某综合医院护士《促进以患者为中心的学习》指南应用准备度评估及影响因素研究  

Evaluation and influencing factors of application readiness of the Facilitating ClientCentred Learning guideline among nurses in a general hospital

作　　者：李晶[1] 王秀英[1] 陶珍晖[1] 丁炎明[1] Li Jing;Wang Xiuying;Tao Zhenhui;Ding Yanming(Nursing Department,Peking University First Hospital,Beijing 100034,China)

机构地区：[1]北京大学第一医院护理部,北京100034

出　　处：《中华现代护理杂志》2020年第32期4501-4506,共6页Chinese Journal of Modern Nursing

摘　　要：目的评估某综合医院护士《促进以患者为中心的学习》指南应用准备度并分析其影响因素。方法采用整群抽样调查的方法,于2019年12月选取某综合医院拟应用该指南的12个护理单元的138名护士作为研究对象,采用循证护理实践准备度评估量表评估指南应用准备度,通过自设的影响因素调查问卷调查并分析影响因素。共收回问卷138份,有效问卷138份,有效率为100%。结果138名护士循证护理实践准备度评估量表得分为(134.17±15.57)分。其中证据分量表得分为(51.35±6.22)分;组织环境分量表得分为(39.85±5.00)分;促进因素分量表得分为(42.97±5.88)分。单因素分析显示,不同初始学历、是否接受过循证实践培训的护士循证护理实践准备度总分比较,差异均有统计学意义(P<0.05)。多重线性回归分析显示,初始学历、是否接受过循证实践培训为护士循证实践准备度的影响因素(P<0.05)。结论护士循证实践准备度受初始学历和以前是否接受过循证实践培训影响。建议指南应用的管理者营造支持循证实践的组织环境,加强循证实践的领导力,开展适合不同群体、多种形式的培训项目,提高护士长、指导护士和普通护士的循证实践的知识、信念和技能,为顺利应用指南打好基础。Objective To evaluate the readiness for application of the Facilitating Client Centred Learning guideline among nurses in a general hospital and analyze its influencing factors.Methods In December 2019,cluster sampling was used to select 138 nurses from 12 nursing units in a general hospital who intended to apply the guideline as research subjects.The Clinic Readiness of Evidence-Based Nursing Assessment(CREBNA)was used to evaluate the readiness of the guideline application,and the influencing factors were investigated and analyzed through the self-designed Influencing Factors Questionnaire.A total of 138 questionnaires were retrieved and 138 valid questionnaires were collected,with an effective rate of 100%.Results Among 138 nurses,the score of CREBNA was(134.17±15.57).The scores of the evidence subscale,organization environment subscale and promotion factor subscale were(51.35±6.22),(39.85±5.00)and(42.97±5.88)respectively.Univariate analysis showed that the differences in the total score of CREBNA of nurses with different initial qualifications and whether they received evidence-based practice training were statistically significant(P<0.05).Multiple linear regression analysis showed that the influencing factors of nurses'readiness for evidence-based practice included the initial qualifications and whether they received evidence-based practice training with statistical differences(P<0.05).Conclusions Nurses'readiness for evidence-based practice is affected by their initial qualifications and whether they have received evidence-based practice training.It is recommended that managers applying the guideline create an organizational environment that supports evidence-based practice,strengthen leadership in evidence-based practice,develop training programs suitable for different groups and various forms,and improve the knowledge,beliefs and skills of evidence-based practice for head nurses,guidance nurses and general nurses to lay a solid foundation for the smooth application of the guideline.

关 键 词：护士 循证实践 准备度 影响因素 《促进以患者为中心的学习》指南 

分 类 号：R47[医药卫生—护理学]