Moore Lora
Associate Professor, School of Nursing, Western Kentucky University, Bowling Green, KY, USA.
Worldviews Evid Based Nurs. 2017 Oct;14(5):358-366. doi: 10.1111/wvn.12214. Epub 2017 Mar 7.
Implementation of evidence-based practice (EBP) at the bedside has been difficult to achieve. Significant gaps between current research and actual practice have been identified and must be addressed in effort to increase utilization of EBP.
The purpose of this study was to evaluate the efficacy of an online EBP educational intervention and to examine the relationship between educational preparation and years of nursing experience on nurses' practice, attitudes, and knowledge and skills of EBP.
An experimental pretest-posttest design study with three randomized groups utilizing the EBPQ instrument was conducted.
No significant differences were noted in EBPQ subscale scores of practice, attitude, or knowledge and skills from pre- to posttest. In addition, no statistical difference in EBPQ subscale scores regarding educational preparation or years of experience were noted.
While nurses report positive attitudes toward EBP, their perceptions of practice and knowledge and skills score much lower. Educational interventions are needed for practicing nurses to overcome this knowledge deficit to successfully implement EBP. However, the use of online, independent, computer-based learning modules, while cost-efficient and offer several benefits when educating nurses, may not necessarily be the most effective method for teaching EBP knowledge and skills to practicing nurses.
在床边实施循证实践(EBP)一直难以实现。已发现当前研究与实际实践之间存在显著差距,必须加以解决,以提高EBP的利用率。
本研究的目的是评估在线EBP教育干预的效果,并探讨教育准备程度和护理经验年限与护士的实践、态度以及EBP知识和技能之间的关系。
采用实验性前测-后测设计研究,利用EBPQ工具将三组随机分组。
前测至后测期间,EBPQ实践、态度或知识与技能子量表得分无显著差异。此外,在EBPQ子量表得分方面,教育准备程度或经验年限也无统计学差异。
虽然护士对EBP持积极态度,但他们对实践以及知识和技能的认知得分要低得多。需要对在职护士进行教育干预,以克服这一知识缺陷,从而成功实施EBP。然而,使用在线、独立的基于计算机的学习模块,虽然成本效益高,且在对护士进行教育时有诸多益处,但不一定是向在职护士传授EBP知识和技能的最有效方法。