揭示了在西班牙护理中实施基于证据的实践的背景.
Juan Carlos Fernández-Domínguez1,2, Albert Sesé-Abad2,3, Joan Ernest De Pedro-Gómez1,2
1Department of Nursing and Physiotherapy, University of the Balearic Islands, Palma, Spain.
西班牙护士在采用基于证据的实践 (EBP) 时面临组织障碍,例如缺乏支持和时间. 提高EBP需要有针对性的培训和培养支持的文化.
科学领域:
- 护理科学 护理科学
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 基于证据的实践 (EBP) 对高质量的医疗保健至关重要.
- 了解护士采用EBP的障碍和促进因素对于有效的实施策略至关重要.
- 西班牙护士采用EBP受到各种背景因素的影响.
研究的目的:
- 探索影响西班牙护士采用基于证据的实践 (EBP) 的上下文因素.
- 检查社会人口统计学,实践变量和EBP采用之间的相互作用.
- 加强在西班牙医疗保健系统中的EBP实施策略.
主要方法:
- 一项全国性的多中心研究,涉及934名西班牙自愿执业护士.
- 跨截面在线调查设计,利用HS-EBP工具的障碍物/促进者维度.
- 心理测量网络分析以评估EBP障碍物和促进者.
主要成果:
- 主要障碍包括缺乏EBP讨论空间,指导,时间和支持.
- 促进者包括更高的学术资格,EBP培训和专业发展.
- 农村护士和那些有重重临床职责的人面临着重要的EBP障碍.
结论:
- 组织障碍,包括激励和支持不足,阻碍了EBP的实施.
- 优先考虑实践培训,专业发展和强有力的计划可以提高EBP.
- 一个支持性的组织文化和领导力对于成功的EBP采用至关重要.
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