Chien Wai-Tong, Bai Qin, Wong Wai-Kit, Wang Huizhen, Lu Xueqin
School of Nursing, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hong Kong.
Open Nurs J. 2013 Jul 12;7:96-106. doi: 10.2174/1874434601307010096. Print 2013.
Despite the drive towards evidence-based practice, the extent to which research evidence is being implemented in nursing practice is unclear, particularly in developing countries. This study was to assess the levels of perceived barriers to and facilitators of research utilization in practice among Chinese nurses and inter-relationships between these barriers and facilitators and their socio-demographic characteristics. A cross-sectional, descriptive survey was conducted in 2011 with 743 registered nurses randomly selected from four general hospitals in China. They completed the Barriers to Research Utilization and Facilitators of Research Utilization scales. Correlation tests were used to test the relationships between the nurses' perceived barriers and facilitators, their demographic characteristics and research training and involvement. The Chinese nurses' level of perceived barriers was moderate on average and lower than that in previous research. Among the 10 top-ranked items, six were from the subscale 'Organizational Characteristics'. Their perceived barriers were correlated positively with age and post-registration experience and negatively with research training undertaken. Junior diplomatic nurses reported a significantly higher degree of barriers than those senior ones with postgraduate education. Higher and more diverse barriers to research utilization in practice are perceived by Chinese nurses than those in Western countries and they are associated with a few socio-demographic factors. Future research on these barriers/facilitators and their relationships with occupational and socio-cultural factors in Chinese and other Asian nurses is recommended.
尽管目前正朝着循证实践的方向努力，但研究证据在护理实践中的应用程度尚不清楚，在发展中国家尤其如此。本研究旨在评估中国护士在实践中对研究应用的感知障碍和促进因素的水平，以及这些障碍和促进因素之间的相互关系及其社会人口学特征。2011年进行了一项横断面描述性调查，从中国四家综合医院随机抽取743名注册护士。他们完成了“研究应用障碍量表”和“研究应用促进因素量表”。采用相关性检验来测试护士感知到的障碍和促进因素、其人口学特征以及研究培训和参与之间的关系。中国护士感知到的障碍水平平均处于中等程度，低于以往研究中的水平。在排名前十的项目中，有六项来自“组织特征”子量表。他们感知到的障碍与年龄和注册后的工作经验呈正相关，与接受的研究培训呈负相关。初级护师报告的障碍程度明显高于具有研究生学历的高级护师。与西方国家的护士相比，中国护士在实践中感知到的研究应用障碍更高且更多样化，并且这些障碍与一些社会人口学因素有关。建议未来针对这些障碍/促进因素以及它们与中国和其他亚洲护士的职业及社会文化因素之间的关系开展研究。
