Nurses' perceived knowledge, beliefs, skills, and needs regarding evidence-based practice: implications for accelerating the paradigm shift.
Nurses' perceived knowledge, beliefs, skills, and needs regarding evidence-based practice: implications for accelerating the paradigm shift.
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DOI：
10.1111/j.1524-475x.2004.04024.x
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发表时间：
2004-01-01
影响因子：
4.3
通讯作者：
Kraus, Rachel
中科院分区：
文献类型：
--
作者：
Melnyk, Bernadette Mazurek;Fineout-Overholt, Ellen;Kraus, Rachel
背景：在美国，向循证护理实践的范式转变是缓慢的。虽然循证实践(EBP)的多个障碍已经通过先前的研究被发现，但在专门识别与护士从事循证实践的程度相关的关键变量(例如，EBP产生质量结果的信念)的文献中还存在空白。目的：本研究的主要目的是(1)描述护士关于EBP的知识、信念、技能和需求；(2)确定这些变量之间是否存在关系；方法：对160名参加EBP会议或研讨会的护士进行描述性调查。结果：虽然参与者对EBP的益处有较高的信念，但对EBP的知识知晓率相对较低。护士实践的循证程度与(1)护士对EBP的知识，(2)护士对EBP益处的信念，(3)有EBP导师，以及(4)使用Cochrane系统评价数据库和国家指南信息中心之间存在显著的关系。结论和启示：卫生保健系统需要实施干预措施，不仅增加护士的EBP知识和技能，而且加强他们对循证护理益处的信念。EBP导师可能是加速向循证护理实践更快转变的关键。迫切需要由理论驱动的随机对照试验来测试促进循证护理干预措施的有效性。
BACKGROUND: The paradigm shift to evidence-based nursing practice in the United States has been slow. Although multiple barriers to evidence-based practice (EBP) have been identified through prior studies, there is a gap in the literature specifically identifying key variables (e.g., belief that EBP produces quality outcomes) that are correlated with the extent to which nurses engage in EBP.AIM: The primary aims of this study were to (1) describe nurses' knowledge, beliefs, skills, and needs regarding EBP; (2) determine whether relationships exist among these variables; and (3) describe major barriers and facilitators to EBP.METHODS: A descriptive survey was conducted with a convenience sample of 160 nurses who were attending EBP conferences or workshops in four states located within the Eastern Region of the United States.RESULTS: Although participant beliefs about the benefit of EBP were high, knowledge of EBP was relatively low. Significant relationships were found between the extent to which the nurses' practice is evidence-based and (1) nurses' knowledge of EBP, (2) nurses' beliefs about the benefits of EBP, (3) having an EBP mentor, and (4) using the Cochrane Database of Systematic Reviews and the National Guideline Clearinghouse.CONCLUSION AND IMPLICATIONS: Health care systems need to implement interventions that not only increase nurses' EBP knowledge and skills, but also strengthen their beliefs about the benefit of evidence-based care. EBP mentors may be key in accelerating a more rapid shift toward evidence-based nursing practice. Theoretically driven randomized controlled trials are urgently needed to test the effectiveness of interventions on advancing evidence-based care.