Farokhzadian Jamileh, Nayeri Nahid Dehghan, Borhani Fariba, Zare Mohmmad Reza
Department of Community Health Nursing, School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.
Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Br J Med Med Res. 2015;7(8):662-671. doi: 10.9734/BJMMR/2015/16487. Epub 2015 Mar 17.
Evidence-based practice (EBP) has been recognized as the gold standard for safe and high quality care. Nurse leaders have a strategic position in terms of initiating changes in clinical settings for successfully implementing EBP. Therefore, the factors that influence implementing EBP must be measured.
To examine nurse leaders' attitudes, self-efficacy, and training needs for implementing evidence-based practice.
Four teaching hospitals affiliated to Kerman University of Medical Sciences in the southeast of Iran from January to April 2014.
A cross-sectional study was conducted on 70 nurse leaders from four teaching hospitals. After using a modified forward/backward translation procedure to create a Persian version of "perceptions of nurses of evidence-based practice questionnaire", data were collected from the participants and analyzed using SPSS (version 20), descriptive statistics, Student's t-test, analysis of variance (ANOVA), and Pearson's correlation.
Most (82.86%) of the participants had not attended any specific training course on the implementation of EBP and 80% had not been involved in any research activities. Nurse leaders' attitudes toward EBP were unfavorable (mean=2.55±0.88), their levels of self-efficacy in EBP skills were weak (mean=2.64±1.31), and their demand for training in all of the EBP areas was moderate (3.89±.97).
Current practice of nurse leaders is not evidence-based, which is worrisome and can result in serious deficiencies in the quality and safety of nursing care. Nurse leaders must attempt to equip themselves with the attitudes and skills required to change in practice using EBP.
循证实践（EBP）已被公认为实现安全和高质量护理的黄金标准。护士长在启动临床环境变革以成功实施循证实践方面具有战略地位。因此，必须衡量影响循证实践实施的因素。
探讨护士长对实施循证实践的态度、自我效能感和培训需求。
2014年1月至4月，伊朗东南部克尔曼医科大学的四所教学医院。
对四所教学医院的70名护士长进行了横断面研究。在使用改良的前后翻译程序创建波斯语版的“护士对循证实践问卷的看法”后，收集参与者的数据，并使用SPSS（版本20）、描述性统计、学生t检验、方差分析（ANOVA）和皮尔逊相关性进行分析。
大多数（82.86%）参与者未参加过任何关于循证实践实施的特定培训课程，80%未参与过任何研究活动。护士长对循证实践的态度不佳（平均=2.55±0.88），他们在循证实践技能方面的自我效能感较弱（平均=2.64±1.31），并且他们对所有循证实践领域的培训需求适中（3.89±.97）。
护士长目前的实践并非基于证据，这令人担忧，并可能导致护理质量和安全出现严重缺陷。护士长必须努力培养自己采用循证实践进行实践变革所需的态度和技能。
