Ylimäki Saija, Oikarinen Anne, Tuomikoski Anna-Maria, Woo Brigitte, Mikkonen Kristina, Zhou Wentao, Parisod Heidi, Sneck Sami, Vähänikkilä Hannu, Kääriäinen Maria
Research Unit of Health Sciences and Technology, Oulu, Finland.
Oulaskangas Hospital, The Wellbeing Services County of North Ostrobothnia, Oulu, Finland.
J Adv Nurs. 2025 Jan 24. doi: 10.1111/jan.16771.
To describe and compare the Evidence-Based HealthCare (EBHC) competence of Advanced Practice Nurses (APNs), and the factors associated with it in Finland and Singapore.
A descriptive and analytical cross-sectional study.
Data were collected from APNs working in healthcare in Finland (n = 157) or Singapore (n = 99) between May 2023 and October 2023 using a self-assessment instrument to measure EBHC competence (EBHC-Comp-APN) and an EBHC knowledge test. The data were analysed using descriptive statistics, analysis of variance, K-mean cluster and multivariate analyses.
The self-assessments of APNs working in Finland and Singapore regarding their EBHC competence level varied and three distinct profiles of APNs' EBHC competence were identified in both countries. The strongest EBHC competence was in 'The Knowledge Needs Related to Global Health', while the weakest in 'Evidence Synthesis and Transfer'. The country-specific differences were identified in factors associated with EBHC competence.
The EBHC competencies of APNs vary widely and require planned and needs-driven development. In connection with the development of EBHC competence, the factors related to competence should be considered country-by-country.
The APN's EBHC competence should be systematically developed considering the factors associated with and the current level of EBHC competence.
The level of EBHC competence of APNs and associated factors should be identified when developing their competence and role in collaboration with APNs, leaders of healthcare and education organisations and policy makers. In addition, research into APNs' EBHC competence should continue.
The STROBE checklist was used in the reporting of the study.
No patient or public contribution.
描述并比较芬兰和新加坡高级执业护士（APN）基于循证的医疗保健（EBHC）能力，以及与之相关的因素。
描述性和分析性横断面研究。
于2023年5月至2023年10月期间，使用自我评估工具（EBHC-Comp-APN）和EBHC知识测试，从芬兰（n = 157）或新加坡（n = 99）从事医疗保健工作的APN收集数据。数据采用描述性统计、方差分析、K均值聚类和多变量分析。
芬兰和新加坡的APN对其EBHC能力水平的自我评估各不相同，且在两国均识别出APN的EBHC能力的三种不同概况。最强的EBHC能力体现在“与全球健康相关的知识需求”方面，而最弱的体现在“证据综合与转化”方面。在与EBHC能力相关的因素中发现了国别差异。
APN的EBHC能力差异很大，需要有计划且基于需求的发展。在EBHC能力发展过程中，应逐国考虑与能力相关的因素。
应结合与EBHC能力相关的因素及当前能力水平，系统地发展APN的EBHC能力。
在与APN、医疗保健及教育机构领导人和政策制定者合作制定APN的能力及角色时，应确定其EBHC能力水平及相关因素。此外，对APN的EBHC能力的研究应继续进行。
本研究报告采用了STROBE清单。
无患者或公众参与。
