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西班牙护理专业学生的承诺、认知和循证实践培训:一项多中心横断面研究。

Commitment, perception and evidence-based practice training in Spanish nursing students: A multicentre cross-sectional study.

机构信息

Department of Sociology, Social Work and Public Health, Faculty of Labour Sciences, University of Huelva, Huelva, Spain.

Safety and Health Postgraduate Programme, Universidad Espíritu Santo, Samborondón, Ecuador.

出版信息

J Clin Nurs. 2023 Mar;32(5-6):715-725. doi: 10.1111/jocn.16280. Epub 2022 Mar 6.

Abstract

AIMS AND OBJECTIVES

To evaluate the commitment and level of self-perceived training in evidence-based practice among students of the Nursing degree of five Spanish universities.

BACKGROUND

In university Health Sciences degrees, evidence-based clinical practice can directly or indirectly impact the quality of care, the cost of the service provided and the safety of clinical practice.

DESIGN

Multicentre cross-sectional observational study according to STROBE guidelines.

METHODS

The evidence-based skills in Practice questionnaire (CACH-PBE, for its acronym in Spanish) and the Utrecht Work Engagement Student Scale (UWES-9S) were used. The study was performed in five Spanish universities (Alicante, Castilla La Mancha, Jaen, Huelva and Seville) from October to December 2020, with 755 participants (Nursing students).

RESULTS

A total mean score of 91.9 points (SD = 11.81) was observed for the CACH-PBE questionnaire and of 36.8 points (SD = 8.48 points) for the UWES-9S. In addition, the multivariate analysis predicted that variables such as sex, academia, university, intention to do a Master or Doctorate degree, the level of work engagement, and the previous training in evidence-based clinical practice were associated with a greater perception of evidence-based practice.

CONCLUSION

The sample of Nursing degree students has intermediate-high levels of knowledge, skills and attitudes regarding evidence-based practice and work commitment, with differences observed between each of the universities.

RELEVANCE TO CLINICAL PRACTICE

Nursing students should develop from intermediate to high levels of knowledge, skills and attitudes regarding evidence-based practice and work commitment. There are various actions to promote EBP, such as the incorporation of a specific course covering the subject into the nursing curriculum, and the selection, for clinical practices, of care units that implemented evidence-based care.

摘要

目的和目标

评估五所西班牙大学护理学位学生对循证实践的承诺和自我感知培训水平。

背景

在大学健康科学学位中,循证临床实践可以直接或间接地影响护理质量、服务成本和临床实践的安全性。

设计

根据 STROBE 指南进行的多中心横断面观察性研究。

方法

使用循证实践技能问卷(CACH-PBE)和乌得勒支工作投入学生量表(UWES-9S)。该研究于 2020 年 10 月至 12 月在五所西班牙大学(阿利坎特、卡斯蒂利亚拉曼查、哈恩、韦尔瓦和塞维利亚)进行,共有 755 名参与者(护理专业学生)。

结果

CACH-PBE 问卷的总平均得分为 91.9 分(SD=11.81),UWES-9S 的得分为 36.8 分(SD=8.48 分)。此外,多变量分析预测,性别、学术背景、大学、攻读硕士或博士学位的意向、工作投入水平以及循证临床实践的先前培训等变量与对循证实践的更高感知相关。

结论

护理学位学生在循证实践和工作承诺方面具有中等偏高水平的知识、技能和态度,并且在每所大学之间存在差异。

对临床实践的意义

护理学生应该在循证实践和工作承诺方面从中等水平发展到较高水平,包括知识、技能和态度。有各种措施可以促进 EBP,例如将涵盖该主题的特定课程纳入护理课程中,并为临床实践选择实施循证护理的护理单元。

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