开展临床循证护理实践的影响因素探究

The influencing factors of carring out clinical evidence-based nursing practice

目的 :了解临床护士开展循证护理实践的影响因素,为更好开展临床循证实践提供参考。方法 :采用方便抽样法抽取某市三级甲等综合医院431名护士,采用循证实践影响因素问卷(DEBPQ)进行调查。结果:临床护士循证实践影响因素中,依据经验制定护理措施、缺乏时间获取最新信息、查找运用证据困难、缺乏领导及同事的支持、缺乏自信等因素排在前几位。结论:护理工作依赖于经验、护士缺乏查找运用证据的能力、工作环境不支持等因素阻碍了临床循证护理实践的开展,医院管理者可有针对性地营造医院组织文化氛围,鼓励护士进行科研活动及技术革新,并开办相应的学习活动,指导帮助护士学会查找证据和使用证据,以促进护理措施的改进,提升护理服务的质量。

Objective：To explore the inlfuencing factors of carrying out evidence-based nursing practice for clinical nurses and to provide reference for the development of clinical evidence-based nursing practice. Methods：Totally 431 nurses in tertiary Grade A hospitals were recruited using convenience sampling method and investigated by Development of Evidence-Based Practice Questionnaire （DEBPQ） among clinical nurses. Results：Formulating nursing measures on the basis of experience, lacking time to obtain the latest information, the difficulty of searching and using evidence, no supporting colleagues, and lacking confidence were the top factors. Conclusions：The nursing work depending on experience, nurses lacking ability of searching and using evidence, and no supporting working environment ,hinder the development of clinical evidence-based nursing practice. The hospital＆#39;s administrators should build hospital organizational culture atmosphere, encourage nurses to deliver scientiifc research and technological innovation, give nurses＆#39; relevant training, and help them to learn how to search and use evidence,in order to improve nursing measures and the quality of nursing service.