Chapman-Rodriguez Rose, Rivera Reynaldo, Fitzpatrick Joyce
Morgan Stanley Children's Hospital-New York Presbyterian Hospital, New York, New York, USA.
Frances Bolton School of Nursing, Case Western University, Cleveland, Ohio, USA.
Worldviews Evid Based Nurs. 2025 Apr;22(2):e70020. doi: 10.1111/wvn.70020.
Evidence-based practice (EBP) attributes are associated with improved patient care outcomes. There is a paucity of knowledge on pediatric nurses' attributes based on their clinical sub-specialties.
To investigate the relationships between pediatric nurses' EBP attributes and background variables, including their academic degree, years of experience, and clinical specialty.
A convenience sample of 185 nurses participated in this descriptive, cross-sectional study. The electronic surveys included 11 background questions and the short-versions of the EBP Beliefs Scale, Organizational Culture and Readiness Scale, and EBP Implementation Scale.
EBP belief scores were notably higher in pediatric nurses in neonatology, critical care, and among nurse leaders. No statistically significant difference was found in EBP organizational culture among nurse leaders, clinical nurses, and advanced practice nurses. EBP implementation was favorable in neonatology, acute care, and nurse leaders. No significant results were found in EBP attribute scores related to nurses' age, academic nursing degree, or years of experience.
This study confirmed findings from prior studies acknowledging the impact nurse leaders have on creating and sustaining a favorable EBP culture and implementation science. Organizational attributes such as Magnet status, a shared governance structure, support for specialty certification, and EBP mentorship also reinforce nursing EBP attributes. Further research should investigate unit-level strategies and measure the impact on pediatric patient care outcomes.
循证实践（EBP）属性与改善患者护理结局相关。关于儿科护士基于其临床亚专业的属性的知识匮乏。
调查儿科护士的循证实践属性与背景变量之间的关系，包括他们的学术学位、工作年限和临床专业。
185名护士的便利样本参与了这项描述性横断面研究。电子调查问卷包括11个背景问题以及循证实践信念量表、组织文化与准备度量表和循证实践实施量表的简版。
新生儿科、重症监护科的儿科护士以及护士长的循证实践信念得分显著更高。护士长、临床护士和高级实践护士在循证实践组织文化方面未发现统计学上的显著差异。循证实践在新生儿科、急症护理以及护士长中开展良好。在与护士年龄、护理学术学位或工作年限相关的循证实践属性得分方面未发现显著结果。
本研究证实了先前研究的结果，承认护士长对创建和维持良好的循证实践文化及实施科学的影响。诸如磁石状态、共享治理结构、对专业认证的支持和循证实践指导等组织属性也强化了护理循证实践属性。进一步的研究应调查科室层面的策略，并衡量其对儿科患者护理结局的影响。
