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2014年伊朗扎黑丹教学医院循证实践实施的障碍

Barriers to implementation of evidence based practice in zahedan teaching hospitals, iran, 2014.

作者信息

Khammarnia Mohammad, Haj Mohammadi Mahsa, Amani Zahra, Rezaeian Shahab, Setoodehzadeh Fatemeh

机构信息

Health Promotion Research Center, Zahedan University of Medical Sciences, P.O. Box 98135, Zahedan, Iran.

Health Promotion Research Center, Zahedan University of Medical Sciences, P.O. Box 98135, Zahedan, Iran ; Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, P.O. Box 14155-6446, Tehran, Iran.

出版信息

Nurs Res Pract. 2015;2015:357140. doi: 10.1155/2015/357140. Epub 2015 Mar 18.

Abstract

This study aimed to determine the barriers to implementation of EBP among nurses. This cross-sectional study was conducted in Zahedan City, South East of Iran, in 2014. The questionnaire of barriers to implementation of EBP consists of 27 statements which was distributed among 280 nurses. More than half of the participants agreed that 56% and 57% of barriers to implementation of evidence based practice are related to organizational and individual aspects, respectively. Participants identified barriers at organizational level included the lack of human resources (78.3%), lack of internet access at work (72.2%), and heavy workload (70.0%). Barrier at individual level included lack of time to read literature (83.7%), lack of ability to work with computer (68.8%), and insufficient proficiency in English language (62.0%). Age, educational level, job experience, and employment status were associated with organizational barriers to implementation of EBP. At the individual level only education was associated with barriers to implementation of EBP. Barriers to implementation of EBP occur at both individual and organizational levels. The indicator of quality in nursing practice is EBP. Hence, familiarity with EBP is recommended for Iranian nurses. In addition, knowledge of barriers will help health care system and policy makers to provide a culture of EBP.

摘要

本研究旨在确定护士实施循证实践(EBP)的障碍。这项横断面研究于2014年在伊朗东南部的扎黑丹市进行。循证实践实施障碍调查问卷包含27项陈述,共发放给280名护士。超过半数的参与者认同,循证实践实施障碍中分别有56%和57%与组织和个人层面相关。参与者指出的组织层面障碍包括人力资源短缺(78.3%)、工作时无法上网(72.2%)以及工作量大(70.0%)。个人层面障碍包括缺乏阅读文献的时间(83.7%)、缺乏计算机操作能力(68.8%)以及英语水平不足(62.0%)。年龄、教育程度、工作经验和就业状况与循证实践实施的组织障碍相关。在个人层面,只有教育程度与循证实践实施障碍相关。循证实践实施障碍在个人和组织层面均存在。护理实践中的质量指标是循证实践。因此,建议伊朗护士熟悉循证实践。此外,了解这些障碍将有助于医疗保健系统和政策制定者营造循证实践的文化氛围。

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