循证实践信念与护士实践行为：一项横断面研究。
Evidence based practice beliefs and implementation among nurses: a cross-sectional study.
机构信息
Department of Oncology, Division of Cancer Medicine, Surgery and Transplantation, Oslo University Hospital, Postbox 4953- Nydalen, Oslo N-0424, Norway.
出版信息
BMC Nurs. 2014 Mar 25;13(1):8. doi: 10.1186/1472-6955-13-8.
BACKGROUND
Having a positive attitude towards evidence-based practice and being able to see the value of evidence-based practice for patients have been reported as important for the implementation of evidence-based practice among nurses.The aim of this study was to map self-reported beliefs towards EBP and EBP implementation among nurses, and to investigate whether there was a positive correlation between EBP beliefs and EBP implementation.
METHOD
We carried out a cross-sectional study among 356 nurses at a specialist hospital for the treatment of cancer in Norway. The Norwegian translations of the Evidence-based Practice Belief Scale and the Evidence-based Practice Implementation Scale were used.
RESULTS
In total, 185 nurses participated in the study (response rate 52%). The results showed that nurses were positive towards evidence-based practice, but only practised it to a small extent. There was a positive correlation (r) between beliefs towards evidence-based practice and implementation of evidence-based practice (r = 0.59, p = 0.001).There was a statistical significant positive, but moderate correlation between all the four subscales of the EBP Beliefs Scale (beliefs related to: 1) knowledge, 2) resources, 3) the value of EBP and 4) difficulty and time) and the EBP Implementation Scale, with the highest correlation observed for beliefs related to knowledge (r = 0.38, p < .0001). Participants who had learned about evidence-based practice had significantly higher scores on the Evidence-based Practice Belief Scale than participants who were unfamiliar with evidence-based practice. Those involved in evidence-based practice working groups also reported significantly higher scores on the Evidence-based Practice Belief Scale than participants not involved in these groups.
CONCLUSION
This study shows that nurses have a positive attitude towards evidence-based practice, but practise it to a lesser extent. There was a positive correlation between beliefs about evidence-based practice and implementation of evidence-based practice. Beliefs related to knowledge appear to have the greatest effect on implementation of evidence-based practice. Having knowledge and taking part in evidence-based practice working groups seem important.
背景
对循证实践持有积极态度并能看到循证实践对患者的价值，被报道为护士实施循证实践的重要因素。本研究旨在绘制护士对循证实践的自我报告信念和循证实践的实施情况，并调查循证实践信念与循证实践实施之间是否存在正相关关系。
方法
我们在挪威一家专门治疗癌症的专科医院对 356 名护士进行了横断面研究。使用了循证实践信念量表和循证实践实施量表的挪威语翻译版本。
结果
共有 185 名护士参加了这项研究（回应率为 52%）。结果表明，护士对循证实践持积极态度，但实践程度较小。循证实践信念与循证实践实施之间存在正相关（r=0.59，p=0.001）。循证实践信念量表的四个子量表（1）知识、2）资源、3）循证实践的价值和 4）难度和时间）与循证实践实施量表之间存在统计学上显著的正相关（r=0.38，p<0.0001），其中与知识相关的信念相关性最高。与不熟悉循证实践的参与者相比，了解循证实践的参与者在循证实践信念量表上的得分显著更高。参与循证实践工作组的参与者在循证实践信念量表上的得分也显著高于未参与这些工作组的参与者。
结论
本研究表明，护士对循证实践持积极态度，但实践程度较小。循证实践信念与循证实践实施之间存在正相关关系。与知识相关的信念似乎对循证实践的实施有最大的影响。具备知识并参与循证实践工作组似乎很重要。
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