大专及以上实习护生循证护理知信行现状及其影响因素的调查  

Influencing factors and the status of knowledge, attitude and practice on the evidence-based nursing among college degree and above nursing students

作　　者：曾铁英[1] 毛秋婷[1] 张琪[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院护理部,武汉430030

出　　处：《中华现代护理杂志》2012年第19期2233-2236,共4页Chinese Journal of Modern Nursing

基　　金：华中科技大学“教学质量工程”第三批教学研究项目（[2009]117号）

摘　　要：目的了解临床实习护生循证知信行的整体水平及其影响因素。方法采用自行设计的问卷对192名大专及以上学历的护生进行调查。循证知信行自评问卷包括循证护理基础知识部分（8项）、循证态度和信念部分（14项）和循证实践行为部分（8项），采用3级评分法，每项赋分1—3分。该调查问卷的Cronbach’s α系数为0．910，知识、态度和信念及实践行为各维度的Cronbach’s α系数分别为0．850，0．897，0．893。结果共发放问卷192份，回收有效问卷180份，问卷的有效回收率为93．75％。护生的自评得分中知识、态度和信念、行为得分分别是（10．85±2．83），（34．34±4．94），（10．84±3．24）分。学习形式、循证护理培训、循证实践经历是影响循证知信行整体水平的主要因素（P〈0．05）。结论护生对循证实践的态度较为积极，但缺乏相关的循证护理基本知识，且较少开展循证实践行为。护生的循证护理培训应该加强，且越早越好。Objective To study the knowledge, attitude and practice on the evidence-based nursing （EBN） and its influencing factors. Methods A total of 180 nursing students with the high education were recruited and investigated with a self-designed questionnaire, which included fundamentals of knowledge （8 items）, evidence-based attitude and belief（ 14 items ）, evidence-based practice （8 items ）, and adopted 3 rating scale, every natural endowments 1-3 points. The Cronbach＇s α of the questionnaire was 0. 910, and its Cronbach＇s α of items respectively was 0. 850,0. 897,0. 893. Results The mean score of knowledge, attitude and belief, and behavior was （ 10.85 ± 2.83 ）, （34.34 ± 4.94）, （ 10.84 ± 3.24）, respectively. The study mode, evidence-based nursing training, evidence - based nursing practice were the main influencing factors of the overall level（P 〈 0.05）. Conclusions The clinical nursing students show a positive attitude toward EBN, but they lack of basic EBN knowledge and practice. So the evidence-based nursing training should be strengthened and the sooner the better.

关 键 词：循证护理 知信行 影响因素 实习护生 

分 类 号：R47-4[医药卫生—护理学]