影响普通医院护士基于证据的实践的个人和社会系统因素:一个跨部门的多机构研究
Hla Myo Nwe1,2, Thitinut Akkadechanunt2, Kulwadee Abhicharttibutra2
1University of Nursing, Mandalay, Myanmar.
Journal of clinical nursing
|March 4, 2024
概括
缅甸普通医院的护士报告说,他们很少使用基于证据的实践 (EBP). 感知到的障碍,知识,态度和工作环境显著影响了EBP的采用,突出了改善医疗保健质量的有针对性的干预措施的领域.
科学领域:
- 护理研究 护理研究
- 改善医疗保健质量 改善医疗保健质量
- 基于证据的实践实施实施.
背景情况:
- 基于证据的实践 (EBP) 对于提高医疗保健质量至关重要.
- 全球范围内,护士对EBP的有限使用构成了重大挑战.
- 了解影响EBP采用的因素对于护理实践至关重要.
研究的目的:
- 调查一般医院护士的基于证据的实践 (EBP).
- 检查个人和社会系统因素对护士EBP的影响.
- 在缅甸护理背景下,确定改善EBP的关键决定因素.
主要方法:
- 采用了多机构的横截面研究设计.
- 来自缅甸17家普通医院的336名注册护士使用多阶段随机抽样进行了招聘.
- 通过评估EBP实施,个人因素和社会系统因素的问卷收集数据,并使用描述性统计和多重线性回归分析数据.
主要成果:
- 护士报告说,他们认为基于证据的实践水平很低.
- 个人因素 (感知障碍,知识,态度) 和社会系统因素 (工作环境) 与EBP有显著的关联.
- 这些因素共同解释了护士EBP差异的34%.
结论:
- 工作环境被确定为对基于证据的实践最有影响的因素.
- 个人特征,包括知识,态度和感知障碍,对于执行EBP至关重要.
- 针对这些因素的干预措施可以改善缅甸普通医院的EBP和医疗保健结果.
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