Chetty Diane Roobasoundhrie, Ten Ham-Baloyi Wilma, van Rooyen Dalena R M, Du Plessis Allison Herlene, Naidoo Joanne
Department of Nursing Science, Faculty of Health Sciences, Nelson Mandela University, Gqeberha, South Africa.
Faculty of Health Sciences, Nelson Mandela University, Gqeberha, South Africa.
J Nurs Manag. 2024 May 21;2024:6649401. doi: 10.1155/2024/6649401. eCollection 2024.
An integrative review of the literature was conducted, including peer-reviewed articles published between 2010 and 2022. The databases used were BioMed Central, CINAHL Complete, MEDLINE Complete, PubMed (via EBSCOhost), the Complimentary Index (Taylor and Francis, Elsevier, Wiley, and Springer), Sabinet, ScienceDirect, and Scopus, followed by a manual search using Google Scholar and a citation search. Johns Hopkins Nursing Evidence-based Practice Research and non-Research evidence tools were used for appraisal. Thematic analysis was used to synthesize the extracted data.
Based on thirteen determinants influencing nurse managers' utilization of evidence-informed management practices, three themes were identified from a total of thirteen relevant studies: (1) Nurse manager determinants in utilization of evidence-informed management (Microlevel); (2) Organizational determinants in utilization of evidence-informed management (Mesolevel); (3) External stakeholders and context determinants of utilization of evidence-informed management practices (Macrolevel).
The themes were found to be interconnected and interdependent, facilitating the effective utilization of evidence-informed management by nurse managers at micro-, meso-, and macrolevels, but highlight the need for strengthening health systems and support. Future studies are required to provide a more comprehensive understanding of the determinants influencing nurse managers' utilization of evidence-informed management practices. . For nurse managers to optimally utilize evidence-informed management, executive management and policymakers require to provide resources and support such as continuous education, incentives, effective communication, funding structures, and ownership.
对文献进行综合综述，包括2010年至2022年发表的同行评审文章。所使用的数据库有生物医学中心、护理学与健康领域数据库全文版、医学数据库全文版、PubMed（通过EBSCOhost）、补充索引（泰勒与弗朗西斯出版社、爱思唯尔出版社、威利出版社和施普林格出版社）、萨比内特数据库、科学Direct数据库和Scopus数据库，随后使用谷歌学术进行手动搜索和引文搜索。采用约翰霍普金斯基于证据的护理实践研究和非研究证据工具进行评估。使用主题分析法对提取的数据进行综合分析。
基于影响护士长循证管理实践运用的13个决定因素，从总共13项相关研究中确定了三个主题：（1）护士长循证管理运用中的决定因素（微观层面）；（2）循证管理运用中的组织决定因素（中观层面）；（3）循证管理实践运用的外部利益相关者和背景决定因素（宏观层面）。
发现这些主题相互关联且相互依存，有助于护士长在微观、中观和宏观层面有效运用循证管理，但突出了加强卫生系统和支持的必要性。未来的研究需要更全面地了解影响护士长循证管理实践运用的决定因素。为使护士长能够最佳地运用循证管理，行政管理部门和政策制定者需要提供资源和支持，如持续教育、激励措施、有效沟通、资金结构和自主权。
