Zhang Yuping, Guo Zhiting, Xu Shuangyan, Yao Meiqi, Feng Xiuqin, Lan Meijuan, Jin Jingfen
Nursing Department, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
J Nurs Manag. 2024 Mar 19;2024:8855667. doi: 10.1155/2024/8855667. eCollection 2024.
To develop an evidence-based practice (EBP) facilitating strategy informed by the Integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework and evaluates the strategy's effectiveness on promoting EBP.
Nurses are increasingly expected to use research evidence in practice to improve patients' outcomes, but the application of such evidence is still unsatisfactory. The facilitation of EBP in nursing needs the organization and the individual levels.
Based on an analysis of EBP-promoting strategies and expert consultation, the core team of the nursing department developed an EBP group-based and project-oriented strategy under the guidance of the i-PARIHS framework. The strategy was implemented for six years and evaluated by a longitudinal design. The validated Chinese version of the self-reported Evidence Based Practice Questionnaire (EBPQ) was used to assess the attitudes, knowledge, and practice of the nurses.
The mean score of the total EBPQ was 4.46 (SD = 0.92) after one year of the EBP strategy, and the scores for knowledge, attitudes, and practice of EBP members were higher than those of general nurses ( < 0.05). After four years, EBP members' scores continued to increase. EBP groups conducted 51 EBP projects in the areas of emergency nursing, surgical and medical nursing, critical care, and so forth. Of these, 33 projects improved nursing practice by changing nursing procedures, upgrading nursing tools, and developing nursing standards, resulting in improved patient outcomes.
The EBP group-based and project-oriented strategy can promote EBP. The composition of the EBP group, the annual audit of EBP projects, and the roles of internal and external facilitators were key components of this EBP-facilitating strategy. . The strategy is an organizational-level EBP-facilitation approach which can improve nurses' academic preparation for EBP through ongoing training and sustained EBP behavior that involves annual projects.
在卫生服务研究实施综合促进行动（i-PARIHS）框架的指导下，制定一项基于证据的实践（EBP）促进策略，并评估该策略在促进EBP方面的有效性。
越来越期望护士在实践中运用研究证据来改善患者结局，但此类证据的应用仍不尽人意。护理领域EBP的促进需要组织和个体层面的努力。
护理部核心团队在对EBP促进策略进行分析并咨询专家的基础上，在i-PARIHS框架的指导下制定了基于EBP小组和项目导向的策略。该策略实施了六年，并采用纵向设计进行评估。使用经过验证的中文版自我报告式循证实践问卷（EBPQ）来评估护士的态度、知识和实践情况。
EBP策略实施一年后，EBPQ总分的平均分为4.46（标准差=0.92），EBP小组成员在知识、态度和实践方面的得分高于普通护士（P<0.05）。四年后，EBP小组成员的得分持续上升。EBP小组在急诊护理、外科和内科护理、重症护理等领域开展了51个EBP项目。其中，33个项目通过改变护理程序、升级护理工具和制定护理标准改善了护理实践，从而改善了患者结局。
基于EBP小组和项目导向的策略可促进EBP。EBP小组的组成、EBP项目的年度审核以及内部和外部促进者的作用是该EBP促进策略的关键组成部分。该策略是一种组织层面的EBP促进方法，可通过持续培训和涉及年度项目的持续EBP行为，提高护士对EBP的学术准备水平。
