Gentizon Jenny, Borrero Patricia, Vincent-Suter Sonja, Ballabeni Pierluigi, Morin Diane, Eicher Manuela
Rech Soins Infirm. 2016 Dec(127):28-42. doi: 10.3917/rsi.127.0028.
Introduction : evidence-based practice (EBP) is too scarcely applied in nursing and is a key contemporary challenge for the discipline. Method and objective : This descriptive and correlational study invited 221 nurses working in three different clinical settings of university hospitals in Switzerland. The objective of this study was to describe their level of knowledge, beliefs and implementation of EBP. Results : of the 221 nurses in this study, only 67 were familiar EBP (30%). These demonstrate favorable beliefs and attitudes towards EBP, but indicate a lack of skills and knowledge to implement it. Compared to both internal medicine and geriatric nurses clinical nurse specialists (ISC) were significantly more familiar with EBP and its implementation. Results also indicate that positive nurses’ beliefs and attitudes toward EBP are predictive of better implementation in clinical practice. Discussion and Conclusion : as demonstrated in other studies, our results show that knowledge about EBP is not that widespread and its implementation remains a challenge even in university hospitals. Future work could include testing EBP implementation strategies to overcome the barriers identified.
循证实践(EBP)在护理领域的应用极为稀少,是该学科当前面临的一项关键挑战。方法与目的:这项描述性和相关性研究邀请了瑞士大学医院三个不同临床科室的221名护士参与。本研究的目的是描述他们的循证实践知识水平、信念及实施情况。结果:在本研究的221名护士中,仅有67人熟悉循证实践(30%)。这些护士对循证实践表现出积极的信念和态度,但实施方面缺乏技能和知识。与内科护士和老年科护士相比,临床护理专家(ISC)对循证实践及其实施更为熟悉。结果还表明,护士对循证实践的积极信念和态度预示着在临床实践中能更好地实施。讨论与结论:正如其他研究所示,我们的结果表明,循证实践知识并不普及,即使在大学医院,其实施仍然是一项挑战。未来的工作可包括测试循证实践实施策略以克服已识别的障碍。