Pétré Benoit, Gillain Nicolas, Jacqmin Nadine, Adriaenssens Jef, Vandenbosch Kristel, Gillet Pierre, Vander Stichele Robert, Thienpont Geert, Guillaume Michèle
a Département des Sciences de la Santé publique, Nutrition, Environnement et Santé, Quartier Hôpital , Université de Liège , Liège , Belgium.
b Haute Ecole Robert Schuman , Libramont , Belgium.
Acta Clin Belg. 2018 Apr;73(2):110-118. doi: 10.1080/17843286.2017.1355428. Epub 2017 Aug 2.
BACKGROUND/OBJECTIVES: Despite recommendations to integrate evidence-based practice into nursing care, evidence-based nursing (EBN) implementation is generally lacking. Strategies for developing an EBN implementation plan require an evaluation of nurses' needs and expectations. The aim of this study was to evaluate how Belgian nurses perceive EBN.
Descriptive qualitative data were obtained via focus groups. Fifty-six nurses took part in the study and were assigned to one of seven focus groups based on their work setting and the local language.
The main results revealed little familiarity with the EBN concept. There were a number of reported barriers to integrating EBN into practice: lack of time; lack of skills needed to find, process, and apply information; lack of support from management; and lack of recognition of the nursing profession.
Participants identified four strategies for facilitating EBN development: specific staff dedicated to supporting EBN implementation; an interactive web-based platform to help nurses find, select, and interpret relevant scientific sources; an electronic tool to help nurses in clinical decision-making based on patients' clinical data; and a change in clinical culture to include EBN in decision-making processes.
背景/目的：尽管有建议将循证实践融入护理工作，但循证护理（EBN）的实施普遍不足。制定EBN实施计划的策略需要评估护士的需求和期望。本研究的目的是评估比利时护士对EBN的看法。
通过焦点小组获得描述性定性数据。56名护士参与了研究，并根据他们的工作环境和当地语言被分配到七个焦点小组之一。
主要结果显示，对EBN概念的了解很少。报告了将EBN融入实践的一些障碍：时间不足；缺乏查找、处理和应用信息所需的技能；缺乏管理层的支持；以及对护理专业缺乏认可。
参与者确定了促进EBN发展的四项策略：专门配备支持EBN实施的工作人员；一个交互式网络平台，帮助护士查找、选择和解释相关科学资料；一种电子工具，帮助护士根据患者的临床数据进行临床决策；以及改变临床文化，将EBN纳入决策过程。
