Manitkul Napapat, Thummathai Kwaunpanomporn, Bhatarasakoon Patraporn
Faculty of Nursing, Chiang Mai University, 110/406, Suthep, Muang Chiang Mai, Chiang Mai 50200, Thailand.
The Thailand Centre for Evidence-Based Health Care, Faculty of Nursing, Chiang Mai University, Chiang Mai 50200, Thailand.
Nurs Rep. 2024 Oct 18;14(4):3084-3096. doi: 10.3390/nursrep14040224.
Despite the robustness of evidence-based practice in increasing efficiency in nursing care and improving patient safety, using evidence in practice is still rare in mental health nursing. This correlational descriptive research aimed to explore the factors and examine the relationship between attitudes, knowledge/skills, organizational culture, mentorship, and demographic factors to evidence-based practices among mental health nurses working in psychiatric hospitals in Thailand.
The sample consisted of 255 nurses working in psychiatric hospitals under the Thai Department of Mental Health, located in service units across the country's four regions. The data collection tools included (1) a demographic questionnaire, (2) the Evidence-Based Practice Questionnaire: EBPQ, (3) Organizational Culture & Readiness for System-wide Integration of Evidence-Based Practice: OCRSIEP, and (4) the Evidence-Based Practice Mentorship Scale. Descriptive statistics and Spearman's correlation coefficient were used for data analysis.
The findings revealed that the factors positively correlated with evidence-based practice among mental health nurses in Thailand were attitude with a mean score of 4.90 (r = 0.39, -value < 0.001), knowledge/skills with a mean score of 4.69 (r = 0.61, -value < 0.001), organizational culture with a mean score of 3.94 (r = 0.26, -value < 0.001), and mentorship with a mean score of 2.77 (r = 0.16, -value = 0.011). Demographic factors such as educational level (r = 0.21, -value < 0.001) and work experience in psychiatric and mental health nursing (r = 0.14, -value = 0.031) were also positively correlated.
This research revealed that EBP knowledge and skills are the most significant factors related to evidence-based practice among Thai mental health nurses. Therefore, EBP knowledge and skills should be enhanced in the curriculum during the nursing study and through continuing education once nurses graduate. Organizational culture and mentorship also need to be promoted to strengthen the use of EBP in Thailand.
尽管循证实践在提高护理效率和改善患者安全方面证据充分，但在精神科护理中，实践中运用证据的情况仍然很少见。这项相关性描述性研究旨在探讨泰国精神病医院精神科护士在循证实践中，态度、知识/技能、组织文化、导师指导及人口统计学因素之间的关系，并考察这些因素。
样本包括泰国精神卫生部下属精神病医院的255名护士，分布在全国四个地区的服务单位。数据收集工具包括：（1）一份人口统计学问卷；（2）循证实践问卷（EBPQ）；（3）组织文化与循证实践全系统整合准备情况问卷（OCRSIEP）；（4）循证实践导师指导量表。采用描述性统计和Spearman相关系数进行数据分析。
研究结果显示，泰国精神科护士中与循证实践呈正相关的因素包括：态度，平均得分4.90（r = 0.39，p值< 0.001）；知识/技能，平均得分4.69（r = 0.61，p值< 0.001）；组织文化，平均得分3.94（r = 0.26，p值< 0.001）；导师指导，平均得分2.77（r = 0.16，p值 = 0.011）。教育水平（r = 0.21，p值< 0.001）和精神科及心理健康护理工作经验（r = 0.14，p值 = 0.031）等人口统计学因素也呈正相关。
本研究表明，循证实践知识和技能是泰国精神科护士循证实践最显著的相关因素。因此，在护理学习课程中以及护士毕业后通过继续教育，应加强循证实践知识和技能。还需要促进组织文化和导师指导，以加强泰国循证实践的应用。
