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精神科护士的循证实践:知识、态度、组织准备情况、实施水平以及障碍与促进因素

Evidence-Based Practice Among Psychiatric Nurses: Knowledge, Attitudes, Organizational Readiness, Levels of Implementation, and Barriers and Facilitators.

作者信息

Ezeruigbo Chinwe Florence Samantha

出版信息

J Psychosoc Nurs Ment Health Serv. 2023 Sep;61(9):47-55. doi: 10.3928/02793695-20230726-02. Epub 2023 Aug 7.

Abstract

The current study examined psychiatric nurses' views, knowledge, attitudes, organizational readiness, levels of evidence-based practice (EBP), as well as barriers and facilitators to EBP in a Nigerian tertiary neuropsychiatric hospital. This study used a cross-sectional descriptive research approach. Structured questionnaires were administered to all psychiatric nurses ( = 131) at the hospital. Results showed that psychiatric nurses had an acceptable degree of EBP knowledge and a positive attitude toward EBP. Levels of EBP implementation were below average, and organizational culture and preparation for EBP were moderate. Participants reported a moderate degree of barriers to EBP adoption (mean = 40.08, = 9.63), and a high level of assertion to positive facilitators of EBP (mean = 19.88, = 4.16). Findings show that although most psychiatric nurses had adequate knowledge and good attitudes toward EBP, certain barriers prevented its application. Thus, there is a need for a policy framework to mitigate existing barriers and improve EBP facilitators in psychiatric nursing practices in Nigeria to improve productivity measures. [(9), 47-55.].

摘要

本研究调查了尼日利亚一家三级神经精神病医院精神科护士对循证实践(EBP)的看法、知识、态度、组织准备情况、循证实践水平,以及循证实践的障碍和促进因素。本研究采用横断面描述性研究方法。对该医院所有精神科护士(n = 131)进行了结构化问卷调查。结果显示,精神科护士对循证实践有可接受程度的知识,且对循证实践持积极态度。循证实践的实施水平低于平均水平,组织文化和循证实践准备情况中等。参与者报告称,采用循证实践存在中等程度的障碍(均值 = 40.08,标准差 = 9.63),对循证实践的积极促进因素有较高程度的认同(均值 = 19.88,标准差 = 4.16)。研究结果表明,尽管大多数精神科护士对循证实践有足够的知识和良好的态度,但某些障碍阻碍了其应用。因此,需要一个政策框架来减轻现有障碍,并改善尼日利亚精神科护理实践中的循证实践促进因素,以提高生产力指标。[(9),47 - 55。]

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