Nurse leaders' Attitudes, Self-Efficacy and training Needs for Implementing Evidence-Based Practice: Is It Time for a Change toward Safe Care?
Nurse leaders' Attitudes, Self-Efficacy and training Needs for Implementing Evidence-Based Practice: Is It Time for a Change toward Safe Care?
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DOI：
10.9734/bjmmr/2015/16487
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发表时间：
2015-01-01
期刊：
影响因子：
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通讯作者：
Zare, Mohmmad Reza
中科院分区：
文献类型：
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作者：
Farokhzadian, Jamileh;Nayeri, Nahid Dehghan;Zare, Mohmmad Reza
引言：循证实践（EBP）已被公认为安全和高质量护理的黄金标准。护士领导在启动临床环境变化方面具有战略地位，可以成功实施EBP。因此，必须测量影响实施EBP的因素。目的：调查护士领导的态度、自我效能和培训需求，以实施循证实践。研究地点和时间：2014年1月至4月在伊朗东南部克尔曼医科大学附属的四家教学医院。方法：对4所教学医院70名护士长进行横断面调查。在使用改进的正向/反向翻译程序创建波斯语版本的“循证实践护士认知问卷”后，从参与者中收集数据并使用SPSS（第20版）、描述性统计、学生t检验、方差分析（ANOVA）和Pearson相关分析进行分析。结果：绝大多数（82.86%）的受试者未参加过实施EBP的专门培训课程，80%的受试者未参与任何研究活动。护士领导对EBP的态度较差（平均=2.55±0.88），对EBP技能的自我效能感较弱（平均=2.64±1.31），对EBP各领域培训的需求为中等（3.89±0.97）。结论：目前护士长的实践缺乏循证，严重影响护理质量和安全。护士领导必须尝试装备自己的态度和技能，以改变在实践中使用EBP。
INTRODUCTION: Evidence-based practice (EBP) has been recognized as the gold standard for safe and high quality care. Nurse leaders have a strategic position in terms of initiating changes in clinical settings for successfully implementing EBP. Therefore, the factors that influence implementing EBP must be measured.AIMS: To examine nurse leaders' attitudes, self-efficacy, and training needs for implementing evidence-based practice.PLACE AND DURATION OF STUDY: Four teaching hospitals affiliated to Kerman University of Medical Sciences in the southeast of Iran from January to April 2014.METHODS: A cross-sectional study was conducted on 70 nurse leaders from four teaching hospitals. After using a modified forward/backward translation procedure to create a Persian version of "perceptions of nurses of evidence-based practice questionnaire", data were collected from the participants and analyzed using SPSS (version 20), descriptive statistics, Student's t-test, analysis of variance (ANOVA), and Pearson's correlation.RESULTS: Most (82.86%) of the participants had not attended any specific training course on the implementation of EBP and 80% had not been involved in any research activities. Nurse leaders' attitudes toward EBP were unfavorable (mean=2.55±0.88), their levels of self-efficacy in EBP skills were weak (mean=2.64±1.31), and their demand for training in all of the EBP areas was moderate (3.89±.97).CONCLUSION: Current practice of nurse leaders is not evidence-based, which is worrisome and can result in serious deficiencies in the quality and safety of nursing care. Nurse leaders must attempt to equip themselves with the attitudes and skills required to change in practice using EBP.