Department, Evidence Based Clinical Practice and Knowledge Transfer Research Group Member, Balearic Islands University, Spain.
J Adv Nurs. 2012 Feb;68(2):452-9. doi: 10.1111/j.1365-2648.2011.05733.x. Epub 2011 Aug 16.
The general aim of this study is to identify key factors perceived by nurses to influence evidence-based clinical practice at different centres.
During the last decade, there has been an increased interest in the identification of factors that facilitate the transfer of knowledge into clinical practice, among health care professionals. Previous research states that a suitable organisational framework and practice environment seems to have influence on a greater use of scientific evidence by nurses, which can be directly observed in patient outcomes. In consequence, several authors suggest that strategies should be encouraged from managers and nurse executives to guarantee the existence of environments that avoid emotional exhaustion and improve satisfaction of nurses with their work, and at the same time, ensure the use of research-guided nursing decisions.
Following the Spanish validation of the Practice Environment Scale-Nursing Work Index and Evidence Based Practice Questionnaire, a descriptive observational cross-sectional study has been conceived, from 2010 to 2011, in order to identify determining factors in evidence-based clinical practice at different centres. In a second phase, a qualitative study has been designed, using focus groups, to identify practice factors that can lead to a successful implementation of evidence-based clinical practice.
Organisational and attitudinal interventions are needed in order to implement evidence-based clinical practice that improves the quality of patient care.
本研究的总体目的是确定护士在不同中心感知到的影响循证临床实践的关键因素。
在过去的十年中，人们对识别促进医护人员将知识转化为临床实践的因素产生了浓厚的兴趣。先前的研究表明，适当的组织框架和实践环境似乎对护士更广泛地使用科学证据有影响，这可以直接观察到对患者结果的影响。因此，一些作者建议应鼓励管理人员和护理主管采取策略，以确保存在避免情绪疲惫和提高护士对工作满意度的环境，同时确保使用以研究为导向的护理决策。
在对实践环境量表-护理工作指数和循证实践问卷进行西班牙验证后，于 2010 年至 2011 年构思了一项描述性观察性横断面研究，以确定不同中心循证临床实践的决定因素。在第二阶段，设计了一项使用焦点小组的定性研究，以确定可以成功实施循证临床实践的实践因素。
需要进行组织和态度干预，以实施循证临床实践，从而提高患者护理质量。
