West China School of Nursing, West China School of Medicine/West China Hospital, Sichuan University, Wu Hou District, Chengdu, Sichuan Province, P. R. China.
PLoS One. 2013 Nov 29;8(11):e81908. doi: 10.1371/journal.pone.0081908. eCollection 2013.
This survey aims to describe the perception of barriers to and facilitators of research utilization by registered nurses in Sichuan province, China, and to explore the factors influencing the perceptions of the barriers to and facilitators of research utilization.
A cross sectional survey design and a double cluster sampling method were adopted. A total of 590 registered nurses from 3 tertiary level hospitals in Sichuan province, China, were recruited in a period from September 2006 to January 2007. A modified BARRUERS Scale and a Facilitators Scale were used. Data were analyzed with descriptive statistics, rank transformation test, and multiple linear regression.
Barriers related to the setting subscale were more influential than barriers related to other subscales. The lack of authority was ranked as the top greatest barrier (15.7%), followed by the lack of time (13.4%) and language barrier (15.0%). Additional barriers identified were the reluctance of patients to research utilization, the lack of funding, and the lack of legal protection. The top three greatest facilitators were enhancing managerial support (36.9%), advancing education to increase knowledge base (21.1%), and increasing time for reviewing and implementing (17.5%), while cooperation of patients to research utilization, establishing a panel to evaluate researches, and funding were listed as additional facilitators. Hospital, educational background, research experience, and knowledge on evidence-based nursing were the factors influencing perceptions of the barriers and facilitators.
Nurses in China are facing a number of significant barriers in research utilization. Enhancing managerial support might be the most promising facilitator, given Chinese traditional culture and existing health care system. Hospital, educational background, research experience and knowledge on evidence-based nursing should be taken into account to promote research utilization. The BARRIERS Scale should consider funding and involvement of patients in research utilization.
本调查旨在描述四川省注册护士对研究利用的障碍和促进因素的认知，并探讨影响其对研究利用障碍和促进因素认知的因素。
采用横断面调查设计和双重聚类抽样方法。2006 年 9 月至 2007 年 1 月期间，共招募了来自中国四川省 3 家三级医院的 590 名注册护士。使用改良的 BARRIERS 量表和促进因素量表。采用描述性统计、秩转换检验和多元线性回归进行数据分析。
与环境相关的障碍子量表的影响大于其他子量表的障碍。缺乏权威被列为最大障碍（15.7%），其次是缺乏时间（13.4%）和语言障碍（15.0%）。此外，还确定了一些其他障碍，包括患者对研究利用的抵触情绪、缺乏资金以及缺乏法律保护。排名前三的最大促进因素是增强管理支持（36.9%）、推进教育以增加知识库（21.1%）和增加审查和实施时间（17.5%），而患者对研究利用的合作、建立一个研究评估小组以及资金则被列为其他促进因素。医院、教育背景、研究经验和循证护理知识是影响对障碍和促进因素认知的因素。
中国护士在研究利用方面面临着一些重大障碍。鉴于中国传统文化和现有医疗保健体系，增强管理支持可能是最有希望的促进因素。应考虑医院、教育背景、研究经验和循证护理知识，以促进研究利用。BARRIERS 量表应考虑资金和患者参与研究利用的情况。
