Department of Nursing, Bahir Dar Health Science College, Bahir Dar, Ethiopia.
Department of Medical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
PLoS One. 2021 Mar 19;16(3):e0248834. doi: 10.1371/journal.pone.0248834. eCollection 2021.
Applying evidence-based practice during care provision is essential because it improves the quality of care, reduces health care costs, and increases patient and family satisfaction. However, information on evidence-based nursing practice and associated factors were not well studied and documented in the study area. Hence, this study aimed to assess utilization and associated factors of evidence-based practice among nurses working in Amhara Region Referral Hospitals, Ethiopia.
An institution-based cross-sectional study was conducted from March 18 to April 16, 2019, in Amhara Region Referral Hospitals. A simple random sampling technique was used to select 684 respondents. Data were collected using a pretested and self-administered questionnaire. Data were entered into Epi Info version 7.1.2.0 and exported to SPSS version 22.0 for analysis. The bivariable analysis was used primarily and variables with p-value < 0.2 were further examined using a multivariable logistic regression model to control con-founders. Then, variables' p-value < 0.05 with 95% CI was used to determine associated factors.
From 684 proposed nurses, 671 of them completed the questionnaire giving 98.1% response rate. Of these, 55% (95% CI: 51.2, 58.9) of them had good evidence-based practice utilization. Variables including single (AOR = 1.662: 95% CI: 1.089-2.536), fewer work experience (AOR = 1.849: 95% CI: 1.049-3.257), good knowledge (AOR = 2.044: 95% CI: 1.406-2.972), effective communication skill (AOR = 2.537: 95% CI: 1.744-3.689), EBP training (AOR = 3.224 95% CI: 1.957-5.311), internet access (AOR = 1.655: 95% CI: 1.119-2.448) and evidence-based guideline availability (AOR = 1.827: 95% CI: 1.249-2.673) were found to be predictors of evidence-based practice utilization.
The study revealed that evidence-based practice utilization among nurses is low. Availing evidence-based guidelines in the work area, improving facilities' internet access, and building nurses' evidence-based practice competencies through either by giving separate training or incorporating as part of the curriculum would improve its utilization.
在提供护理服务时应用循证实践至关重要，因为它可以提高护理质量、降低医疗保健成本并增加患者和家属的满意度。然而，在研究区域，关于循证护理实践及其相关因素的信息尚未得到充分研究和记录。因此，本研究旨在评估在埃塞俄比亚阿姆哈拉地区转诊医院工作的护士中循证实践的利用情况及其相关因素。
这是一项 2019 年 3 月 18 日至 4 月 16 日在阿姆哈拉地区转诊医院进行的基于机构的横断面研究。采用简单随机抽样技术选择了 684 名受访者。使用经过预测试和自我管理的问卷收集数据。数据输入 Epi Info 版本 7.1.2.0 并导出到 SPSS 版本 22.0 进行分析。主要使用单变量分析，p 值<0.2 的变量进一步使用多变量逻辑回归模型进行检查以控制混杂因素。然后，使用 95%CI 的 p 值<0.05 来确定相关因素。
在 684 名拟议护士中，有 671 名完成了问卷，应答率为 98.1%。其中，55%（95%CI：51.2，58.9）的护士具有良好的循证实践利用水平。包括单身（AOR=1.662：95%CI：1.089-2.536）、工作经验较少（AOR=1.849：95%CI：1.049-3.257）、良好的知识（AOR=2.044：95%CI：1.406-2.972）、有效沟通技巧（AOR=2.537：95%CI：1.744-3.689）、EBP 培训（AOR=3.224 95%CI：1.957-5.311）、互联网接入（AOR=1.655：95%CI：1.119-2.448）和循证指南可用性（AOR=1.827：95%CI：1.249-2.673）被发现是循证实践利用的预测因素。
研究表明，护士循证实践的利用水平较低。在工作场所提供循证指南、改善设施的互联网接入，并通过单独培训或纳入课程的一部分来提高护士的循证实践能力，将有助于提高其利用率。
