Diffusion of Innovations in Long-Term Care Measurement Battery

Diffusion of Innovations in Long-Term Care Measurement Battery
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DOI:
10.3928/19404921-20110602-04
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发表时间:
2012-01-01
影响因子:
1.6
通讯作者:
Champagne, Mary T.
Champagne, Mary T.
中科院分区:
医学4区
文献类型:
--
作者:
McConnell, Eleanor S.;Corazzini, Kirsten N.;Champagne, Mary T.

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对将新做法纳入长期护理(LTC)的影响因素认识不足,阻碍了循证做法(EBPs)的及时实施。利用创新扩散(DOI)框架,作为DOI-LTC测量组件的一部分,开发了一种新的工具,用于测量员工对EBP的看法,并在北卡罗来纳州LTC护理人员的横断面调查中进行了测试。有效问卷来自95名执业护士和102名执业护士助理(CNA)。7个分量表中有5个分量表的内部一致性信度可以接受(Cronbach‘sα系数=0.77~0.95)。对创新属性的认知与采用新实践的意向相关(Spearman Rho相关性:执业护士=0.41至0.68,p<0.0001;CNA=0.26至0.54p=0.05to
Poor understanding of factors influencing integration of new practices into long-term care (LTC) hinders timely implementation of evidence-based practices (EBPs). Using the Diffusion of Innovations (DOI) framework, a new instrument measuring staff perceptions of an EBP was developed as part of a DOI-LTC measurement battery and tested in a cross-sectional survey of North Carolina LTC nursing personnel. Valid questionnaires were received from 95 licensed nurses and 102 certified nursing assistants (CNAs). Internal consistency reliability for five of seven subscales was acceptable (Cronbach's alpha coefficient = 0.77 to 0.95). Perception of innovation attributes was associated with intention to adopt the new practice (Spearman rho correlation: licensed nurses = 0.41 to 0.68, p < 0.0001; CNAs = 0.26 to 0.54, p = 0.05 to