Ammouri Ali A, Raddaha Ahmad A, Dsouza Preethy, Geethakrishnan Renu, Noronha Judith A, Obeidat Arwa A, Shakman Lina
Departments of Adult Health & Critical Care, Sultan Qaboos University, Muscat, Oman;
College of Nursing, Sultan Qaboos University, Muscat, Oman;
Sultan Qaboos Univ Med J. 2014 Nov;14(4):e537-45. Epub 2014 Oct 14.
The aim of this study was to describe nurses' practices, attitudes, knowledge/skills and perceived barriers in relation to evidence-based practice (EBP) in Oman.
This descriptive cross-sectional study was conducted between February and November 2012. A self-reported 24-item questionnaire was used to measure EBP practices, attitudes and knowledge/skills among a convenience sample of 600 nurses working in four governmental hospitals in Muscat, Oman. Responses were scored on a one to seven rating scale. Barriers to EBP were measured on a five-point Likert scale using two subscales. Descriptive statistics and general linear regression were used to analyse the data.
A total of 414 nurses were included in the study. The greatest barriers to developing EBP among nurses were insufficient time for research (3.51 ± 0.97) and insufficient resources to change practices (3.64 ± 0.99). Nurses with more years of experience reported increased use of EBP (P <0.01), more positive attitudes towards EBP (P <0.001) and fewer barriers to research (P <0.01). Significant positive correlations were found between years of experience and practice (r = 0.16) and attitudes (r = 0.20). Nurses with a baccalaureate degree reported fewer barriers to research than those qualified at a diploma level (P <0.001). Nurses who perceived more barriers to research reported less use of EBP (P <0.001), less positive attitudes towards EBP (P <0.001) and limited EBP knowledge/skills (P <0.001).
These findings provide a basis for enhancing nursing practices, knowledge and skills. Continuing education for nurses and minimising barriers is crucial to increasing the use of EBP in Oman.
本研究旨在描述阿曼护士在循证实践(EBP)方面的行为、态度、知识/技能以及感知到的障碍。
本描述性横断面研究于2012年2月至11月进行。采用一份包含24个条目的自填式问卷,对阿曼马斯喀特四所政府医院的600名护士进行便利抽样,以测量其循证实践行为、态度和知识/技能。回答采用1至7分的评分量表进行计分。循证实践的障碍通过两个分量表采用五点李克特量表进行测量。使用描述性统计和一般线性回归分析数据。
共有414名护士纳入研究。护士开展循证实践的最大障碍是研究时间不足(3.51±0.97)和缺乏改变实践的资源(3.64±0.99)。工作经验年限较长的护士报告循证实践的使用增加(P<0.01)、对循证实践的态度更积极(P<0.001)且研究障碍更少(P<0.01)。发现工作经验年限与实践(r = 0.16)和态度(r = 0.20)之间存在显著正相关。拥有学士学位的护士报告的研究障碍比文凭水平的护士少(P<0.001)。认为研究障碍更多的护士报告循证实践的使用更少(P<0.001)、对循证实践的态度更不积极(P<0.001)且循证实践知识/技能有限(P<0.001)。
这些发现为加强护理实践、知识和技能提供了依据。对护士进行继续教育并减少障碍对于在阿曼增加循证实践的使用至关重要。