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老年医院护士对研究应用和赋权的认知障碍

Geriatric hospital nurses' perceived barriers to research utilization and empowerment.

作者信息

Kang Hyunwook

机构信息

Department of Nursing, Chung-Ang University, Seoul, South Korea.

出版信息

Asian Nurs Res (Korean Soc Nurs Sci). 2015 Mar;9(1):65-72. doi: 10.1016/j.anr.2014.11.005. Epub 2015 Feb 12.

DOI:10.1016/j.anr.2014.11.005
PMID:25829213
Abstract

PURPOSE

The quality of nursing care in geriatric hospitals has been of concern. Nurses need to provide evidence-based nursing using best available research findings in order to maximize the quality of care. Research utilization is a major part of evidence-based nursing practice. Empowerment is an important factor that may influence the context of nursing practice. The purpose of this study was to identify the barriers to research utilization in nursing practice and its relationship to empowerment perceived by registered nurses (RNs) in geriatric hospitals.

METHODS

A descriptive, correlational design was used. A total of 147 RNs from six geriatric hospitals in K province of Korea participated. The BARRIERS scale and the Conditions of Work Empowerment Questionnaire-II were administered to identify perceived barriers to the use of research findings and the level of perceived empowerment respectively.

RESULTS

Participants rated that research reports being written in English constituted the greatest barrier to the use of research findings. The score was the highest for the Communication domain, suggesting the greatest barrier, and the lowest for the Adopter domain. Subscales of the Conditions of Work Empowerment Questionnaire-II were significant predictors of the Adopter, Organization, and Communication domains of the BARRIERS scale.

CONCLUSIONS

This study found that RNs in geriatric hospitals perceived that interpreting and understanding research reports in English was the greatest barrier to the use of research findings. Administrators and nurse managers of geriatric hospitals need to provide RNs with opportunities to participate in research-related activities and to empower RNs in order to facilitate research utilization.

摘要

目的

老年医院的护理质量一直备受关注。护士需要运用最佳可得研究成果提供循证护理,以实现护理质量最大化。研究应用是循证护理实践的重要组成部分。赋权是可能影响护理实践环境的一个重要因素。本研究的目的是确定老年医院注册护士(RN)在护理实践中研究应用的障碍及其与所感知的赋权之间的关系。

方法

采用描述性、相关性设计。韩国K省六家老年医院的147名注册护士参与了研究。使用“障碍”量表和“工作赋权条件问卷 - II”分别确定研究成果应用的感知障碍和感知赋权水平。

结果

参与者认为英文撰写的研究报告是研究成果应用的最大障碍。在“沟通”领域得分最高,表明障碍最大,而在“采用者”领域得分最低。“工作赋权条件问卷 - II”的子量表是“障碍”量表中“采用者”“组织”和“沟通”领域的显著预测因素。

结论

本研究发现,老年医院的注册护士认为英文研究报告的解读和理解是研究成果应用的最大障碍。老年医院的管理人员和护士长需要为注册护士提供参与研究相关活动的机会并赋予他们权力,以促进研究应用。

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