Karki S, Acharya R, Budhwani H, Shrestha P, Chalise P, Shrestha U, Gautam K, Wilson L
Department of Nursing Kathmandu University School of Medical Sciences Dhulikhel, Kavre, Nepal.
University of Alabama at Birmingham, USA.
Kathmandu Univ Med J (KUMJ). 2015 Oct-Dec;13(52):308-15. doi: 10.3126/kumj.v13i4.16829.
Background As the evidence based practice (EBP) movement expands, there is a need for health leaders and educators in each country to assess the extent to which health professional students and practitioners are prepared to locate, evaluate, and apply evidence to guide their practice. Objective The study objective was to explore nurses' and nursing students' perceptions and attitudes towards EBP. Method This was a descriptive cross-sectional survey administered to all 273 nurses and nursing students from Nepal who attended an EBP conference. The survey instrument that was used by Majid in Singapore was adapted for use in this study with permission from the author. Result In total, 121 nurses participated in the study. The majority (93%) of respondents reported that they had no previous training in EBP. The respondents' perceptions of their EBP knowledge and skills were variable, but most of them demonstrated positive attitudes toward EBP. Respondents identified a number of barriers that limit the implementation of EBP in Nepal. The greatest barriers were lack of time and resources, difficulty understanding research articles and translating the findings to practice, and limited autonomy to change practice based on evidence. Conclusion Although respondents had positive attitudes towards EBP, their knowledge and skills were limited and barriers to implementation existed. Nursing faculty can use the findings to guide implementation of EBP into curricula, and nursing administrators and clinicians can use the findings to guide practice to promote EBP.
背景 随着循证实践（EBP）运动的扩展，每个国家的卫生领导者和教育工作者都需要评估卫生专业学生和从业者在查找、评估和应用证据以指导实践方面的准备程度。目的 本研究的目的是探讨护士和护理专业学生对循证实践的认知和态度。方法 这是一项描述性横断面调查，对象为来自尼泊尔参加循证实践会议的所有273名护士和护理专业学生。经作者许可，采用了Majid在新加坡使用的调查问卷并应用于本研究。结果 共有121名护士参与了该研究。大多数（93%）受访者表示他们以前没有接受过循证实践方面的培训。受访者对其循证实践知识和技能的认知各不相同，但他们中的大多数对循证实践表现出积极态度。受访者指出了一些限制尼泊尔循证实践实施的障碍。最大的障碍是缺乏时间和资源、难以理解研究文章并将研究结果转化为实践，以及基于证据改变实践的自主权有限。结论 尽管受访者对循证实践持积极态度，但他们的知识和技能有限，且存在实施障碍。护理教师可以利用这些结果指导将循证实践纳入课程，护理管理人员和临床医生可以利用这些结果指导实践以促进循证实践。
