Yue Liqing, Fan Xuegong, Peng Huan
Xiangya School of Public Health, Central South University, Xiangya Hospital, Central South University, China.
Department of Infectious Diseases, Xiangya Hospital, Central South University, China.
Burns. 2018 Mar;44(2):397-404. doi: 10.1016/j.burns.2017.05.026. Epub 2017 Aug 7.
To explore the abilities and barriers of practicing evidence-based nursing (EBN) for burn specialist nurses so as to provide rationales for its clinical training and practice.
From January 2016 to March 2016, a cross-sectional survey was conducted with a self-designed questionnaire among burn specialist nurses in Hunan Province. Data analysis was performed with SPSS software (version 20).
Burn specialist nurses in Hunan Province had diminished EBN abilities. The three procedures of EBN with the lowest score were "summarizing evidence through systematic reviews", "rigorous evaluations of evidence" and "systematic literature searches". And the three procedures of "clarifying problems", "disseminating evidence" and "introducing evidence" scored the highest. The systematic literature retrieval ability of nurses at class III general hospitals was higher than that of class II counterparts (P=0.001). Thus EBN ability was positively correlated with barriers to practicing EBN, English proficiency, research experiences and educator status.
Burn specialist nurses at classes III & II general hospitals in Hunan Province had poor EBN abilities. Influencing factors of EBN ability included barriers to practicing EBN, English proficiency, research experiences and educator status. Therefore it is imperative to implement targeted trainings and integrated managements for improved ability of practicing EBN.
探讨烧伤专科护士实施循证护理（EBN）的能力及障碍，为其临床培训与实践提供依据。
2016年1月至2016年3月，采用自行设计的问卷对湖南省烧伤专科护士进行横断面调查。使用SPSS软件（版本20）进行数据分析。
湖南省烧伤专科护士的EBN能力有所下降。EBN得分最低的三个环节是“通过系统评价总结证据”“对证据进行严格评价”和“系统文献检索”。而“明确问题”“传播证据”和“引入证据”三个环节得分最高。三级综合医院护士的系统文献检索能力高于二级综合医院护士（P = 0.001）。因此，EBN能力与实施EBN的障碍、英语水平、研究经验和教育者身份呈正相关。
湖南省三级和二级综合医院的烧伤专科护士EBN能力较差。EBN能力的影响因素包括实施EBN的障碍、英语水平、研究经验和教育者身份。因此，必须实施有针对性的培训和综合管理，以提高EBN实施能力。
