Factors influencing the implementation of evidence in Chinese nursing practice
Factors influencing the implementation of evidence in Chinese nursing practice
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中国护理实践中证据实施的影响因素
DOI：
10.1111/jocn.14053
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发表时间：
2017-12-01
影响因子：
4.2
通讯作者：
Hu, Yan
中科院分区：
文献类型：
--
作者：
Cheng, Lei;Broome, Marion E.;Hu, Yan
Aims and objectivesTo探讨影响因素，从工作人员护士，护士管理人员，护理主任和医生参与护理证据的实施在mainingChina.BackgroundAlthough需要循证护理是公认的，需要不断努力，争取关闭差距从证据到行动。以往的研究探讨了影响因素，从个人和组织的角度在西方国家。然而，目前还不清楚这些影响（即，背景和文化）在发展中国家，如中国。DesignA扎根理论设计，使用深入的个人interventions.MethodsInterventions56名参与者从24个循证护理实施项目在中国大陆进行。不断的比较分析被用来发现的概念描述的实施过程中的影响因素。ResultsFactors that affecting the implementation of evidence based practice in the Chinese context.这些包括领导人的项目，证据的性质，执业护士，病人参与的项目，该系统的项目实施，以及从外部的影响ofthesystem.ConclusionsA各种因素影响证据的实施在中国护理上下文中确定，并进一步探讨从不同的项目领导人和文化影响的角度。显然，有一个支持系统的强烈需求，有针对性的战略，以促进各种证据的实施和集成的核心要素，循证实践在点care.Relevance临床practiceThe模糊的边界和复杂的影响因素，要求在实施过程中的系统和动态的角度。竞争的重点强调临床护理和循证实践之间的整合的重要性。
Aims and objectivesTo explore the influencing factors from staff nurses, nurse managers, nursing directors and a physician involved in nursing evidence implementation in Mainland China.BackgroundAlthough the need for evidence-based nursing is well recognised, continuous efforts are needed to strive for closing the gap from evidence to action. Previous studies have explored influencing factors from individual and organisational perspectives in Western countries. However, it remains unclear what the influences (i.e., context and culture) in the developing countries as China.DesignA grounded theory design using in-depth individual interviews was conducted.MethodsInterviews with 56 participants from 24 evidence-based nursing implementation projects were conducted in Mainland China. Constant comparative analysis was used to discover the concepts describing the influencing factors during the implementation process.ResultsFactors that influenced implementation of evidence-based practice in the Chinese context were identified. These included the leaders of the projects, the nature of the evidence, practising nurses, patients involved in the projects, the system where the projects were implemented, as well as the influence from outside of the system.ConclusionsA variety of factors influencing evidence implementation in Chinese nursing context were identified and further explored from the perspective of different project leaders and culture influence. There is apparently a strong demand for a supportive system, targeted strategies to facilitate various evidence implementations and integrated core elements of evidence-based practice at the point care.Relevance to clinical practiceThe blurred boundaries and complexity of influencing factors call for a systematic and dynamic perspective during implementation. The competitive priorities emphasise the importance of integration between clinical nursing care and evidence-based practice.