Department of Nursing, National Yang-Ming University Hospital, Yilan, Taiwan.
Department of Nursing, School of Nursing, National Yang-Ming University, Taipei, Taiwan.
Asian Nurs Res (Korean Soc Nurs Sci). 2017 Dec;11(4):253-260. doi: 10.1016/j.anr.2017.09.001. Epub 2017 Oct 22.
This study applied the Q method to identify and describe the various types of nurse perceptions that are crucially associated with their engagement in evidence-based nursing (EBN).
The study participants were nurses at a medical center and a regional teaching hospital. A series of Q sorts was performed by nurses to subjectively rank the Q statements. Q statements were constructed based on the literature related to EBN adoption by nurses and face-to-face interviews.
A total of 60 participants were invited to rank 44 Q statements related to EBN. Factor analysis was conducted on the rankings of the Q statements. The following are the five prominent shared perspectives: (1) emphasized the obstacles to evidence searching and reading ability; (2) emphasized the organizational promotive strategies; (3) emphasized the available supportive resources; (4) emphasized the significance of EBN; and (5) emphasized the evidence-searching ability and external incentives. The five identified groups of perspectives can enhance hospital administrators to acknowledge the barriers and incentives associated with EBN practices.
The exploration of clustering nurses' perceptions may facilitate the development of customized strategies to enable more appropriate training.
本研究运用 Q 方法识别和描述与护士参与循证护理（EBN）密切相关的各种护士观念类型。
研究对象为一家医疗中心和一家地区教学医院的护士。护士通过一系列 Q 分类对 Q 陈述进行主观排序。Q 陈述是基于与护士采用循证护理相关的文献和面对面访谈构建的。
共邀请 60 名参与者对 44 条与 EBN 相关的 Q 陈述进行排名。对 Q 陈述的排名进行了因子分析。以下是五个突出的共同观点：（1）强调证据搜索和阅读能力的障碍；（2）强调组织促进策略；（3）强调可用的支持性资源；（4）强调 EBN 的重要性；（5）强调证据搜索能力和外部激励。这五个确定的观点群体可以帮助医院管理者认识到与 EBN 实践相关的障碍和激励因素。
探索聚类护士的观念可以促进制定定制策略，以便进行更合适的培训。
