Malekzadeh Mohammad, Mirzaee Mohammadsaeed, Homayuni Leyla, Mirshah Elham, Bozorgin Leila, Gilvari Tahereh, Zabolipoor Soheyla, Gholami Leila
Associate Professor of Health Psychology, Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran.
Assisstant Professor of Nursing, School of Nursing and Midwifery, Yasuj University of Medical Sciences, Yasuj, Iran.
J Educ Health Promot. 2025 Apr 30;14:146. doi: 10.4103/jehp.jehp_1843_23. eCollection 2025.
During the COVID-19 pandemic, nursing care was very complicated and confusing due to the special conditions of this time period and due to the lack of objective evidence to provide evidence-based nursing care. The purpose of this study was to post-COVID-19 investigate nurses' lived experiences of evidence-based care in Iran.
This research was conducted through a qualitative approach using Husserli's descriptive phenomenological method. The participants included nurses working in the wards of COVID-19. Sampling in this study was conducted using a targeted method. People were selected based on inclusion and exclusion criteria. A code of ethics and necessary permits were received. Data collection was performed using unstructured interviews. The time of the interviews varied between 30 and 60 minutes. All interviews were recorded and then transcribed. The method proposed by Colaizzi was used for data analysis. Lincoln and Guba's criteria were used for the accuracy and robustness of the data. Also, MAXQDA software was used for data management.
The main themes and sub-themes in this study include barriers (lack of mastery in searching for evidence, lack of prioritization of evidence-based care, lack of availability of sufficient evidence, and the complexity of the condition of the COVID-19 disease) and facilitators (need for new evidence, a different care context, the need for extensive training, and the need to improve the nursing care).
The findings of this research showed that based on the experiences of nurses, there are still barriers to patient care after the COVID-19 pandemic, and in addition, there are facilitators that are effective in the development of evidence-based care. We recommend that based on examining barriers and facilitators in this study, necessary planning should be performed to conduct applied research, develop clinical regulations, and better manage patients in the future.
在新冠疫情期间，由于这一时期的特殊情况以及缺乏客观证据来提供循证护理，护理工作变得非常复杂且令人困惑。本研究的目的是在新冠疫情后调查伊朗护士循证护理的生活经历。
本研究采用胡塞尔描述现象学方法通过定性研究方法进行。参与者包括在新冠病房工作的护士。本研究采用有针对性的抽样方法。根据纳入和排除标准选择人员。获得了伦理准则和必要的许可。使用非结构化访谈进行数据收集。访谈时间在30至60分钟之间。所有访谈均进行录音，然后转录。采用科莱齐提出的方法进行数据分析。林肯和古巴的标准用于数据的准确性和稳健性。此外，MAXQDA软件用于数据管理。
本研究的主要主题和子主题包括障碍（缺乏证据检索能力、循证护理未得到优先重视、缺乏足够的证据以及新冠疾病状况的复杂性）和促进因素（对新证据的需求、不同的护理背景、广泛培训的需求以及改善护理的需求）。
本研究结果表明，根据护士的经验，新冠疫情后患者护理仍存在障碍，此外，还有一些促进因素对循证护理的发展具有重要作用。我们建议，基于本研究中对障碍和促进因素的审视，应进行必要的规划，以开展应用研究、制定临床规范，并在未来更好地管理患者。
