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埃及和约旦护士教育者对阻碍实施循证实践的看法:一项横断面研究。

Egyptian and Jordanian nurse educators' perception of barriers preventing the implementation of evidence-based practice: A cross-sectional study.

机构信息

Faculty of Nursing, Cairo University, Cairo 11562, Egypt.

Faculty of Nursing, Hashemite University, Zarqa 13115, Jordan.

出版信息

Nurse Educ Today. 2018 May;64:33-41. doi: 10.1016/j.nedt.2018.01.035. Epub 2018 Feb 10.

Abstract

BACKGROUND

Studies discussing nurse educators' attitudes, knowledge/skills, practicing of evidence-based practice (EBP) and barriers encountered towards implementation is somewhat limited.

OBJECTIVE

The study aimed to identify the attitudes, perceived knowledge/skills, and implementation of evidence-based as perceived by nurse educators, in Egyptian and Jordanian universities, and to assess factors preventing them from adopting it in nursing program.

DESIGN/SETTING/RESPONDENTS/METHODS: A cross-sectional design was conducted including two groups from Egypt and Jordan. Two questionnaires: (i) The Evidence-Based Practice Questionnaire (EBPQ) and (ii) The Developing Evidence-Based Practice Questionnaire (DEBPQ) and a demographic data sheet were used. Data were analyzed using SPSS version 20 and descriptive and inferential statistics tabulated.

RESULTS

Majority of the respondents (85.5%) were females, <40 years old (62.1%), and from medical-surgical nursing departments (49.2%). The mean score of EBPQ was 4.96 ± standard deviation 0.91. Frequency of practicing EBP and attitudes toward EBP scores were similar between nurse educators in both countries (p > 0.05). However, the Jordanian staff had a remarkably higher perceived knowledge/skills of EBP than their Egyptian counterparts (Mean Rank = 79.98 & 57.63 respectively, at p = 0.004). There was a statistically significant positive, moderate correlation between attitudes, knowledge/skills and frequency of practicing EBP among nurse educators in both countries. The highest correlation observed for attitudes and frequency of practicing EBP was among Jordanian staff (r = 0.707, p < 0.000). Egyptian nurse educators had significantly higher perceived barriers to finding and reviewing evidence than their Jordanian counterparts (p = 0.000). However, both groups had similar perceived barriers related to changing practice and support from colleagues.

CONCLUSIONS

Egyptian and Jordanian nurse educators, equally, hold positive attitudes toward adopting EBP. However, they encounter many barriers to implement it.

摘要

背景

讨论护士教育者对循证实践(EBP)的态度、知识/技能、实践以及实施过程中遇到的障碍的研究有些有限。

目的

本研究旨在确定埃及和约旦大学的护士教育者对循证实践的态度、感知知识/技能以及实施情况,并评估阻碍他们将其纳入护理课程的因素。

设计/设置/受访者/方法:采用横断面设计,包括埃及和约旦的两组。使用了两份问卷:(i)循证实践问卷(EBPQ)和(ii)发展循证实践问卷(DEBPQ)以及一份人口统计学数据表。使用 SPSS 版本 20 对数据进行分析,并列出描述性和推断性统计数据。

结果

大多数受访者(85.5%)为女性,年龄<40 岁(62.1%),来自外科护理系(49.2%)。EBPQ 的平均得分为 4.96±标准偏差 0.91。两国护士教育者的 EBP 实践频率和对 EBP 的态度得分相似(p>0.05)。然而,与埃及同行相比,约旦工作人员对 EBP 的感知知识/技能明显更高(平均秩分别为 79.98 和 57.63,p=0.004)。两国护士教育者的态度、知识/技能与 EBP 实践频率之间存在统计学上显著的正相关,中度相关。在约旦工作人员中观察到的态度与 EBP 实践频率之间的相关性最高(r=0.707,p<0.000)。与埃及同行相比,埃及护士教育者对发现和审查证据的感知障碍明显更高(p=0.000)。然而,两组对实践改变和同事支持的感知障碍相似。

结论

埃及和约旦的护士教育者对采用 EBP 持有积极的态度。然而,他们在实施 EBP 时遇到了许多障碍。

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