临床护士循证护理认知与实践现状的调查分析  

Investigation and Analysis on Cognition and Practice of Clinical Nurses’ Evidence-Based Nursing

作　　者：罗艺[1] 金红[2] 陈婧[3] 杨慧[4] 刘冰[4] 

机构地区：[1]辽宁医学院研究生学院,辽宁锦州121000 [2]湖北省荆门市第一人民医院,湖北荆门448000 [3]湖北医药学院附属太和医院,湖北十堰442000 [4]湖北医药学院药护学院,湖北十堰442000

出　　处：《循证医学》2012年第6期351-353,368,共4页The Journal of Evidence-Based Medicine

摘　　要：目的了解临床护士循证护理认知与实践的现状,探讨改善措施,旨在促进循证护理在我国的发展。方法采用分层整群抽样的方法对某三甲医院临床护士进行问卷调查,通过Epidata3.1软件录入数据,运用SPSS 18.0软件进行统计学分析。结果①不同学历、不同职称的临床护理人员对循证护理的认知情况差异有统计学意义(χ2值分别为13.028、10.468,P值均小于0.05),学历越高、职称越高的临床护理人员对循证护理认知度越高(线性及线性组合χ2值分别为10.600、12.029,P值均<0.01)。②护士实行循证护理的最大障碍:不了解统计学原理,没有时间进行相关研究,研究成果无法推广,英文文献难以理解等。③护士认为的最佳改进措施:提高管理层的支持(73.0%),令研究报告更容易查询(70.8%),提供同事间的支持机制(70.1%)等。结论临床护士普遍缺乏循证护理理念,应从改善护士自身素质、提高管理层支持等角度出发,推动循证护理在我国的发展。Objective To investigate nursing staff＇s cognition and practice of evidence-based nursing, explore improvement measures, and promote the development of evidence-based nursing in our country. Method The questionnaire survey was conducted in a three level of first-class hospital with stratified-cluster sampling method. Result（1） There were statistical differences among different levels of education （X2=13.028, P〈0.01） or different technical titles （X2=10.468, P〈0.05） of people in understanding of evidence-based nursing. Nurses with higher education and higher title had more awareness of evidence-based nursing. （2） Some big barriers in using research evidence in practice were unable to understand statistical principles; lack of enough time for related research; the results were not generalization to expand and research reports were published in English, therefore difficult to understand. （3）The effective facilitators in using research evidence in practice were enhancing managerial support research implementation （73.0%）; made study more easier to query（70.8%）; provided colleagues support mechanism （70.1%）. Conclusion Clinical nurses are lack in idea of evidence-based nursing, we should improve the nurses＇ own quality, and the management support to promote the evidence-based nursing in the development of our country.

关 键 词：循证护理 护士 调查分析 

分 类 号：R47[医药卫生—护理学]