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语境作为循证护理实施的促进因素:一项荟萃分析。

Context as a Facilitator of the Implementation of Evidence-based Nursing: A Meta-synthesis.

机构信息

Department of Nursing, Faculty of Nursing and Occupational Therapy, University of Extremadura, Cáceres, Extremadura, Spain.

Department of Nursing, Faculty of Health Sciences, University of Jaén, Andalusia, Spain.

出版信息

West J Nurs Res. 2020 Jan;43(1):60-72. doi: 10.1177/0193945920914397. Epub 2020 Apr 22.

Abstract

Nurses have numerous difficulties in implementing science due to obstacles related to the work context. The aim is to explore the work-context-related facilitators of the application of evidence in clinical practice by nursing professionals. Qualitative meta-synthesis of primary studies on nurses' experiences of work-context-related facilitators, as defined by the Promoting Action on Research Implementation in Health Services model. Using the Qualitative Appraisal and Review Instrument of the Joanna Briggs Institute. Of the total 57 primary research articles included, an explanatory model of the facilitating factors related to the work context was generated on the basis of four general categories: institutional support (leadership), multidisciplinary support (teamwork and communication), culture of improving quality of care (nursing professionals' attitudes towards change) and use of research (valuing research). Action can be taken on the facilitating factors of the evidence-based practice application in nursing clinical environments, providing resources and motivation from the organization.

摘要

护士在实施科学方面存在诸多困难,这是由于工作环境相关的障碍所致。本研究旨在通过护理人员的实证,探讨工作环境相关促进因素对临床实践中应用证据的作用。采用健康服务促进实施研究模型(Promoting Action on Research Implementation in Health Services model)来对护理人员工作环境相关促进因素经验的初级研究进行定性元综合分析。采用 Joanna Briggs 研究所的定性评估和审查工具。在纳入的 57 篇初级研究文章中,基于以下四个一般类别,生成了一个与工作环境相关的促进因素的解释模型:机构支持(领导力)、多学科支持(团队合作和沟通)、改善护理质量的文化(护理人员对变革的态度)和研究的应用(重视研究)。可以在护理临床环境中对循证实践应用的促进因素采取行动,为组织提供资源和动力。

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