挪威农村地区市政护理实践中的研究应用：一项横断面定量问卷调查研究。
Research utilization in municipality nursing practice in rural districts in Norway: a cross-sectional quantitative questionnaire study.
作者信息
Moe Aud, Enmarker Ingela
机构信息
Faculty of Health Science, Nord University, Postbox 1490, N-8049 Bodø, Norway.
Centre of Care Research, Levanger, Mid Norway Norway.
出版信息
BMC Nurs. 2020 Sep 14;19:86. doi: 10.1186/s12912-020-00475-1. eCollection 2020.
BACKGROUND
Scientific knowledge and theory constitute part of the nurse's competence and evidence-based nursing practice. To obtain and maintain these skills, nurses require access to research utilization. The aim of the present study was therefore to describe and compare nurses in nursing homes and home-based nursing care and their use of research knowledge in their practice in elderly care in Norwegian rural districts.
METHODS
The Research Utilization Questionnaire (RUQ) was employed in cross-sectional quantitative design. One hundred nurses were recruited from ten rural municipalities that participated in the study. Inclusion criteria for participating were registered nurses and employees working in the municipal elderly care service for 6 months or more.
RESULTS
Most participants were younger than 55 years old, worked in permanent jobs, and were educated more than 5 years ago. The result showed that nurses in nursing homes were significantly more positive compared to nurses in home-based nursing care when analyzing all three domains in the RUQ together, as well as for attitudes towards research when testing each domain separated. Overall, each item in the domains revealed opinions that were more positive for nurses in nursing homes. The regression analysis showed that attitudes towards research, as well as availability and support of research utilization predicted the use of research in daily practice.
CONCLUSIONS
Positive attitudes, availability, and support for research utilization can contribute to greater use of research in nursing practice and improve the quality of service. Younger nurses' knowledge about using research should be shared with senior colleagues, who possess much experience in practice. In collaboration, they can develop evidence-based practice by the implementation of research seen in the context of nurses' experiences, user involvement, and person-centred practice. The i-PARIHS (Promoting Action on Research Implementation in Health Services) framework can be a useful tool in this implementation process.
背景
科学知识和理论构成了护士能力和循证护理实践的一部分。为了获得并维持这些技能，护士需要进行研究应用。因此，本研究的目的是描述和比较挪威农村地区养老院和居家护理中的护士，以及她们在老年护理实践中对研究知识的应用情况。
方法
采用研究应用问卷（RUQ）进行横断面定量设计。从参与研究的10个农村自治市招募了100名护士。参与研究的纳入标准为注册护士且在市老年护理服务机构工作6个月及以上的员工。
结果
大多数参与者年龄小于55岁，从事固定工作，且接受教育超过5年。结果显示，在综合分析RUQ的所有三个领域时，养老院的护士比居家护理的护士态度明显更积极，在单独测试每个领域时，对研究的态度也是如此。总体而言，各领域中的每个项目都显示养老院护士的意见更为积极。回归分析表明，对研究的态度以及研究应用的可得性和支持程度可预测日常实践中研究的使用情况。
结论
对研究应用持积极态度、具备可得性和支持有助于在护理实践中更多地应用研究，并提高服务质量。年轻护士关于研究应用的知识应与在实践中经验丰富的年长同事分享。通过合作，她们可以结合护士的经验、用户参与和以人为主的实践来实施研究，从而发展循证实践。在这一实施过程中，i-PARIHS（促进卫生服务研究实施行动）框架可能是一个有用的工具。
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