Eaton Linda H, Meins Alexa R, Mitchell Pamela H, Voss Joachim, Doorenbos Ardith Z
School of Nursing, University of Washington, Seattle, WA.
University of Washington, Seattle, WA.
Oncol Nurs Forum. 2015 Mar;42(2):165-73. doi: 10.1188/15.ONF.165-173.
PURPOSE/OBJECTIVES: To describe evidence-based practice (EBP) beliefs and behaviors of nurses who provide cancer pain management.
Descriptive, cross-sectional with a mixed-methods approach.
Two inpatient oncology units in the Pacific Northwest.
40 RNs.
Data collected by interviews and web-based surveys.
EBP beliefs, EBP implementation, evidence-based pain management.
Nurses agreed with the positive aspects of EBP and their implementation ability, although implementation level was low. They were satisfied with their pain management practices. Oncology nursing certification was associated with innovativeness, and innovativeness was associated with EBP beliefs. Themes identified were (a) limited definition of EBP, (b) varied evidence-based pain management decision making, (c) limited identification of evidence-based pain management practices, and (d) integration of nonpharmacologic interventions into patient care.
Nurses' low level of EBP implementation in the context of pain management was explained by their trust that standards of care and medical orders were evidence-based.
Nurses' EBP beliefs and behaviors should be considered when developing strategies for sustaining evidence-based pain management practices. Implementation of the EBP process by nurses may not be realistic in the inpatient setting; therefore, hospital pain management policies need to be evidence-based and reinforced with nurses.
目的/目标：描述提供癌症疼痛管理的护士基于证据的实践（EBP）信念和行为。
采用混合方法的描述性横断面研究。
太平洋西北地区的两个住院肿瘤科室。
40名注册护士。
通过访谈和网络调查收集数据。
EBP信念、EBP实施、基于证据的疼痛管理。
护士认同EBP的积极方面及其实施能力，尽管实施水平较低。他们对自己的疼痛管理实践感到满意。肿瘤护理认证与创新性相关，而创新性与EBP信念相关。确定的主题包括：（a）EBP的定义有限；（b）基于证据的疼痛管理决策各异；（c）基于证据的疼痛管理实践的识别有限；（d）将非药物干预措施纳入患者护理。
护士在疼痛管理方面EBP实施水平较低，原因是他们相信护理标准和医嘱是基于证据的。
在制定维持基于证据的疼痛管理实践的策略时，应考虑护士的EBP信念和行为。护士在住院环境中实施EBP过程可能不现实；因此，医院的疼痛管理政策需要基于证据并向护士强化。
