Nilsson Kajermo Kerstin, Alinaghizadeh Hassan, Falk Ulla, Wändell Per, Törnkvist Lena
Clinical Research Utilization, Karolinska University Hospital, Stockholm, Sweden.
Scand J Caring Sci. 2014 Mar;28(1):173-85. doi: 10.1111/scs.12037. Epub 2013 Mar 20.
This article investigates attitudes towards and awareness of research and use of research findings among primary healthcare nurses, determinants of attitudes and evaluation of psychometric properties of an instrument measuring nurses' attitudes.
The production of new knowledge is ongoing and the amount of research of relevance for health care has increased, but there remains a gap between what is known and what is done in practice. To enhance evidence-based practice and patient safety, the use of research findings needs to be encouraged and promoted.
An explanatory study using a cross-sectional survey was conducted in 2005-2006. The survey included items about background data and the instrument attitudes towards and awareness of research and development in nursing. 1054 nurses participated in the study. Factor analyses and Cronbach's alpha were used to evaluate internal structure and internal consistency of the instrument.
The nurses generally held positive attitudes towards research. Although most of the nurses reported using research in practice, 37% claimed that they never or rarely used research findings. Half of the respondents perceived they had the ability to analyse scientific reports/articles. This ability and research use were significant determinants of attitudes. Factor analysis of the scale resulted in a three-factor solution, which differs from the seven-factor structure previously identified by the originators of the instrument.
Our results support the view that implementation of research is a complex process involving several factors. The different factor structure identified suggests that further work is needed on this instrument.
本文调查了基层医疗护士对研究及研究成果应用的态度与认知，态度的决定因素以及测量护士态度的工具的心理测量特性评估。
新知识的产生一直在进行，与医疗保健相关的研究数量有所增加，但在已知知识与实践中所做之事之间仍存在差距。为加强循证实践和患者安全，需要鼓励和促进研究成果的应用。
在2005 - 2006年进行了一项采用横断面调查的解释性研究。该调查包括有关背景数据以及对护理研究与发展的态度和认知的项目。1054名护士参与了该研究。使用因子分析和克朗巴哈系数来评估工具的内部结构和内部一致性。
护士总体上对研究持积极态度。尽管大多数护士报告在实践中使用研究，但37%的护士称他们从未或很少使用研究成果。一半的受访者认为自己有能力分析科学报告/文章。这种能力和研究应用是态度的重要决定因素。该量表的因子分析产生了一个三因素解决方案，这与该工具的开发者先前确定的七因素结构不同。
我们的结果支持这样一种观点，即研究的实施是一个涉及多个因素的复杂过程。所确定的不同因子结构表明，需要对该工具做进一步研究。
