Nanfang Hospital, Southern Medical University, Guangzhou, PR China; School of Nursing, Southern Medical University, Guangzhou, PR China.
School of Health & Society, University of Salford, Salford, UK.
Nurse Educ Today. 2022 Sep;116:105436. doi: 10.1016/j.nedt.2022.105436. Epub 2022 Jun 10.
There is a widespread international agreement that healthcare should be based on high-quality evidence; however, bridging the gap from evidence to practice is still problematic. Although barriers to the implementation of evidence-based nursing practice have been identified, most studies have focused on clinical nurses' perceptions of the barriers to evidence-based nursing practice, with a lack of investigation into barriers from the hospitals' viewpoint.
To identify existing barriers to implementing evidence-based nursing practice from the hospitals' viewpoint.
A descriptive study employing a regional cross-sectional survey.
A convenience sample of 91 hospitals in Guangdong Province, China.
The survey used an online questionnaire containing basic hospital information and an open-ended question. Descriptive statistics were used to analyse basic hospital data. Responses to the open-ended question were analysed with thematic analysis.
The sample consisted of 89 valid responses to the open-ended question. Five themes were identified: (1) knowledge (70.8 %); (2) environmental context and resources (42.7 %); (3) social influences (7.9 %); (4) intentions (7.9 %); and (5) beliefs about capabilities (1.1 %).
Introduced early in 2001, China has embraced evidence-based nursing for more than 20 years. However, lack of knowledge is still the top barrier to implementing evidence-based nursing practice in hospitals in China. The findings indicate a need for more evidence-based nursing practice teaching strategies towards further enhancing clinical nurses' and nursing managers' evidence-based nursing practice beliefs, knowledge, and skills.
国际上普遍认为医疗保健应该基于高质量的证据；然而，将证据转化为实践仍然存在问题。尽管已经确定了实施循证护理实践的障碍，但大多数研究都集中在临床护士对实施循证护理实践的障碍的看法上，而缺乏从医院角度调查障碍的研究。
从医院角度确定实施循证护理实践的现有障碍。
采用区域横断面调查的描述性研究。
中国广东省的 91 家医院的便利样本。
该调查使用了一个在线问卷，其中包含基本医院信息和一个开放式问题。描述性统计用于分析基本医院数据。对开放式问题的回答进行了主题分析。
该样本由对开放式问题的 89 个有效回答组成。确定了五个主题：（1）知识（70.8%）；（2）环境背景和资源（42.7%）；（3）社会影响（7.9%）；（4）意图（7.9%）；和（5）能力信念（1.1%）。
中国在 2001 年初引入了循证护理，已经超过 20 年了。然而，缺乏知识仍然是中国医院实施循证护理实践的首要障碍。研究结果表明，需要采取更多的循证护理实践教学策略，进一步增强临床护士和护理管理人员的循证护理实践信念、知识和技能。
