Skela-Savič B, Pesjak K, Lobe B
Faculty of Health Care Jesenice, University of Ljubljana, Slovenia.
Faculty of Social Sciences, University of Ljubljana, Slovenia.
Int Nurs Rev. 2016 Mar;63(1):122-31. doi: 10.1111/inr.12233. Epub 2016 Jan 8.
To identify the extent of evidence-based practice implementation among nurses in Slovenian hospital settings, to establish nurses' beliefs on evidence-based practice and to identify possible explanatory factors.
Conducting and applying research are fundamental nurses' tasks and an essential expectation in nursing practice.
Despite verified benefits of evidence-based practice, research evidence across different countries has shown extremely limited implementation of this practice among nurses.
A cross-sectional research design was employed. Standardized instruments Evidence-Based Practice Beliefs and Implementation Scale were used. The sample included 534 nurses from 19 Slovenian hospitals. The obtained data were analysed using descriptive statistics, correlation and factor analysis, and linear regression.
Nurses in Slovenian hospitals have positive beliefs about evidence-based practice, but exhibit a low level of implementation. The beliefs were explained by perceived knowledge on research, job satisfaction and length of employment, whereas a low level of implementation was explained by poor perceived knowledge on research, evidence-based practice and job satisfaction level.
Nurses in Slovenian hospitals have positive beliefs about evidence-based practice, but exhibit a low level of implementation. According to the results, some resources required for improved implementation are not made sufficiently available.
A low response rate; the sample not being balanced for educational achievement; and the accuracy of self-report survey methods.
In addition to the perceived knowledge and education provided, an important factor is also job satisfaction, which points to the instrumental role of management workers in determining nurses' professional development.
Nursing managers in Slovenian hospitals should promote the development of head nurses in research and evidence-based care, thereby fostering a culture of evidence-based practice.
确定斯洛文尼亚医院环境中护士实施循证实践的程度，确立护士对循证实践的信念，并找出可能的解释因素。
开展和应用研究是护士的基本任务，也是护理实践中的一项基本期望。
尽管循证实践已证实具有诸多益处，但不同国家的研究证据表明，护士对这一实践的实施极为有限。
采用横断面研究设计。使用标准化工具《循证实践信念与实施量表》。样本包括来自19家斯洛文尼亚医院的534名护士。对所得数据进行描述性统计、相关性和因子分析以及线性回归分析。
斯洛文尼亚医院的护士对循证实践持有积极信念，但实施水平较低。这些信念可由对研究的认知、工作满意度和工作年限来解释，而实施水平较低则可由对研究、循证实践的认知不足以及工作满意度水平来解释。
斯洛文尼亚医院的护士对循证实践持有积极信念，但实施水平较低。根据研究结果，改善实施所需的一些资源未得到充分提供。
回复率较低；样本在教育程度方面不均衡；以及自我报告调查方法的准确性。
除了已有的认知和教育之外，工作满意度也是一个重要因素，这表明管理人员在决定护士职业发展方面的重要作用。
斯洛文尼亚医院的护理管理人员应促进护士长在研究和循证护理方面的发展，从而营造循证实践的文化氛围。
