Skela-Savič Brigita, Hvalič-Touzery Simona, Pesjak Katja
Fakulteta za zdravstvo Angele Boškin/Angela Boškin, Faculty of Health Care, Slovenia.
J Adv Nurs. 2017 Aug;73(8):1910-1923. doi: 10.1111/jan.13280. Epub 2017 Mar 13.
To establish the connection between values, competencies, selected job characteristics and evidence-based practice use.
Nurses rarely apply evidence-based practice in everyday work. A recent body of research has looked at various variables explaining the use of evidence-based practice, but not values and competencies.
A cross-sectional, non-experimental quantitative explorative research design.
Standardized instruments were used (Nurse Professional Values Scale-R, Nurse Competence Scale, Evidence-Based Practice Beliefs and Implementation Scale). The sample included 780 nurses from 20 Slovenian hospitals. The data were collected in 2015.
The study identifies two new variables contributing to a better understanding of beliefs on and implementation of evidence-based practice, thus broadening the existing research evidence. These are the values of activism and professionalism and competencies aimed at the development and professionalization of nursing. Values of caring, trust and justice and competencies expected in everyday practice do not influence the beliefs and implementation of evidence-based practice. Respondents ascribed less importance to values connected with activism and professionalism and competencies connected with the development of professionalism. Nurses agree that evidence-based practice is useful in their clinical work, but they lack the knowledge to implement it in practice. Evidence-based practice implementation in nursing practice is low.
Study results stress the importance of increasing the knowledge and skills on professional values of activism and professionalism and competencies connected to nursing development. The study expands the current understanding of evidence-based practice use and provides invaluable insight for nursing managers, higher education managers and the national nursing association.
建立价值观、能力、选定的工作特征与循证实践应用之间的联系。
护士在日常工作中很少应用循证实践。最近一系列研究探讨了各种解释循证实践应用的变量，但未涉及价值观和能力。
横断面、非实验性定量探索性研究设计。
使用标准化工具（护士专业价值观量表-R、护士能力量表、循证实践信念与实施量表）。样本包括来自斯洛文尼亚20家医院的780名护士。数据于2015年收集。
该研究确定了两个有助于更好地理解循证实践信念和实施情况的新变量，从而拓宽了现有研究证据。这些变量是行动主义和专业精神的价值观以及旨在促进护理发展和专业化的能力。日常实践中期望的关爱、信任和公正价值观以及能力不会影响循证实践的信念和实施。受访者认为与行动主义和专业精神相关的价值观以及与专业精神发展相关的能力不太重要。护士们认同循证实践在其临床工作中有用，但他们缺乏在实践中实施它的知识。护理实践中循证实践的实施率较低。
研究结果强调了增加关于行动主义和专业精神的专业价值观以及与护理发展相关的能力方面的知识和技能的重要性。该研究扩展了当前对循证实践应用的理解，并为护理管理人员、高等教育管理人员和国家护理协会提供了宝贵的见解。
