河南省三级医院硕士学位护士循证实践能力现状及影响因素分析  

Evidence-based practice competence of nurses with master's degree at Class Ⅲ hospitals in Henan Province and its influencing factors

作　　者：史小艳[1] 郑蔚[1] 程瑞[1] 刘晓辉[2] 李玉雪[1] 侯守超 Shi Xiaoyan;Zheng Wei;Cheng Rui;Liu Xiaohui;Li Yuxue;Hou Shouchao(Department of General Surgery,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Nursing Department,the Second Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450000,China;Operating Department,Henan Provincial People's Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州大学第二附属医院普外科,郑州450000 [2]河南中医药大学第二附属医院护理部,郑州450000 [3]河南省人民医院手术部,郑州450000

出　　处：《中华现代护理杂志》2020年第11期1418-1424,共7页Chinese Journal of Modern Nursing

基　　金：河南省医学教育研究项目(wjlx2018047)。

摘　　要：目的了解河南省三级医院硕士学位护士的护理循证实践能力现状并分析其影响因素,旨在为管理者制订针对性的继续教育方案提供参考。方法采用目的抽样法选取2019年3—4月河南省郑州市6所三级医院的133名硕士学位护士作为研究对象,采用中文版循证实践能力评估量表及循证实践障碍量表对其进行调查,采用多重线性回归分析进行影响因素分。结果133名硕士学位护士的循证实践能力总分为(98.57±11.01)分,循证实践障碍量表总分为(79.66±20.46)分。多重线性回归分析显示,工作年限、职称、参加过循证护理培训、对循证实践知晓度、研究结果的可获得性、开展循证护理的资源条件是硕士学位护士临床循证护理实践能力的影响因素(P<0.05)。结论河南省硕士学位护士循证护理实践能力总体处于中等水平,循证实践态度积极,但循证知识和技能亟待提高。护理管理者应重视硕士学位护士循证护理实践能力的培养,提供更多支持性的资源和环境,促进临床高学历护士循证实践技能的培养,助推专科护理实践的发展。Objective To explore the current situation of evidence-based practice competence of nurses with master's degree at Class Ⅲ hospitals in Henan Province and its influencing factors so as to provide a reference for managers to formulate the targeted continuing education plan.Methods From March 2019 to April 2019,we selected 133 nurses with master's degree of 6 Class Ⅲ hospitals in Zhengzhou City of Henan Province as subjects by purposive sampling.All of nurses were investigated with the Chinese version of Evidence Based Practice Evaluation Competence Questionnaire(EBP-COQ)and the Barriers to Research Utilization Scale.Multiple linear regression was used to analyze the influencing factors.Results Among 133 nurses with master's degree,the total scores of the EBP-COQ and the Barriers to Research Utilization Scale were(98.57±11.01)and(79.66±20.46)respectively.Multiple linear regression analysis showed that the influencing factors of evidencebased practice competence of nurses with master's degree included the working lives,positional titles,attending evidence-based nursing training,awareness to evidence-based practice,accessibility of research funding and resource conditions of evidence-based nursing(P<0.05).Conclusions Nurses with master's degree in Henan Province have the intermediate level of evidence-based practice competence and positive attitudes to evidencebased practice,but their evidence-based knowledge and skills need to be improved.Nursing managers should pay more attention to evidence-based practice competence training of nurses with master's degree,provide many supportive resources and environments,promote evidence-based practice skills training so as to boost the development of specialist nursing practice.

关 键 词：护士 硕士学位 循证实践 调查 

分 类 号：G643[文化科学—高等教育学] R47-4[文化科学—教育学]