与基于证据的决策相关的因素 在肯尼亚内罗毕选定的医疗机构工作的专业护士中,肯尼亚内罗毕,肯尼亚
Safari Agure1,2, Wanja Tenamburgen1, Lillian Muiruri1
1Kenya Methodist University, Nairobi, Kenya.
The East African health research journal
|November 10, 2025
概括
肯尼亚的专业护士经常使用直觉而不是基于证据的决策 (EBDM). 提高护士的研究技能和机构支持是提高EBDM和患者护理的关键.
科学领域:
- 护理科学 护理科学
- 卫生系统研究 卫生系统研究
- 临床决策 - 临床决策
背景情况:
- 基于证据的决策 (EBDM) 对高质量的护理至关重要.
- 护士,特别是在像肯尼亚这样的资源较少的环境中,经常依赖直觉.
- 障碍包括有限的信息获取,知识共享和制度限制.
研究的目的:
- 了解影响肯尼亚专业护士EBDM的因素.
- 确定影响EBDM利用的个人和机构因素.
- 为改善EBDM和患者护理的策略提供信息.
主要方法:
- 同时嵌套混合方法设计.
- 定量:对51名护士进行横截面普查;物流回归分析.
- 定性:对监管人员进行深入采访;主题分析.
主要成果:
- 依赖直觉与EBDM利用率较低显著相关 (p=.039).
- 个别因素 (技能,激励,研究素养) 与EBDM强烈相关 (p=.001).
- 默认的知识,自主性和工作量影响了决策,尽管机构障碍在统计学上并不显著.
结论:
- 奈洛比的专业护士主要使用默认的知识和直觉.
- 提高EBDM需要加强研究技能和机构支持.
- 优先考虑默认知识的翻译对于改善患者的治疗结果至关重要.
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