Tomotaki Ai, Fukahori Hiroki, Sakai Ikuko
Informatics, National College of Nursing, Japan, Tokyo, Japan.
Department of System Management in Nursing, Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo, Japan.
Jpn J Nurs Sci. 2020 Jan;17(1):e12260. doi: 10.1111/jjns.12260. Epub 2019 Jun 7.
This study aimed to explore sociodemographic factors related to evidence-based practice (EBP) competency in Japanese nurses in university hospitals.
In March 2016, a survey was distributed to 843 clinical nurses who directly provide nursing care at two university hospitals in Japan. Multiple regression analyses were conducted on data received from 472 nurses using the Evidence-Based Practice Questionnaire (Japanese version).
Sociodemographic factors related to EBP competency were experience with conducting nursing research as a part of continuing education, education about EBP, advanced practice certification (certified nurse specialists/certified nurses), and years of experience in clinical nursing. These factors differed across the four subscales of the questionnaire: Practice, Attitude, Knowledge of Research and Practice, and Skills of Research and Practice. Specifically, experience with two or more nursing research activities was significantly positively associated with Attitude and Knowledge/Skills Concerning Research and Practice of EBP, but not related to the implementation of EBP itself. Advanced practice certification was significantly positively associated with Practice and Attitude of EBP.
Our study quantitatively identified sociodemographic factors including experience with conducting nursing research and advanced practice certification status that were found to be related to EBP competency and these factors were differently associated with the four subscales of the Evidence-Based Practice Questionnaire (Japanese version). EBP education should depend on nurses' levels of EBP competency, and nursing educators and managers need to be cognizant of their nurses' sociodemographic factors when providing EBP education.
本研究旨在探讨与日本大学医院护士循证实践（EBP）能力相关的社会人口学因素。
2016年3月，对日本两家大学医院中直接提供护理服务的843名临床护士进行了一项调查。使用循证实践问卷（日文版）对从472名护士收集的数据进行了多元回归分析。
与EBP能力相关的社会人口学因素包括作为继续教育一部分进行护理研究的经验、EBP教育、高级实践认证（专科护士/认证护士）以及临床护理工作年限。这些因素在问卷的四个子量表中有所不同：实践、态度、研究与实践知识以及研究与实践技能。具体而言，进行两项或更多护理研究活动的经验与态度以及EBP研究与实践的知识/技能显著正相关，但与EBP本身的实施无关。高级实践认证与EBP的实践和态度显著正相关。
我们的研究定量确定了包括护理研究经验和高级实践认证状态在内的社会人口学因素，这些因素与EBP能力相关，并且这些因素与循证实践问卷（日文版）的四个子量表的关联各不相同。EBP教育应取决于护士的EBP能力水平，护理教育工作者和管理人员在提供EBP教育时需要了解护士的社会人口学因素。
