Department of Nursing Sciences, University of Applied Sciences and Arts Western Switzerland, Sion, Switzerland.
University of Applied Sciences and Arts Western Switzerland, Lausanne, Switzerland.
J Clin Nurs. 2018 May;27(9-10):2052-2061. doi: 10.1111/jocn.14348. Epub 2018 Apr 2.
To describe beliefs about evidence-based practice and record levels of implementation among community health nurses working independently and in community healthcare centres in the canton of Valais, Switzerland.
In many settings, evidence-based practice is considered a key means of delivering better and secure health care. However, there is a paucity of published studies on the implementation of evidence-based practice in community health care.
Cross-sectional descriptive study (n = 100).
Beliefs about evidence-based practice and levels of implementation were measured using validated scales developed by Melnyk et al. (Worldviews on Evidence-Based Nursing, 5, 2008, 208). Information on respondents' sociodemographic and professional characteristics was collected. Data were analysed using descriptive and inferential statistics.
The final response rate was 32.3% (n = 100). More than half of respondents had previously heard about evidence-based practice; most believed in the value of using evidence to guide their practice and were prepared to improve their skills to be able to do so. However, the rate of implementation of evidence-based practice in daily practice in the 8 weeks before the survey was poor. Statistically significant positive associations were found between beliefs about evidence-based practice and how respondents had heard about it and between implementation rates and whether they had heard about evidence-based practice and how they had done so. Evidence-based practices requiring scientific knowledge and skills were implemented less frequently. Greater professional community healthcare experience and management roles did not increase implementation of evidence-based practice.
The systematic implementation of evidence-based practice by community health nurses working independently and in healthcare centres in Valais was rare, despite their positive beliefs about it.
These results revealed the level of implementation of evidence-based practice by nurses in community healthcare settings in Valais. Further research is required to better understand their needs and expectations and to develop suitable strategies that will allow the integration of evidence-based practice into nurses' daily practice.
描述在瑞士瓦莱州独立工作和在社区医疗中心工作的社区卫生护士对循证实践的信念，并记录其实施水平。
在许多环境中，循证实践被认为是提供更好和安全的医疗保健的关键手段。然而，关于社区卫生保健中循证实践实施的已发表研究很少。
横断面描述性研究（n=100）。
使用 Melnyk 等人（2008 年，《循证护理的世界观》，第 5 卷，208 页）开发的经过验证的量表来衡量对循证实践的信念和实施水平。收集了受访者的社会人口学和专业特征信息。使用描述性和推断性统计方法进行数据分析。
最终的回复率为 32.3%（n=100）。超过一半的受访者之前听说过循证实践；大多数人相信使用证据来指导他们的实践的价值，并准备提高自己的技能以做到这一点。然而，在调查前的 8 周内，循证实践在日常实践中的实施率很低。在对循证实践的信念与受访者听说的方式之间，以及在实施率与他们是否听说过循证实践及其方式之间，发现了具有统计学意义的正相关关系。需要科学知识和技能的循证实践的实施频率较低。更多的专业社区医疗保健经验和管理角色并没有增加循证实践的实施。
尽管社区卫生护士对循证实践持有积极的信念，但他们在瓦莱州独立和医疗中心工作时，很少系统地实施循证实践。
这些结果揭示了瓦莱州社区医疗保健环境中护士实施循证实践的水平。需要进一步研究，以更好地了解他们的需求和期望，并制定合适的策略，将循证实践纳入护士的日常实践中。
