McConnell Eleanor S, Corazzini Kirsten N, Lekan Deborah, Bailey Donald E, Sloane Richard, Landerman Lawrence R, Champagne Mary T
Duke University School of Nursing, Durham, NC, USA.
Res Gerontol Nurs. 2012 Jan;5(1):64-76. doi: 10.3928/19404921-20110602-04. Epub 2011 Jun 29.
Poor understanding of factors influencing integration of new practices into long-term care (LTC) hinders timely implementation of evidence-based practices (EBPs). Using the Diffusion of Innovations (DOI) framework, a new instrument measuring staff perceptions of an EBP was developed as part of a DOI-LTC measurement battery and tested in a cross-sectional survey of North Carolina LTC nursing personnel. Valid questionnaires were received from 95 licensed nurses and 102 certified nursing assistants (CNAs). Internal consistency reliability for five of seven subscales was acceptable (Cronbach's alpha coefficient = 0.77 to 0.95). Perception of innovation attributes was associated with intention to adopt the new practice (Spearman rho correlation: licensed nurses = 0.41 to 0.68, p < 0.0001; CNAs = 0.26 to 0.54, p = 0.05 to <0.0001). The DOI-LTC measurement battery represents a promising new approach to studying implementation of EBPs in LTC. Future work should examine its responsiveness to interventions that facilitate implementation of EBPs in LTC.
对影响将新实践融入长期护理（LTC）的因素理解不足，阻碍了循证实践（EBPs）的及时实施。利用创新扩散（DOI）框架，开发了一种测量员工对循证实践看法的新工具，作为DOI-LTC测量工具组的一部分，并在对北卡罗来纳州长期护理护理人员的横断面调查中进行了测试。收到了95名执业护士和102名注册护理助理（CNA）的有效问卷。七个子量表中的五个子量表的内部一致性信度可以接受（克朗巴哈α系数=0.77至0.95）。对创新属性的认知与采用新实践的意愿相关（斯皮尔曼等级相关系数：执业护士=0.41至0.68，p<0.0001；注册护理助理=0.26至0.54，p=0.05至<0.0001）。DOI-LTC测量工具组代表了一种有前景的研究长期护理中循证实践实施情况的新方法。未来的工作应检验其对促进长期护理中循证实践实施的干预措施的反应性。
