Skela-Savič Brigita, Lobe Bojana
Angela Boškin Faculty of Health Care, Angela Boškin Institute for Research in Healthcare Sciences, Jesenice, Slovenia.
Faculty of Social Sciences, University of Ljubljana, Ljubljana, Slovenia.
J Nurs Manag. 2021 Jul;29(5):971-981. doi: 10.1111/jonm.13234. Epub 2020 Dec 29.
To explore the differences in beliefs on and implementation of evidence-based practice in nurses working in different types of health care institutions.
Optimal organizational context and knowledge are essential to support evidence-based practice and sustain the use of evidence in professional nursing practice.
A cross-sectional study was conducted. A total of 1,014 nurses from 20 Slovenian hospitals and 29 primary health care centres participated. Variables included the following: Evidence-Based Practice Beliefs and Implementation Scale, educational and training activities, job satisfaction, job training, perceived research and evidence-based practice knowledge, and access to databases.
Beliefs on evidence-based practice were explained by evidence-based practice (β = 0.249) and research (β = 0.162) knowledge, length of employment (β = 0.124), job satisfaction (β = 0.117), training in evidence-based practice (β = -0.092) and holding a master's degree (β = 0.077). Implementation of evidence-based practice depended on beliefs (β = 0.306) and the type of health care institution (β = 0.132). The highest implementation result was seen in primary health care centres (<0.001).
Training in evidence-based practice and perceived knowledge of evidence-based practice significantly influence the beliefs on and implementation of evidence-based practice. Nurses employed at primary health care centres who had completed a task-shifting training programme achieved significantly better results for implementation of evidence-based practice.
The indirect effects of development training programmes for the implementation of EBP have not yet been studied. Development activities and change implementation processes in nursing foster education and training opportunities, which have significantly influenced the implementation of EBP.
探讨不同类型医疗机构护士在循证实践信念及实施方面的差异。
最佳的组织环境和知识对于支持循证实践以及在专业护理实践中持续应用证据至关重要。
开展一项横断面研究。共有来自20家斯洛文尼亚医院和29个初级卫生保健中心的1014名护士参与。变量包括：循证实践信念与实施量表、教育与培训活动、工作满意度、在职培训、对研究及循证实践知识的认知以及数据库访问权限。
循证实践信念可由循证实践知识（β = 0.249）、研究知识（β = 0.162）、工作年限（β = 0.124）、工作满意度（β = 0.117）、循证实践培训（β = -0.092）以及拥有硕士学位（β = 0.077）来解释。循证实践的实施取决于信念（β = 0.306）和医疗机构类型（β = 0.132）。初级卫生保健中心的实施结果最佳（<0.001）。
循证实践培训以及对循证实践知识的认知显著影响循证实践信念及实施。完成任务转换培训项目的初级卫生保健中心护士在循证实践实施方面取得了显著更好的结果。
尚未研究循证实践实施发展培训项目的间接影响。护理中的发展活动和变革实施过程促进了教育和培训机会，这对循证实践的实施产生了显著影响。
