School of Nursing, Millikin University, 1184 W. Main, Decatur, IL 62522, USA.
J Nurs Manag. 2013 Jan;21(1):5-16. doi: 10.1111/j.1365-2834.2012.01440.x. Epub 2012 Jul 10.
To examine practicing nurses' attitudes and knowledge of evidence-based practice.
Health care providers acknowledge that health care decisions should be grounded in current evidence. Limited evidence documents practicing nurses' attitudes and knowledge regarding evidence-based practice.
A descriptive survey was administered to 286 practicing nurses. Demographics of educational preparation, area of practice, years in practice, age and gender were collected.
The largest number of respondents held an associate degree (30.6%) or baccalaureate degree (29.5%). Thirty-seven per cent reported over 15 years experience in nursing. Forty-three percent reported 61-100% of their practice was evidence based. Fifty percent reported an ability to determine the validity of evidence, and 58% rated an ability to apply findings to individual cases positively. Administrative support of evidence-based practice was reported by only 5.5%.
Nurses voiced agreement that their practice was evidence-based; however, they reported only an average ability to retrieve or critically analyse evidence.
The findings support the need for an educational intervention for practicing nurses regarding evidence-based practice. Role modelling and collaboration of nurse managers and educators will promote transition of evidence into clinical practice.
调查执业护士对循证实践的态度和知识。
医疗保健提供者承认，医疗保健决策应该基于当前的证据。有限的证据记录了执业护士对循证实践的态度和知识。
对 286 名执业护士进行了描述性调查。收集了教育准备、实践领域、工作年限、年龄和性别等方面的人口统计学资料。
最多的受访者持有大专（30.6%）或学士学位（29.5%）。37%的人报告说有超过 15 年的护理经验。43%的人报告说他们有 61-100%的实践是基于证据的。50%的人表示有能力确定证据的有效性，58%的人对将研究结果应用于个别病例的能力评价积极。只有 5.5%的人报告说得到了循证实践的行政支持。
护士们表示同意他们的实践是基于证据的；然而，他们只报告说自己有平均的检索或批判性分析证据的能力。
研究结果支持对执业护士进行循证实践教育干预的必要性。护士管理者和教育者的角色示范和合作将促进证据向临床实践的转化。
