Nursing practice, knowledge, attitudes and perceived barriers to evidence-based practice at an academic medical center
Nursing practice, knowledge, attitudes and perceived barriers to evidence-based practice at an academic medical center
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DOI：
10.1111/j.1365-2648.2008.04878.x
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发表时间：
2009-02-01
影响因子：
3.8
通讯作者：
Glaser, Dale
中科院分区：
文献类型：
--
作者：
Brown, Caroline E.;Wickline, Mary A.;Glaser, Dale
护理实践，知识，态度和感知障碍，以证据为基础的实践在学术医疗中心。本文是一项研究报告，描述护士的实践，知识和态度相关的循证护理，以及感知障碍和促进循证实践的关系。循证实践已被医疗界公认为提供安全和富有同情心的医疗保健的黄金标准。研究人员已经确定了在护理中采用循证实践的障碍和促进因素。医疗保健组织面临的挑战是营造一个有利于提供基于证据的护理的环境，而不是沉浸在仪式化的实践中。本研究于2006-2007年对加利福尼亚州某学术医疗中心的458名护士进行了一项描述性、横断面研究（回复率44.68%）。两份可靠有效的调查问卷采用电子格式，并通过一个安全的网站进行管理。研究了对两种工具的反应之间的关系，并将结果与先前发表的数据进行了比较。组织障碍（缺乏时间和缺乏护理自主权）是最常见的障碍。促进因素是学习机会、文化建设、资源的可用性和简单性。障碍与循证实践、知识和态度之间存在统计学上显著的相关性。国际上也发现了采用循证做法的类似障碍。教育工作者必须与管理人员合作，解决组织障碍，并积极支持基于证据的实践。
Nursing practice, knowledge, attitudes and perceived barriers to evidence-based practice at an academic medical center.This paper is a report of a study to describe nurses' practices, knowledge, and attitudes related to evidence-based nursing, and the relation of perceived barriers to and facilitators of evidence-based practice.Evidence-based practice has been recognized by the healthcare community as the gold standard for the provision of safe and compassionate healthcare. Barriers and facilitators for the adoption of evidence-based practice in nursing have been identified by researchers. Healthcare organizations have been challenged to foster an environment conducive to providing care based on evidence and not steeped in ritualized practice.A descriptive, cross-sectional research study was conducted in 2006-2007 with a convenience sample of 458 nurses at an academic medical center in California (response rate 44.68%). Two reliable and valid questionnaires were electronically formatted and administered using a secured website. Relationships between responses to the two instruments were examined and results compared with previously published data.Organizational barriers (lack of time and lack of nursing autonomy) were the top perceived barriers. Facilitators were learning opportunities, culture building, and availability and simplicity of resources. Statistically significant correlations were found between barriers and practice, knowledge and attitudes related to evidence-based practice.Similar barriers to the adoption of evidence-based practice have been identified internationally. Educators must work with managers to address organizational barriers and proactively support evidence-based practice.