Author Affiliations: Nurse Scientist, Center for Nursing Excellence, UNC Medical Center, Chapel Hill, North Carolina; and Vice-Chair of Non-Biomedical IRB Committee E, Office of Human Research Ethics, University of North Carolina at Chapel Hill.
J Nurs Adm. 2022 Apr 1;52(4):203-210. doi: 10.1097/NNA.0000000000001132.
This study examined nurses' perspectives about the barriers and facilitators to implementing research findings and evidence into practice.
Work environments play an essential role in implementation and innovation; however, much of the research regarding evidence-based practice focuses on nurses' knowledge and skills, leaving the work environments unexamined.
A mixed method survey design was used. Data collection included an electronic survey and open questions. Analysis included descriptive statistics and narrative analysis using the Consolidated Framework for Implementation Research.
Attitudes about implementing evidence into practice were positive. Identified barriers included lack of time and knowledge, change fatigue, and complex internal processes; facilitators included supportive colleagues, knowledgeable mentors, and access to libraries and other resources.
Implementing evidence into practice is facilitated by committing organizational resources, fostering supportive work environments, integrating evidence into quality improvement projects, offering continuing education, and reducing the complexity of translating evidence into practice and the number of institution-wide initiatives.
本研究考察了护士对将研究结果和证据付诸实践的障碍和促进因素的看法。
工作环境在实施和创新中起着至关重要的作用；然而，许多关于循证实践的研究都集中在护士的知识和技能上，而没有考察工作环境。
采用混合方法调查设计。数据收集包括电子调查和开放式问题。分析包括使用实施研究综合框架的描述性统计和叙述性分析。
对将证据付诸实践的态度是积极的。确定的障碍包括缺乏时间和知识、变革疲劳以及复杂的内部流程；促进因素包括有支持的同事、知识渊博的导师，以及获得图书馆和其他资源的途径。
通过承诺组织资源、营造支持性的工作环境、将证据融入质量改进项目、提供继续教育以及减少将证据转化为实践的复杂性和机构范围内举措的数量，可以促进证据的实施。
