Justice Health and Forensic Mental Health Network, PO Box 150, Matraville, NSW 2210, Australia.
Clinical Excellence Commission, NSW Health McKell Building, 2-24 Rawson Pl, Sydney, NSW 2000, Australia.
Contemp Nurse. 2020 Aug;56(4):354-362. doi: 10.1080/10376178.2020.1835510. Epub 2020 Oct 21.
: Little is known about the personal, professional and workplace factors that influence evidence-based practice for forensic mental health nurses. : This study describes the sources of practice knowledge for forensic mental health nurses, and the factors that influence the implementation of evidence-based practice. : This research study utilised a cross sectional survey design. : All nurses (= 244) working in one forensic mental health in-patient facility were sent an electronic invitation to complete the Developing Evidence Based Practice Questionnaire. Data was analysed to calculate descriptive statistics. : Fifty-three respondents completed the survey. Respondents reported using experiential knowledge and locally derived sources of information more frequently than research-based evidence to inform their practice. Respondents reported being least skilled at finding, reviewing and using research evidence to change practice. The most frequently rated barriers to evidence-based practice were having insufficient time and resources to both finding and reviewing information and to implement changes in practice. : Forensic mental health nurses tend to express a bias towards valuing social or qualitative sources of information to inform practice. Exploring the relationships between individual and organisational factors in the context of forensic mental health is recommended in order to gain further insights into the translation of evidence into practice for forensic mental health nurses. : Unique contextual aspects of the forensic mental health environment may influence the implementation of evidence-based practice. Our study highlights that further support, resources and training is required to promote the use of research-based evidence in forensic mental health nursing.
关于影响法医心理健康护士循证实践的个人、专业和工作场所因素知之甚少。本研究描述了法医心理健康护士的实践知识来源,以及影响循证实践实施的因素。本研究采用了横断面调查设计。向一家法医精神科住院机构的所有护士(=244 名)发送了一份电子邀请,要求他们完成《发展循证实践问卷》。对数据进行了分析,以计算描述性统计数据。53 名受访者完成了调查。受访者报告说,他们更频繁地使用经验知识和本地来源的信息来指导实践,而不是基于研究的证据。受访者报告说,他们在寻找、审查和使用研究证据以改变实践方面的技能最差。循证实践最常被评为障碍的是,他们既没有足够的时间和资源来查找和审查信息,也没有足够的时间和资源来实施实践中的改变。法医心理健康护士往往倾向于重视社会或定性信息来源来为实践提供信息。建议在法医心理健康的背景下探索个人和组织因素之间的关系,以进一步了解将证据转化为法医心理健康护士实践的情况。法医心理健康环境的独特方面可能会影响循证实践的实施。我们的研究强调,需要进一步的支持、资源和培训,以促进在法医心理健康护理中使用基于研究的证据。