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护士循证医疗能力的测量及相关背景因素:一项范围综述

The Measurement of Evidence-Based Healthcare Competence of Nurses and Associated Background Factors: A Scoping Review.

作者信息

Härkönen Henna, Hannila Hanna-Maria, Oikarinen Anne, Kääriäinen Maria, Ylimäki Saija, Hietaniemi Anne-Mari, Holopainen Arja, Jansson Miia, Pölkki Tarja, Kaakinen Pirjo, Kanste Outi, Tuomikoski Anna-Maria

机构信息

Faculty of Medicine, Research Unit of Health Sciences and Technology (HST), University of Oulu, Finland.

Medical Research Center Oulu, University Hospital and University of Oulu, Oulu, Finland.

出版信息

Res Nurs Health. 2025 Oct;48(5):581-593. doi: 10.1002/nur.70004. Epub 2025 Jul 5.

DOI:10.1002/nur.70004
PMID:40616634
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12405975/
Abstract

Advancing evidence-based practice requires nurses to have competence in the spectrum of evidence-translation process known as evidence-based healthcare. A scoping review was conducted to identify the instruments used to measure nurses evidence-based healthcare competence and map the associated background factors. The review followed the JBI guidelines with a search made to seven databases CINAHL (EBSCO), PubMed, Scopus, Medic and gray literature EBSCO Open Dissertations & MedNar in 2021 and 2023. A total of 52 studies were included. Nurses' evidence-based healthcare competence related areas were measured with various instruments (n = 23). A total of 24 background factors were examined of which the six most frequently examined with reported associations to nurses' evidence-based competence were: educational level, work experience, EBP education, age, clinical setting, and research experience. Future research should examine the relation of measurement instruments to evidence-based healthcare competence, healthcare requirements and nursing roles, with further exploring the significance of background factors.

摘要

推进循证实践要求护士具备循证医疗保健这一证据转化过程全领域的能力。开展了一项范围综述,以确定用于衡量护士循证医疗保健能力的工具,并梳理相关背景因素。该综述遵循循证卫生保健国际协作网(JBI)指南,于2021年和2023年检索了七个数据库,即护理学与健康领域数据库(CINAHL,EBSCO平台)、医学期刊数据库(PubMed)、文摘与引文数据库(Scopus)、医学数据库(Medic)以及灰色文献数据库EBSCO开放学位论文数据库和医学文摘数据库(MedNar)。共纳入52项研究。使用各种工具(n = 23)对护士循证医疗保健能力相关领域进行了测量。共考察了24个背景因素,其中与护士循证能力有报道关联的六个最常考察因素为:教育水平、工作经验、循证实践教育、年龄、临床环境和研究经验。未来的研究应考察测量工具与循证医疗保健能力、医疗保健要求和护理角色之间的关系,并进一步探究背景因素的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/834d/12405975/88b4c11677f1/NUR-48-581-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/834d/12405975/b0efd846024a/NUR-48-581-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/834d/12405975/88b4c11677f1/NUR-48-581-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/834d/12405975/b0efd846024a/NUR-48-581-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/834d/12405975/88b4c11677f1/NUR-48-581-g001.jpg

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本文引用的文献

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Enhancing beliefs and implementation of evidence-based practice among undergraduate nurses using a multi-component educational programme: a pre-post study.使用多成分教育计划提高本科护士对循证实践的信念及其实践应用:一项前后对照研究
BMC Med Educ. 2025 Apr 14;25(1):531. doi: 10.1186/s12909-025-07121-x.
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Effects of implementation strategies on nursing practice and patient outcomes: a comprehensive systematic review and meta-analysis.实施策略对护理实践和患者结局的影响:全面系统评价和荟萃分析。
Implement Sci. 2024 Sep 30;19(1):68. doi: 10.1186/s13012-024-01398-0.
3
Knowledge, skills, attitudes, beliefs, and implementation of evidence-based practice among nurses in low- and middle-income countries: A scoping review.
中低收入国家护士的知识、技能、态度、信念和基于证据的实践实施情况:范围综述。
Worldviews Evid Based Nurs. 2024 Oct;21(5):542-553. doi: 10.1111/wvn.12734. Epub 2024 Jun 9.
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Advanced practice nurses' evidence-based healthcare competence and associated factors: A systematic review.高级实践护士循证医疗保健能力及相关因素:系统评价。
J Clin Nurs. 2024 Jun;33(6):2069-2083. doi: 10.1111/jocn.17075. Epub 2024 Feb 27.
5
Nurses' experiences and perspectives regarding evidence-based practice implementation in healthcare context: A qualitative study.护士在医疗保健环境中实施循证实践的经验和观点:一项定性研究。
Nurs Open. 2024 Jan;11(1):e2080. doi: 10.1002/nop2.2080.
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Frontline nurse leaders' competences in evidence-based healthcare: A scoping review.一线护士领导者在循证医疗保健方面的能力:范围综述。
J Adv Nurs. 2024 Apr;80(4):1314-1334. doi: 10.1111/jan.15920. Epub 2023 Dec 2.
7
International comparison of professional competency frameworks for nurses: a document analysis.护士专业能力框架的国际比较:文献分析
BMC Nurs. 2023 Sep 28;22(1):343. doi: 10.1186/s12912-023-01514-3.
8
Evidence-Based Practice Competency of Registered Nurses in the Greek National Health Service.希腊国家医疗服务体系中注册护士的循证实践能力
Nurs Rep. 2023 Sep 9;13(3):1225-1235. doi: 10.3390/nursrep13030105.
9
Missed nursing care in relation to registered nurses' level of education and self-reported evidence-based practice.与注册护士教育水平和自我报告循证实践相关的护理缺失。
Worldviews Evid Based Nurs. 2023 Dec;20(6):550-558. doi: 10.1111/wvn.12681. Epub 2023 Sep 21.
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