工作投入和障碍对临床护士基于证据的实践实施的影响:一项跨部门研究
Kijung Mun1, Minsung Lee1, Jaelan Shim1
1College of Nursing, Dongguk University-Wise, Gyeongju 38066, Republic of Korea.
Healthcare (Basel, Switzerland)
|November 27, 2024
概括
障碍物显著阻碍护士实施基于证据的实践 (EBP),而不是工作参与. 解决这些障碍和加强护士参与对于通过EBP提高医疗保健质量至关重要.
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.
背景情况:
- 实施基于证据的实践 (EBP) 对于提高医疗保健质量,患者结果和专业满意度至关重要.
- 了解影响临床护士采用EBP的因素对于有效的医疗保健服务至关重要.
- 本研究侧重于工作参与和实施障碍,作为EBP的关键决定因素.
研究的目的:
- 确定工作参与对临床护士基于证据的实践 (EBP) 实施的影响.
- 确定阻碍护士采用EBP的重大障碍.
- 分析工作参与和障碍对EBP实施的相对影响.
主要方法:
- 一项涉及184名在韩国三家综合医院至少有一年临床经验的护士的横截面研究.
- 在2023年7月17日至8月4日期间通过问卷收集的数据.
- 统计分析包括描述性统计,t测试,ANOVA,Scheffe的后期测试,皮尔森的相关性和多重回归.
主要成果:
- EBP实施与工作投入 (r=0.32,p<0.001) 有正相关性,与障碍 (r=-0.44,p<0.001) 有负相关性.
- 多重回归分析表明,工作参与 (β=0.14,p=0.041) 和障碍 (β=-0.39,p<0.001) 都显著影响了EBP的实施.
- 阻碍EBP实施的障碍比工作参与的积极影响产生更强大的负面影响.
结论:
- 支持护士的组织政策,包括绩效激励和培训,对于促进参与和改善EBP至关重要.
- 创造一个提供必要资源的环境对于提高护士在EBP中的参与度和组织绩效至关重要.
- 制定强有力的教育和支持计划对于帮助护士克服障碍并有效实施EBP至关重要.
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