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描述护士关于基于证据的实践变革的沟通:对医院护士的社交网络分析
Élise N Arsenault Knudsen1, Marlon P Mundt2, Linsey M Steege1
1School of Nursing, University of Wisconsin-Madison, Madison, Wisconsin, USA.
医院护士是医院的护士.
科学领域:
- 实施科学 实施科学
- 护理实践 护理实践
- 社交网络分析 社交网络分析
背景情况:
- 护士对于提供基于证据的护理至关重要.
- 社交网络可以影响采用基于证据的实践 (EBP).
- 关于医院护士的沟通网络和EBP采用的研究有限.
研究的目的:
- 绘制包括管理人员在内的医院护士之间的通信网络.
- 了解与住院病房的实践变化相关的沟通模式.
主要方法:
- 使用社交网络分析 (SNA) 进行描述性,探索性,横截面研究.
- 社会测量调查收集了关于从护士 (单位到行政层面) 对实践变化的沟通频率的数据.
- 进行了网络指标 (密度,直径,路径长度,集中,互惠) 和子网络分析.
主要成果:
- 在两个重症监护病房的148名护士中观察到高沟通频率.
- 网络措施在各个单位和子网络中一致.
- 确定了中心角色 (负责护士,护士领导),以及新护士的外围角色;与班次和周末相关的子网络.
结论:
- 利用现有的沟通网络,包括论领袖和子网络,以加强EBP的实施.
- 使用SNA来评估通信网络对EBP吸收和患者结果的影响.
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