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中国护士长对循证实践的价值观、知识和实施情况:一项区域性横断面调查。

Value, knowledge and implementation on evidence-based practice among nurse managers in china: A regional cross-sectional survey.

机构信息

Nanfang Hospital, Southern Medical University, Guangzhou, China.

出版信息

J Nurs Manag. 2020 Jan;28(1):139-147. doi: 10.1111/jonm.12907.

DOI:10.1111/jonm.12907
PMID:31746069
Abstract

AIM

To describe the value, knowledge and implementation of evidenced-based practice (EBP) among Chinese nurse managers and explore its influencing factors.

BACKGROUND

Although much of literature have reported the importance of nurse managers in pushing EBP progress and encouraged them to engage in EBP activities, the extent to which nurse managers engage in EBP is unclear.

METHODS

A cross-sectional web-based survey was applied to 1,166 nurse managers recruited from 54 hospitals in Guangdong Province, China. Descriptive statistics, t-tests or one-way ANOVAs, Spearman's correlation and multiple regression analysis were used to analyse the data.

RESULTS

The average scores of the Quick-EBP-VIK were with the mean of 2.62 (±0.56). Result showed that educational background, professional title, whether they have received EBP education or training, and EBP organisational culture and readiness are the factors influencing managers' total Quick-EBP-VIK score, with 43.5% of the variance explained by these factors.

CONCLUSIONS

Nurse managers had positive attitudes towards EBP, but they lacked the EBP knowledge and rarely implemented EBP. Furthermore, supportive organisational environment, effective education and training can help to enhance EBP knowledge and skills of managers.

IMPLICATIONS OF NURSING MANAGEMENT

The competence of nurse managers for EBP implementation should be taken seriously. Personal and organisational strategies which can strengthen managers' EBP knowledge and skills need to be developed and conducted.

摘要

目的

描述中国护士长对循证实践(EBP)的价值、知识和实施情况,并探讨其影响因素。

背景

尽管大量文献报道了护士长在推动 EBP 进展方面的重要性,并鼓励他们参与 EBP 活动,但护士长参与 EBP 的程度尚不清楚。

方法

采用横断面网上调查的方法,对来自中国广东省 54 家医院的 1166 名护士长进行调查。采用描述性统计、t 检验或单因素方差分析、Spearman 相关分析和多元回归分析进行数据分析。

结果

Quick-EBP-VIK 的平均得分为 2.62(±0.56)。结果表明,教育背景、职称、是否接受过 EBP 教育或培训以及 EBP 组织文化和准备情况是影响护士长 Quick-EBP-VIK 总分的因素,这些因素解释了 43.5%的变异。

结论

护士长对 EBP 持积极态度,但缺乏 EBP 知识,很少实施 EBP。此外,支持性的组织环境、有效的教育和培训可以帮助提高管理人员的 EBP 知识和技能。

护理管理意义

应认真对待护士长实施 EBP 的能力。需要制定和实施个人和组织策略,以加强管理人员的 EBP 知识和技能。

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