机械通气病人急性胃肠损伤分级护理方案的循证护理实践准备度评估  

Evaluation of evidence-based nursing practice readiness of graded nursing scheme for acute gastrointestinal injury in patients with mechanical ventilation

作　　者：张梓靖 郑剑煌[2] ZHANG Zijing;ZHENG Jianhuang(School of Nursing,Fujian Medical University,Fujian 350108 China)

机构地区：[1]福建医科大学护理学院,福建350108 [2]福建医科大学附属第二医院

出　　处：《循证护理》2024年第15期2696-2701,共6页Chinese Evidence-Based Nursing

摘　　要：目的:调查机械通气病人急性胃肠损伤分级护理方案的循证实践准备度,识别开展循证实践的促进因素及障碍因素,促进证据向实践的成功变革。方法:采用连续性抽样法,选取某三级甲等医院重症医学科参与机械通气病人急性胃肠损伤分级护理方案的临床护理人员68名,采用自制的基本资料调查表和循证护理实践准备度评估量表进行调查,计算总量表及各分量表得分,并分析影响总量表及分量表得分的相关因素。结果:循证护理实践准备度量表总得分为(128.45±18.47)分,证据分量表得分为(52.65±7.17)分,组织环境分量表得分为(37.12±5.87)分,促进因素分量表得分为(38.68±7.45)分。条目25、条目26、条目27得分较低(均<4分)。单因素分析结果显示,科研经历影响量表总得分及证据分量表得分(P<0.05),循证实践经历影响证据分量表得分(P<0.05)。结论:证据准备度及组织环境准备度水平较好,但在促进因素准备度中存在决策权缺失、循证实践培训到位及激励机制不完善的问题,研究团队应及时制定应对策略,降低或消除上述因素对证据转化的阻碍。Objective:To investigate the readiness of evidence-based practice of graded nursing program for acute gastrointestinal injury in patients with mechanical ventilation,identify the promoting factors and obstacles to evidence-based practice,and promote the successful change of evidence to practice.Methods:A total of 68 clinical nurses from the intensive care department of a Grade A hospital who participated in the graded nursing plan for acute gastrointestinal injury in patients with mechanical ventilation were selected by continuous sampling method.The self-made basic data questionnaire and evidence-based nursing practice readiness assessment scale were used to investigate,and the scores of the total scale and each subscale were calculated.The relevant factors affecting the score of total scale and subscale are analyzed.Results:The total score of evidence-based nursing practice readiness scale in each subscale was(128.45±18.47),evidence subscale was(52.65±7.17),organizational environment subscale was(37.12±5.87),and facilitation subscale was(38.68±7.45).Entries 25,26,and 27 had low scores(all<4).The results of univariate analysis showed that research experience affected the total score of the scale and the score of the evidence subscale(P<0.05),and evidence-based practice experience affected the score of the evidence subscale(P<0.05).Conclusion:Evidence readiness and organizational environment readiness are good,but there are problems such as lack of decision-making power,evidence-based practice training in place and imperfect incentive mechanism in facilitating factor readiness.The research team should formulate coping strategies in time to reduce or eliminate the obstacles of these factors to evidence transformation.

关 键 词：循证实践 准备度 循证护理 证据转化 

分 类 号：R473[医药卫生—护理学]