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护士的态度、对环境的认知与参与研究:一项多地点研究。

Nurses' Attitudes, Environmental Perceptions and Involvement in Research: A Multisite Study.

作者信息

Hessels Amanda J, Marcus-Aiyeku Ulanda, Paliwal Mani, Catanzaro Carrie Ann, Dimino Kimberly, Crowley Jessica, Miszlay Jessica, Manzella Maria, Kritch Kimkyla, Kilpatrick Rachel, Kranz Kim, Vartivarian Serpouhi S, McGoey Barbara

机构信息

Ann May Center for Nursing Research, Hackensack Meridian Health, Tinton Falls, NJ 07712, USA.

Corporate Patient Safety and Quality, Hackensack Meridian Health, Edison, NJ 08837, USA.

出版信息

Nurs Rep. 2025 Sep 22;15(9):344. doi: 10.3390/nursrep15090344.

Abstract

Although evidence-based practice is widely promoted in nursing, direct care nurses remain underrepresented in research activities. This study aimed to assess nurses' attitudes toward research, their perceptions of the organizational research environment, and their levels of involvement, as well as identify key barriers and facilitators to engagement within a comprehensive healthcare system. This study also explored how racial and ethnic diversity within the nursing workforce may shape research engagement and contribute new perspectives to the field. A cross-sectional electronic survey was administered to registered nurses across 10 hospitals in a Northeast U.S. health system. The survey instrument assessed research attitudes, environment, involvement (past, present, future), and demographics. Descriptive and inferential statistics, including matched-pairs t-tests, were used to analyze responses. Of 7655 invited nurses, 1094 responses were analyzed. Respondents were predominantly female (88.5%), White (56.8%), and employed full-time (87.1%) as clinical staff nurses (77.3%). While 54.8% had completed a formal research course (mainly within the past 1-3 years), informal research and statistics training were uncommon (17.4% and 5.4%, respectively). Nurses reported highly positive attitudes toward research (composite M = 2.15, SD = 0.51), especially its role in guiding practice, professional growth, and education. However, actual involvement was low. The most common current activities included practice change based on research (20.7%) and participation in committees (18.8%). Anticipated future engagement increased substantially, particularly in collaboration (+21.3%), committee participation (+20.6%), and IRB submission (+18.2%). The research environment was perceived as under-resourced, particularly in terms of protected time, funding, and mentorship. Statistically significant gaps were observed between perceived present and desired future supports ( < 0.01 for all 15 items). The Research Awareness Index revealed high rates of uncertainty about available resources (e.g., 66.1% did not know if internal funding existed). Nurses demonstrate strong positive attitudes and a desire to engage in research, including more advanced roles. Yet structural and informational barriers, particularly a lack of protected time, mentorship, and awareness of existing supports, limit participation. Investments in infrastructure, communication, and accessible development pathways are needed to translate nurses' readiness into active research engagement. Institutions should prioritize making research support more visible and navigable while investing in mentorship, protected time, and user-friendly infrastructure. Addressing both facets will empower a highly motivated nursing workforce to engage in and lead practice-relevant research.

摘要

尽管循证实践在护理领域得到广泛推广,但直接护理护士在研究活动中的代表性仍然不足。本研究旨在评估护士对研究的态度、对组织研究环境的认知、参与程度,以及识别在综合医疗系统中参与研究的关键障碍和促进因素。本研究还探讨了护理人员中的种族和民族多样性如何影响研究参与度,并为该领域贡献新的观点。对美国东北部一个医疗系统中10家医院的注册护士进行了横断面电子调查。调查工具评估了研究态度、环境、参与情况(过去、现在、未来)和人口统计学特征。使用描述性和推断性统计方法,包括配对t检验,来分析回复。在7655名受邀护士中,分析了1094份回复。受访者主要为女性(88.5%)、白人(56.8%),全职担任临床护士(87.1%),其中77.3%为临床工作人员护士。虽然54.8%的人完成了正式的研究课程(主要是在过去1 - 3年内),但非正式的研究和统计培训并不常见(分别为17.4%和5.4%)。护士对研究报告了高度积极的态度(综合得分M = 2.15,标准差 = 0.51),特别是其在指导实践、专业成长和教育方面的作用。然而,实际参与度较低。目前最常见的活动包括基于研究的实践变革(20.7%)和参与委员会(18.8%)。预计未来的参与度将大幅提高,特别是在合作方面(+21.3%)、委员会参与方面(+20.6%)和提交给机构审查委员会方面(+18.2%)。研究环境被认为资源不足,特别是在受保护时间、资金和指导方面。在感知到的当前支持和期望的未来支持之间观察到统计学上的显著差距(所有15项均<0.01)。研究意识指数显示,对可用资源的不确定性很高(例如,66.1%的人不知道是否有内部资金)。护士表现出对参与研究,包括更高级角色的强烈积极态度和愿望。然而,结构和信息障碍,特别是缺乏受保护时间、指导以及对现有支持的认知,限制了参与。需要在基础设施、沟通和可及的发展途径方面进行投资,以将护士的意愿转化为积极的研究参与。机构应优先使研究支持更加明显和易于获取,同时投资于指导、受保护时间和用户友好型基础设施。解决这两个方面将使积极性很高的护理人员能够参与并引领与实践相关的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5c4/12473136/0dba8eab7644/nursrep-15-00344-g001.jpg

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