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实施基于证据的实践中的障碍和促进者:在护理管理人员中进行的一项平行横截面混合方法研究
Nourah Alsadaan1, Osama Mohamed Elsayed Ramadan2
1College of Nursing, Nursing Administration and Education Department, Jouf University, Sakaka, 72388, Saudi Arabia. naalsadan@ju.edu.sa.
沙特阿拉伯的护理管理人员面临资源障碍,无法采用基于证据的实践 (EBP). 组织支持和领导力是克服这些挑战和提高医疗保健质量的关键.
科学领域:
- 医疗保健管理的管理
- 护理管理的护理管理.
- 基于证据的实践.
背景情况:
- 基于证据的实践 (EBP) 对于高质量的医疗保健至关重要.
- 在EBP倡导和临床采用之间存在差距,特别是在资源有限的环境中.
研究的目的:
- 调查沙特阿拉伯医院护理管理人员采用EBP的障碍和促进因素.
- 通知制定有针对性的干预措施,以加强EBP的实施.
主要方法:
- 涉及调查和采访的横截面,混合方法设计.
- 调查了385名护理管理人员;在沙特阿拉伯北部地区的12个医院类型中进行了40次采访.
- 使用描述性,相关性和主题方法分析数据.
主要成果:
- 工作人员和时间不足是主要障碍 (平均值=4.05).
- 支持性政策和领导经验对EBP采用产生了积极影响 (p=0.015).
- 资源限制与EBP采用意愿有负相关性 (r=-0.17至-0.35).
结论:
- 组织支持,领导力倡导和定制干预措施对于克服EBP障碍至关重要.
- 沙特医疗保健中的性别多样性和层次动态为EBP改善提供了独特的见解.
- 调查结果为决策者和护理领导者提供了可行的策略,以提高EBP采用和医疗保健结果.
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