CAJ | 학술논문

目的全面了解浙江省临床护士的循证实践障碍现状,并分析其影响因素,为护理管理者实施干预提供可靠的参考依据.方法采用刘晓华等研制的中文版循证护理实践障碍量表,对浙江全省11个行政区22所医院共831名临床护士进行横断面调查.结果70.7%的临床护士认为自己循证实践存在障碍,但对循证护理的认识较好,得分较高的是开展循证护理的资源条件不足和护理研究报道的质量不高.参加过循证护理培训、职务较高和在护理部、急诊室、ICU等部门工作的护士循证实践障碍较小(P<0.05).结论浙江省临床护士循证实践障碍较严重,管理者应重视护理科研,营造良好的科研氛围;提供简单有效的循证资源,完善图书馆、数据库资源等硬件设施,提供坚实的物质基础;加强循证护理教育,提高不同层次临床护士的循证素质,缩小护理实证到临床应用的差距,促进循证护理的发展.
목적전면료해절강성림상호사적순증실천장애현상,병분석기영향인소,위호리관리자실시간예제공가고적삼고의거.방법채용류효화등연제적중문판순증호리실천장애량표,대절강전성11개행정구22소의원공831명림상호사진행횡단면조사.결과70.7%적림상호사인위자기순증실천존재장애,단대순증호리적인식교호,득분교고적시개전순증호리적자원조건불족화호리연구보도적질량불고.삼가과순증호리배훈、직무교고화재호리부、급진실、ICU등부문공작적호사순증실천장애교소(P<0.05).결론절강성림상호사순증실천장애교엄중,관리자응중시호이과연,영조량호적과연분위;제공간단유효적순증자원,완선도서관、수거고자원등경건설시,제공견실적물질기출;가강순증호리교육,제고불동층차림상호사적순증소질,축소호리실증도림상응용적차거,촉진순증호리적발전.
Objective To fully understand the handicaps for evidence-based practice and its influencing factors and to provide evidence for intervention. Methods With Chinese version of Handicap Inventory Short Form about Evaluation of Evidence-Based Nursing Practice developed by LIU Xiao-hua, a cross-sectional survey was conducted among 831 clinical nurses in Zhejiang Province. Results Though with well knowledge of evidence-based practice in nursing, 70.7%of the nurses proposed there existed handicaps in evidence-based practice. Insufficient resources of implementing evidence-based practice and low quality of nursing search report scored higher. There were less handicaps among nurses after training of evidence-based practice in nursing, those with senior positions and those in department of nursing administration, emergency and ICU (P<0.05). Conclusion There are many handicaps for evidence-based practice in nursing. Great emphasis should be laid to scientific research of nursing. Sufficient evidence-based practice resources and various evidence-based practice in nursing education for nurses would contribute to the development of evidence-based nursing practice.