探索组织文化的影响,以证据为基础的实践在第三级医院护士的采用:一个定性研究
1Department of Medical Surgical Nursing, College of Nursing, King Saud University, Riyadh, 11451, Saudi Arabia. aalodhailah@ksu.edu.sa.
BMC nursing
|August 6, 2025
概括
组织文化显著影响沙特三级医院护士采用基于证据的实践 (EBP). 层次结构和不一致的消息传递会造成障碍,而同行支持和专业代理可以促进EBP的整合.
科学领域:
- 护理研究 护理研究
- 医疗保健管理的管理
- 组织行为 组织行为
背景情况:
- 基于证据的实践 (EBP) 对于高质量的护理服务至关重要.
- 尽管有培训,但EBP在第三级环境中的整合是不一致的.
- 在中东,组织文化的对EBP的影响未被充分研究.
研究的目的:
- 探索组织文化如何影响护士们采用EBP.
- 专注于沙特阿拉伯利雅得的三级医院.
- 调查影响基于证据的实践整合的文化因素.
主要方法:
- 定性现象学研究. 定性现象学研究.
- 在三家三级医院采访了20名注册护士.
- 使用布劳恩和克拉克的框架进行主题分析.
主要成果:
- 层次文化和领导力距离抑制了护士机构.
- 机构政策与实践之间的信息不一致.
- 同行影响力和专业代理成为关键因素.
结论:
- 组织文化是EBP采用的重要决定因素.
- 层次规范和领导层的参与是关键的障碍或推动者.
- 文化和关系战略对于促进EBP在三级保健中至关重要.
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