Ersta Hospital, Stockholm, Sweden.
Östersund Hospital, Östersund, Sweden.
J Nurs Manag. 2019 Sep;27(6):1216-1223. doi: 10.1111/jonm.12802. Epub 2019 Jun 17.
The aim was to identify and describe nurses' understanding of working with evidence-based nursing (EBN) in clinical practice.
Evidence-based health care is recognized as fundamental to nursing practice, but it is challenging to implement. How nurses understand this part of their work can affect their practice.
Using a qualitative explorative design with a phenomenographic approach, we interviewed 21 nurses working in Swedish surgical wards.
We identified three understandings of EBN among nurses in surgical care: A. a fragmentary and difficult concept that is not integrated or used in clinical practice; B. an important approach guided by knowledgeable colleagues and students; and C. a process that nurses are responsible for developing and leading.
Nurses' understandings of working with EBN in surgical wards vary widely. Nurse managers have an important task to create a common outlook among nurses about integrating research, patient experience and clinical experience in decision-making.
These findings could inspire nurse managers to reflect on how to move nurses towards a more comprehensive understanding of EBN and how to identify nurses who could act as facilitators in quality improvement work.
旨在识别和描述护士在临床实践中对循证护理（EBN）的理解。
循证医疗保健被认为是护理实践的基础，但实施起来具有挑战性。护士对这部分工作的理解会影响他们的实践。
采用定性探索性设计和现象学方法，对 21 名在瑞典外科病房工作的护士进行了访谈。
我们在外科护理护士中确定了对 EBN 的三种理解：A. 一个零碎且难以理解的概念，未在临床实践中整合或使用；B. 一种受知识渊博的同事和学生指导的重要方法；C. 一个护士负责发展和领导的过程。
护士在外科病房中对循证护理的理解差异很大。护士长有一项重要任务，就是在护士中建立一种共识，即将研究、患者体验和临床经验整合到决策中。
这些发现可以启发护士长思考如何促使护士对循证护理有更全面的理解，以及如何识别可以在质量改进工作中充当促进者的护士。
