Pashaeypoor Shahzad, Ashktorab Tahereh, Rassouli Maryam, Alavi-Majd Hamid
a Department of Nursing , School of Nursing and Midwifery, Tehran University of Medical Sciences , Tehran , Iran.
b Department of Nursing , School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences , Tehran , Iran.
Contemp Nurse. 2016 Feb;52(1):85-94. doi: 10.1080/10376178.2016.1188019. Epub 2016 Jun 18.
Predicting the significant determinants of adopting evidence-based practice (EBP) by nursing students has received little attention in the nursing education literature. The purpose of this study was to investigate the predictors of EBP adoption among Iranian nursing students and to evaluate the fitness of the research model derived from Rogers' model.
The study was a cross-sectional survey of 170 nursing students. A path analysis was conducted to predict the determinants of EBP in nursing students. Also, direct and indirect effects of the variables were calculated.
The results indicated that knowledge of EBP as well as its perceived complexity, observability and trialability significantly predicted the adoption of EBP. Among the variables, knowledge of EBP had the greatest total impact on the adoption of EBP (P < .05). Also, the results of indices (χ(2) = 30.06, P = .000; GFI = 0.96; CFI = 0.97; RMSEA = 0.11) indicated an adequate model fit to the data.
Nursing educators can identify the predictors of EBP in order to enhance the education and adoption of EBP. The results of this study can be used by health professionals such as nursing managers and educators for teaching any new concept in clinical and educational settings such as EBP.
预测护理专业学生采用循证实践（EBP）的重要决定因素在护理教育文献中很少受到关注。本研究的目的是调查伊朗护理专业学生采用EBP的预测因素，并评估源自罗杰斯模型的研究模型的适用性。
本研究是对170名护理专业学生进行的横断面调查。进行路径分析以预测护理专业学生采用EBP的决定因素。此外，还计算了变量的直接和间接影响。
结果表明，EBP知识及其感知的复杂性、可观察性和可试验性显著预测了EBP的采用。在这些变量中，EBP知识对EBP采用的总体影响最大（P <.05）。此外，各项指标的结果（χ(2)=30.06，P =.000；GFI = 0.96；CFI = 0.97；RMSEA = 0.11）表明模型与数据拟合良好。
护理教育工作者可以识别EBP的预测因素，以加强EBP的教育和采用。本研究结果可供护理管理人员和教育工作者等卫生专业人员在临床和教育环境中教授EBP等任何新概念时使用。
