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多组分方法在提高阿拉伯联合酋长国临床环境中护士基于循证实践活动的信心水平及促进循证实践文化方面的效果。

The effect of multicomponent approach in enhancing the level of confidence with evidence-based practice activities and promoting evidence-based practice culture among nurses in a clinical setting in the United Arab Emirates.

作者信息

Al Nusair Hussam, Bani-Issa Wegdan, Alnjadat Rafi, Fonbuena Mariezl, Perinchery Saleem, AlAzza Rawan

机构信息

Fatima College of Health Sciences, Abu Dhabi, UAE.

University of Sharjah/College of Health Sciences, Sharjah, UAE.

出版信息

J Nurs Manag. 2022 Nov;30(8):4285-4293. doi: 10.1111/jonm.13826. Epub 2022 Oct 10.

Abstract

AIM

The aim of this work is to examine the effect of multicomponent interventions on enhancing the level of confidence of staff nurses with evidence-based practice in an acute care hospital in the United Arab Emirates.

BACKGROUND

Evidence-based practice is one of the strategic pillars of nursing practice and a key to organizational success. To effectively implement and sustain evidence-based practice programmes in clinical sites, well-designed implementations can promote staff attitude, knowledge, skills, and confidence in translating research evidence into optimal patient care.

METHODS

Experienced and bachelor prepared nurse managers in collaboration with the clinical resource nurse undertook condensed staff training and interventions for the evidence-based practice programme, where 70 registered nurses participated. The intervention was conducted over a period of time extending from December 2019 until December 2020. The study design is quasi-experimental using the pre- and post-Self Efficacy Assessment tool to gauge the nurses' confidence in evidence-based practice. Also, SPSS software was used to explore the effect of the programme.

RESULTS

Higher significant score on the evidence-based nursing practice self-efficacy scale postprogramme was noted (t = -7.667 and p value <.001).

CONCLUSION

Participating in a well-structured evidence-based practice programme would positively enhance the nurse's confidence in the programme implementation and promote an evidence-based practice culture in clinical settings.

IMPLICATIONS FOR NURSING MANAGERS

Nurse managers must recognize their critical role in promoting evidence-based practice among nurses. A focused and well-designed intervention may assist in establishing a culture of evidence-based practice to ensure the best patient outcome.

摘要

目的

本研究旨在探讨多组分干预措施对提高阿拉伯联合酋长国一家急症护理医院的注册护士循证实践信心水平的影响。

背景

循证实践是护理实践的战略支柱之一,也是组织成功的关键。为了在临床场所有效实施和维持循证实践项目,精心设计的实施方案可以提升员工在将研究证据转化为最佳患者护理方面的态度、知识、技能和信心。

方法

经验丰富且拥有本科学历的护士长与临床资源护士合作,为循证实践项目开展了集中的员工培训和干预措施,共有70名注册护士参与。干预措施从2019年12月持续至2020年12月。本研究设计为准实验性研究,使用自我效能评估工具前后测来衡量护士对循证实践的信心。此外还使用了SPSS软件来探究该项目的效果。

结果

项目实施后,循证护理实践自我效能量表得分显著提高(t = -7.667,p值 <.001)。

结论

参与一个结构完善的循证实践项目将积极提高护士对项目实施的信心,并在临床环境中促进循证实践文化。

对护理管理者的启示

护理管理者必须认识到他们在促进护士循证实践方面的关键作用。有针对性且精心设计的干预措施可能有助于建立循证实践文化,以确保最佳的患者结局。

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