前后开展了问卷调查研究。该项目包括集中培训课程和互动式本地研讨会。在项目开展之前,大多数护士对指南持积极态度,但很少使用指南。初级护理护士比二级护理护士更了解高血压指南,但两组对该指南的使用都很少。在随访时,初级护理护士对高血压指南的熟悉程度和指南的使用有所增加。未来,初级护理护士在患者护理中将发挥更自主的作用,并且应该参与临床指南的制定及相关研究。我们的研究表明,他们是此类干预措施的潜在目标对象。