School of Health Sciences, Wuhan University, Wuhan, China.
Zhongnan Hospital of Wuhan University, China.
Int Nurs Rev. 2018 Mar;65(1):131-144. doi: 10.1111/inr.12399. Epub 2017 Aug 22.
To understand Chinese nurses' perceptions of health beliefs, their content, origin and the influence of sociocultural factors, as a basis of their evidence-based practice. This study contributes to a larger study to establish the health beliefs of Japanese, Australian, Chinese, South Korean and Thai nurses.
Registered nurses teach patients and students about maintaining or attaining health are subject to the same range of influences and their health beliefs may be antithetical to current health evidence.
Q-method design using q-sort and interview was used to explore the perspectives on a range of health beliefs of 60 nurses in four cities in China.
Three factors arose from the perceptions of the participants about health and accounted for 50.2% of the total variance: (1) social impact, (2) 'the importance of evidence', and (3) beliefs rooted in culture.
Influence on nurses' health beliefs was explored in terms of the internalized and frequently unconscious beliefs, values and norms tying them to their communities, reflecting the need for nurses to be aware of their health beliefs and behaviours.
Education for nurses in practice needs to acknowledge that individual practitioners' beliefs strongly influence health teaching for patients and families. In order to implement evidenced-based practice and teach in line with current evidence nurses need to critically examine and reflect on the impact of culture, society and the media on their own health beliefs.
Education policy needs to consider that culture and societal pressures affect nurses' health beliefs and practice. Critical thinking, reflective and evidence-based practice need to be emphasized in clinical training and nurse education. China also needs to develop policies to allow nurses to be able to assess the reliability of health information on the Internet and to make quality health research more available.
了解中国护士对健康信念的看法、其内容、来源以及社会文化因素的影响，以此作为他们循证实践的基础。本研究是为了更大规模的研究，即建立日本、澳大利亚、中国、韩国和泰国护士的健康信念。
教授患者和学生保持或获得健康的注册护士受到相同范围的影响，他们的健康信念可能与当前的健康证据相悖。
使用 q 分类和访谈的 Q 方法设计，探索了来自中国四个城市的 60 名护士对一系列健康信念的看法。
参与者对健康的看法产生了三个因素，占总方差的 50.2%：（1）社会影响，（2）“证据的重要性”，（3）根植于文化的信念。
从内部化和经常无意识的信念、价值观和规范的角度探讨了对护士健康信念的影响，将他们与自己的社区联系起来，反映了护士需要意识到自己的健康信念和行为。
实践中的护士教育需要认识到个体从业者的信念强烈影响着对患者和家庭的健康教学。为了实施循证实践并根据当前证据进行教学，护士需要批判性地审视和反思文化、社会和媒体对自己健康信念的影响。
教育政策需要考虑文化和社会压力对护士健康信念和实践的影响。在临床培训和护士教育中，需要强调批判性思维、反思和循证实践。中国还需要制定政策，允许护士能够评估互联网上健康信息的可靠性，并使更多高质量的健康研究可用。
