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系统教育对护士的循证实践有积极影响:干预研究结果。

Systematic education has a positive impact on nurses' evidence-based practice: Intervention study results.

作者信息

Vaajoki Anne, Kvist Tarja, Kulmala Markus, Tervo-Heikkinen Tarja

机构信息

Kuopio University Hospital, P.O. Box 100, FI 70029 KYS, Finland.

Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, FI P.O.Box 1627, 70211 Kuopio, Finland.

出版信息

Nurse Educ Today. 2023 Jan;120:105597. doi: 10.1016/j.nedt.2022.105597. Epub 2022 Oct 12.

DOI:10.1016/j.nedt.2022.105597
PMID:36343418
Abstract

AIMS

To evaluate how an education program on evidence-based practice (EBP) affected nurses´ knowledge, practices, and attitudes related to EBPs in patient care.

METHODS

Nurses of one Finnish university hospital participated in two separate EBP education programs in 2016-2017 and 2018-2019. Data was collected by a questionnaire given before and after each program. Reliable instruments for measuring EBP were used: The Evidence-Based Practice Questionnaire (24 items) and the Attitudes to Evidence-Based Practice Questionnaire (17 items). Means and frequencies were evaluated with the Mann-Whitney U test and linear regression.

RESULTS

Nurses reported that their EBP practice, skills and the Work based on EBPs improved substantially after the education program. We found that scores on the Work based on EBPs and the attitudes towards EBP could predict the nurses' overall self-evaluations of practices, attitudes, and skills.

DISCUSSION

EBP education affects positively on implementation of nurses' practices and skills. There is still a need to change attitudes towards evidence based practice. IMPLICATIONS FOR PRACTICE, RESEARCH, POLICY, MANAGEMENT, AND EDUCATION: Organizations need to maintain and develop efficient, attractive EBP educational programs to promote lifelong learning.

CONCLUSIONS

When designing EBP educational content, it is crucial to teach participants to develop evidence-based methods and consider how to implement them in practice.

摘要

目的

评估循证实践(EBP)教育项目如何影响护士在患者护理中与循证实践相关的知识、实践和态度。

方法

芬兰一家大学医院的护士在2016 - 2017年和2018 - 2019年分别参加了两个独立的循证实践教育项目。通过在每个项目前后发放问卷收集数据。使用了可靠的循证实践测量工具:循证实践问卷(24项)和循证实践态度问卷(17项)。采用曼 - 惠特尼U检验和线性回归评估均值和频率。

结果

护士报告称,在参加教育项目后,他们的循证实践、技能以及基于循证实践的工作有了显著改善。我们发现,基于循证实践的工作得分和对循证实践的态度能够预测护士对实践、态度和技能的总体自我评价。

讨论

循证实践教育对护士实践和技能的实施有积极影响。仍有必要改变对循证实践的态度。对实践、研究、政策、管理和教育的启示:组织需要维持和发展高效、有吸引力的循证实践教育项目,以促进终身学习。

结论

在设计循证实践教育内容时,关键是教导参与者开发循证方法,并考虑如何在实践中实施这些方法。

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