The University of Texas at Austin School of Nursing, Austin, Texas, USA.
Academy of Medical-Surgical Nurses, Sewell, New Jersey, USA.
Worldviews Evid Based Nurs. 2022 Apr;19(2):149-159. doi: 10.1111/wvn.12567. Epub 2022 Mar 1.
The lack of evidence-based practice (EBP) knowledge and inability to implement EBP among nurses is a major barrier to quality nursing care. The literature shows that nurses highly value the use of EBP, however, they lack necessary EBP competencies. Although medical-surgical nurses were included in studies examining cross-sections of the nursing workforce, no studies exist specifically investigating their EBP beliefs and EBP competencies.
The purpose of this study was to describe medical-surgical nurses' self-reported EBP beliefs and competencies.
A descriptive, cross-sectional design employing survey methodology was used.
A total of 1,709 medical-surgical nurses participated for a response rate of 13%. The findings revealed that medical-surgical nurses had positive beliefs about EBP. However, they rated themselves competent in only 2 EBP competencies of 24. Medical-surgical nurses working in units or organizations that had a special designation such as Academy of Medical-Surgical Nurses Premier Recognition in the Specialty of Med-Surg (AMSN PRISM; p = .001) or Pathway to Excellence (p = .006) reported greater EBP competency scores. Also, nurses educated at the master's level or higher had better EBP competency scores (p < .0001).
Medical-surgical nurses need support at the personal and organizational levels to improve their EBP competence and increase uptake of EBP in their practice. Therefore, individual nurses must reflect on their EBP competence level and pursue opportunities to develop these essential attributes. Leaders must also create practice environments where EBP is valued, and barriers to EBP implementation are eliminated. Faculty in prelicensure and graduate programs should integrate EBP into their curricula and assess students' EBP competencies.
缺乏循证实践（EBP）知识和无法在护士中实施 EBP 是提供高质量护理的主要障碍。文献表明，护士非常重视使用 EBP，但他们缺乏必要的 EBP 能力。尽管外科护士被包括在研究护理劳动力的横断面研究中，但没有专门研究他们的 EBP 信念和 EBP 能力的研究。
本研究旨在描述外科护士的自我报告 EBP 信念和能力。
采用描述性、横断面设计和调查方法。
共有 1709 名外科护士参与，回应率为 13%。研究结果表明，外科护士对 EBP 有积极的信念。然而，他们只在 24 项 EBP 能力中评定自己有能力胜任 2 项。在被特别指定为医学-外科护士学会卓越实践途径（AMSN PRISM；p=0.001）或卓越途径（p=0.006）的单位或组织中工作的外科护士报告了更高的 EBP 能力评分。此外，接受硕士及以上教育的护士具有更好的 EBP 能力评分（p<0.0001）。
外科护士需要在个人和组织层面得到支持，以提高他们的 EBP 能力，并在实践中增加 EBP 的采用。因此，个体护士必须反思他们的 EBP 能力水平，并寻求发展这些基本属性的机会。领导者还必须创造重视 EBP 的实践环境，并消除 EBP 实施的障碍。在许可前和研究生课程的教师应将 EBP 纳入其课程，并评估学生的 EBP 能力。
