Martini Hospital Groningen, Martini Academie, P.O. Box 30033, 9700 RM, Groningen, The Netherlands.
Martini Hospital Groningen, Martini Academie, P.O. Box 30033, 9700 RM, Groningen, The Netherlands; Hanze University of Applied Sciences Groningen, Research Group Healthy Ageing, Allied Health Care and Nursing, P.O. Box 3109, 9701 DC, Groningen, The Netherlands.
Nurse Educ Today. 2018 Apr;63:6-11. doi: 10.1016/j.nedt.2018.01.008. Epub 2018 Feb 6.
The Dutch professional nursing standard of 2012 stipulates that Dutch nursing practices are to be evidence-based. Not all practicing nurses can satisfy these requirements, therefore, an educational programme about Evidence-Based Practice (EBP) was developed for a Dutch teaching hospital.
The aim of this study was to measure the effects of a six month in-house EBP programme on knowledge, skills, attitudes, and perceived barriers of nurses (four European Credits equals two US Credit Hours).
A multiple-cohort study was conducted with a pre-post-test design. In the period of 2011-2015, a total of 58 nurses (9 cohorts) followed the programme. Baseline and follow-up assessments consisted of three questionnaires each: the Dutch Modified Fresno, the two subscales of the McColl questionnaire, and the BARRIER scale to assess knowledge and skills, attitudes, and perceived barriers, respectively.
Fifty nurses completed both assessments. The results demonstrated that actual knowledge and skills significantly increased by approximately 40%. Self-perceived knowledge increased significantly, while attitudes towards EBP remained (moderately) positive. Perceived barriers did not notably change except for the Research subscale which received many "no opinion" responses prior to the programme but fewer afterwards.
Our multifaceted in-house EBP programme led to a significant improvement of approximately 40% in EBP knowledge and skills of participating nurses. Most nurses who followed the EBP programme are currently applying their knowledge and skills in practice. Managerial support and allocated time for EBP are important facilitators for its implementation. Furthermore, to maintain and expand nurses' EBP knowledge and skills and translate them into practice, follow-up interventions, such as journal clubs, may well be beneficial. Based on the positive results of our programme, we will implement it throughout the hospital with an emphasis on training more groups of nurses.
2012 年荷兰专业护理标准规定，荷兰护理实践应以证据为基础。并非所有执业护士都能满足这些要求，因此，为一家荷兰教学医院开发了一个关于循证实践（EBP）的教育计划。
本研究旨在衡量为期六个月的内部 EBP 计划对护士的知识、技能、态度和感知障碍的影响（四个欧洲学分等于两个美国学分）。
采用多队列研究设计进行前瞻性研究。在 2011 年至 2015 年期间，共有 58 名护士（9 个队列）参加了该计划。基线和随访评估各包括三个问卷：荷兰改良弗雷斯诺量表、麦考尔问卷的两个分量表和 BARRIER 量表，分别评估知识和技能、态度和感知障碍。
50 名护士完成了两项评估。结果表明，实际知识和技能显著增加了约 40%。自我感知的知识显著增加，而对 EBP 的态度仍然（适度）积极。感知障碍除研究分量表外，变化不明显，该分量表在计划前收到了许多“无意见”的回复，但在计划后则较少。
我们的多方面内部 EBP 计划使参与护士的 EBP 知识和技能显著提高了约 40%。大多数参加 EBP 计划的护士目前正在将他们的知识和技能应用于实践中。管理支持和分配给 EBP 的时间是其实施的重要促进因素。此外，为了保持和扩大护士的 EBP 知识和技能并将其转化为实践，后续干预措施，如期刊俱乐部，可能会很有帮助。基于我们计划的积极结果，我们将在整个医院实施该计划，重点培训更多的护士群体。
