急诊科护士循证实践能力及影响因素分析  

The status and influencing factors of evidence-based practice ability among emergency nurses

作　　者：蒋云[1] 崔妙玲[1] 应燕萍[1] 杨丽[1] 黄霜霞[1] 钟娟[1] JIANG Yun;CUI Miao-ling;YING Yan-ping;YANG Li;HUANG Shuang-xia;ZHONG Juan

机构地区：[1]广西医科大学第一附属医院,南宁市530021

出　　处：《中华护理教育》2020年第5期469-472,共4页Chinese Journal of Nursing Education

基　　金：广西教育科学规划课题(2015C348);广西医科大学研究生课程建设重点项目(YJSA2019007)。

摘　　要：目的了解急诊护士循证实践能力现状,探究其可能的影响因素,为培养急诊护士循证实践能力提供参考。方法采用便利抽样方法,用循证实践能力评估量表对广西46所医院236名急诊护士进行横断面调查。结果急诊护士循证实践能力评估量表的总均分为(3.43±0.35)分,各维度均分由高至低依次为态度(3.77±0.37)分、知识(3.34±0.49)分、技能(3.17±0.47)分。急诊护士的学历对循证实践能力总分有影响(R^2=0.012);学历、是否具有急诊急救专科护士证书对循证实践态度有影响(R^2=0.046);年龄对循证实践知识有影响(R^2=0.065);近5年以第一作者或通信作者发表论文篇数对循证实践技能有影响(R^2=0.015)。结论目前广西急诊护士能够积极对待循证护理实践,但循证实践能力整体水平有待提高,可根据循证实践能力的薄弱点针对性制订培训计划,以提高急诊护士循证实践能力,促进循证实践在临床全面开展。Objective To understand the status of evidence-based practice ability of emergency nurses,and to explore its possible influencing factors.Methods By convenience sampling,a cross-sectional survey of 236 nurses from 46 hospitals in Guangxi was conducted using the Chinese version of Evidence Based Practice Evaluation Competence Questionnaire(EBP-COQ).Results The total average score of EBP-COQ of emergency nurses was(3.43±0.35),and the average scores of all dimensions were(3.77±0.37)for total,(3.34±0.49)for knowledge,and(3.17±0.47)for skill.Multiple linear regression analysis showed that educational background had significant effect on the total score of the EBP-COQ;educational background,and whether there was a certificate of emergency specialist nurses affected evidence-based practice attitudes;age affected evidence-based practice knowledge.In recent 5 years,the number of papers published as first author or corresponding author affected evidence-based practical skills.Conclusion At present,emergency nurses in Guangxi can treat the practice of evidence-based nursing positively,but the whole level of evidence-based practice ability needs to be improved.According to the weakness of evidence-based practice ability,the training plan can be formulated to improve the evidence-based practice ability of emergency nurses,and promote evidence-based practice in clinical practice all-round development.

关 键 词：护士 急诊室 医院 循证实践 问卷调查 影响因素分析 

分 类 号：R47[医药卫生—护理学]