Nurses' research utilization two years after graduation--a national survey of associated individual, organizational, and educational factors.

Nurses' research utilization two years after graduation--a national survey of associated individual, organizational, and educational factors.
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DOI:
10.1186/1748-5908-7-46
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发表时间:
2012-05-18
期刊:
Implementation science : IS
影响因子:
--
通讯作者:
Wallin L
Wallin L
中科院分区:
其他
文献类型:
--
作者:
Forsman H;Rudman A;Gustavsson P;Ehrenberg A;Wallin L

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护士科研利用作为循证实践的一部分,在当今的护理教育和临床实践中受到高度重视。RU的主要目标是为患者提供高质量的护理。关于新毕业护士的RU数据很少,但在最近的研究中报告了低使用率的优势。与护士的RU相关的因素以前已经确定的个人和组织/背景因素,但缺乏知识,这些因素,包括教育的,如何相互作用,并与RU,特别是在护士毕业后的第一年。因此,本研究的目的是确定因素,预测低RU注册护士毕业后两年的概率。数据收集的LANE研究(护理教育的纵向分析)的一部分,瑞典全国护理学生和注册护士的调查。护士的工具,概念和有说服力的RU的数据收集毕业后两年(2007年,n = 845),连同工作环境因素的数据。在第一年(2002年)和最后一个学期(2004年)收集了关于个人和教育因素的数据。在分析时间表的指导下,应用双变量分析,然后进行逻辑回归建模。在双变量分析中与RU相关的变量中,有6个变量在最终的logistic回归模型中与低RU显著相关:精神病环境中的工作、角色模糊、足够的人员配备、低工作挑战、男性和低学生活动。研究发现,许多因素与护士毕业后两年的RU程度低,其中大部分是潜在的修改。这些发现说明了众多的因素与低RU程度,并考虑到他们的相互关系。这方面的知识可能作为有用的输入规划未来的研究,旨在提高护士,特别是新毕业的护士,RU。
Nurses’ research utilization (RU) as part of evidence-based practice is strongly emphasized in today’s nursing education and clinical practice. The primary aim of RU is to provide high-quality nursing care to patients. Data on newly graduated nurses’ RU are scarce, but a predominance of low use has been reported in recent studies. Factors associated with nurses’ RU have previously been identified among individual and organizational/contextual factors, but there is a lack of knowledge about how these factors, including educational ones, interact with each other and with RU, particularly in nurses during the first years after graduation. The purpose of this study was therefore to identify factors that predict the probability for low RU among registered nurses two years after graduation. Data were collected as part of the LANE study (Longitudinal Analysis of Nursing Education), a Swedish national survey of nursing students and registered nurses. Data on nurses’ instrumental, conceptual, and persuasive RU were collected two years after graduation (2007, n = 845), together with data on work contextual factors. Data on individual and educational factors were collected in the first year (2002) and last term of education (2004). Guided by an analytic schedule, bivariate analyses, followed by logistic regression modeling, were applied. Of the variables associated with RU in the bivariate analyses, six were found to be significantly related to low RU in the final logistic regression model: work in the psychiatric setting, role ambiguity, sufficient staffing, low work challenge, being male, and low student activity. A number of factors associated with nurses’ low extent of RU two years postgraduation were found, most of them potentially modifiable. These findings illustrate the multitude of factors related to low RU extent and take their interrelationships into account. This knowledge might serve as useful input in planning future studies aiming to improve nurses’, specifically newly graduated nurses’, RU.
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