肿瘤专科护士循证护理能力现状调查及相关因素分析  

Current situation and relevant factors of evidence-based nursing competence of oncology nurse specialists

作　　者：张亚茹[1] 杨红[2] 陆宇晗[2] 陈琦 Zhang Yaru;Yang Hong;Lu Yuhan;Chen Qi(Key Laboratory of Carcinogenesis and Translational Research(Ministry of Education/Beijing),Department of Radiation Oncology,Peking University Cancer Hospital&Institute,Beijing 100142,China;Key Laboratory of Carcinogenesis and Translational Research(Ministry of Education/Beijing),Department of Nursing,Peking University Cancer Hospital&Institute,Beijing 100142,China)

机构地区：[1]北京大学肿瘤医院暨北京市肿瘤防治研究所放疗科,恶性肿瘤发病机制及转化研究教育部重点实验室,北京100142 [2]北京大学肿瘤医院暨北京市肿瘤防治研究所护理部,恶性肿瘤发病机制及转化研究教育部重点实验室,北京100142

出　　处：《中华现代护理杂志》2024年第2期222-227,共6页Chinese Journal of Modern Nursing

摘　　要：目的探讨肿瘤专科护士循证护理能力及其影响因素,为后续开展肿瘤专科护士培训提供参考。方法采用便利抽样法,于2022年10月12—20日选取北京市肿瘤专科护士作为研究对象。采用一般资料调查表、肿瘤专科护士对循证护理认知及培训现状调查表、循证护理能力评定量表、护士创新行为量表、循证实践信念量表、循证实践实施量表和循证实践组织文化与准备度量表简版对护士进行调查。采用单因素分析、多重线性回归分析探讨肿瘤专科护士循证护理能力的影响因素。结果本研究共纳入肿瘤专科护士183名。循证护理能力得分为53(39,65)分,护士创新行为得分为30(25,33)分,循证实践信念、循证实践实施、循证实践组织文化与准备度量表得分分别为9(8,10)、9(7,9)、9(6,9)分。多重线性回归分析显示,肿瘤专科护士循证护理能力的主要影响因素有护士创新行为、循证实践组织文化与准备度、阅读专业文献频率、循证护理培训时长(P<0.05),可解释肿瘤专科护士循证护理能力总变异的34.6%。结论肿瘤专科护士的循证护理能力有待提升,建议医院或护理管理者营造良好的科研氛围,鼓励创新,丰富循证数据库资源,开展循证护理培训和实践,有助于护士循证护理能力的提升。Objective To explore the current situation of evidence-based nursing competence of oncology nurse specialists and its influencing factors,so as to provide reference for conducting oncology nurse specialist training courses.Methods From October 12th to 20th,2022,convenience sampling was used to select oncology nurse specialists from Beijing as the research subject.The survey was conducted using the General Information Questionnaire,Oncology Nurse Specialists'Cognition and Training Questionnaire on Evidence-based Nursing,Evidence-based Nursing Competence Scale,Nurse Innovative Behavior Scale,short versions of the Evidence-based Practice(EBP)Beliefs Scale,the EBP Implementation Scale,and the EBP Organizational Culture and Readiness Scale.Single factor analysis and multiple linear regression were used to explore the influencing factors of evidence-based nursing competence of oncology nurse specialists.Results A total of 183 oncology nurse specialists were included.The scores of evidence-based nursing competence and innovative behavior of nurses were 53(39,65)and 30(25,33)respectively.The scores of the EBP Beliefs Scale,the EBP Implementation Scale,and the EBP Organizational Culture and Readiness Scale were 9(8,10),9(7,9),and 9(6,9),respectively.Multiple linear regression analysis showed that the main influencing factors of evidence-based nursing competence of oncology nurse specialists were nurse innovation behavior,evidence-based practice organizational culture and readiness,frequency of reading specialized literature,and duration of evidence-based nursing training(P<0.05),which could explain 34.6%of the total variation.Conclusions The evidence-based nursing competence of oncology nurse specialists needs to be improved.It is recommended that hospitals or nursing managers create an excellent research atmosphere,encourage innovation,enrich evidence-based database resources,and carry out evidence-based nursing training and practice to enhance nurses'evidence-based nursing competence.

关 键 词：肿瘤 专科护士 循证护理能力 影响因素 创新行为 组织文化 

分 类 号：R473.73[医药卫生—护理学]