Fitzgerald S T, Hill M, Santamaria B, Howard C, Jadack R
AAOHN J. 1996 Feb;44(2):78-83.
A regional sample of members of the American Association of Occupational Health Nurses (AAOHN) from Maryland, Delaware, Virginia, and the District of Columbia was surveyed prior to the publication of the Expert Panel Report on Guidelines for the Diagnosis and Management of Asthma (time 1). The guidelines were disseminated directly to AAOHN members through an article in AAOHN Journal and an annual convention plenary session presentation at which copies of the Report were distributed. They were disseminated indirectly through medical journals and government documents. A follow up survey of AAOHN members' familiarity with and use of the Expert Panel Report was conducted 1 year later (time 2). Of the total eligible sample of 570 persons, 325 (57.0%) responded at time 1. Of these, 232 (71.4%) responded at time 2. One year after publication, 31 (13.4%) of the nurses participating in the time 2 survey were aware of the Report, 16 (6.9%) reported having an available copy of the Report, 31 (13.4%) were familiar with the recommendations in the Report, 17 (7.3%) referred to the guidelines and 34 (14.7%) based care on the guidelines. Multiple direct dissemination strategies of consensus guidelines to improve practice will be necessary if nurses' awareness and use are to be enhanced.
在《哮喘诊断与管理指南专家小组报告》发布之前（时间1），对来自马里兰州、特拉华州、弗吉尼亚州和哥伦比亚特区的美国职业健康护士协会（AAOHN）成员进行了区域抽样调查。这些指南通过《AAOHN杂志》上的一篇文章以及在年度大会全体会议上的报告直接分发给AAOHN成员，会上分发了报告副本。它们还通过医学期刊和政府文件间接传播。一年后（时间2）对AAOHN成员对专家小组报告的熟悉程度和使用情况进行了跟踪调查。在总共570名符合条件的样本中，325人（57.0%）在时间1做出了回应。其中，232人（71.4%）在时间2做出了回应。报告发布一年后，参与时间2调查的护士中有31人（13.4%）知晓该报告，16人（6.9%）报告有该报告的副本，31人（13.4%）熟悉报告中的建议，17人（7.3%）参考了这些指南，34人（14.7%）根据这些指南提供护理。如果要提高护士的知晓率和使用率，就有必要采取多种直接传播共识指南的策略来改善实践。
