摘要
目的探讨某三甲医院临床护士循证实践实施氛围现状及影响因素,为护理管理提供理论依据。方法2023年2—3月采用便利抽样法,应用一般情况调查表、循证实践实施氛围量表、实施领导力量表及一般自我效能感量表对浙江省温州市某三甲医院373名临床护士进行问卷调查。结果临床护士循证实践实施氛围得分(2.88±0.73)分;临床护士循证实践实施氛围得分,在不同受教育程度、技术职称、聘用形式、是否参加过循证培训,组间差异有统计学意义(P<0.05);临床护士循证实践实施氛围与实施领导力、一般自我效能及各维度呈正相关(P<0.05);回归分析结果显示,实施领导力、技术职称、自我效能、是否参加过循证培训进入回归方程,可以解释总变异的29.7%。结论三甲医院临床护士循证实践实施氛围有待提高,护理管理者应重视循证实践实施氛围的营造,提供系统、规范的循证护理培训,提升临床护士循证实践实施氛围感知。
Objective To explore the current situation and influencing factors of evidence-based practice atmosphere among clinical nurses in tertiary hospitals,so as to provide theoretical basis for nursing management.Methods From February to March 2023,a questionnaire survey was conducted among 373 clinical nurses in a tertiary hospital in Wenzhou,Zhejiang Province by using convenience sampling method and general situation questionnaire,evidence-based practice implementation atmosphere scale,implementation leadership scale and general self-efficacy scale.Results The score of evidence-based practice atmosphere of clinical nurses was(2.88±0.73);there were significant differences in the scores of education,technical title,employment form and evidence-based training(P<0.05);the evidence-based practice environment of clinical nurses was positively correlated with the implementation leadership,general self-efficacy and all dimensions(P<0.05);the results of regression analysis showed that the implementation of leadership,technical title,self-efficacy,and with evidence-based training entered the regression equation,which could explain 29.7%of the total variance.Conclusion The atmosphere of evidence-based practice of clinical nurses in tertiary hospitals should be improved,and nursing managers should pay attention to the construction of the atmosphere of evidence-based practice,provide systematic and standardized evidence-based nursing training,and promote the awareness of the environment of evidence-based practice for clinical nurses.
作者
林兵思
卢慧芳
叶佩芝
Lin Bingsi;Lu Huifang;Ye Peizhi(Department of ICU,the First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325005,China;Department of General Ward,the Second Affiliated Hospital of Wenzhou Medical University,Wenzhou 325003,China)
出处
《中国医院统计》
2024年第4期303-307,312,共6页
Chinese Journal of Hospital Statistics
关键词
临床护士
循证实践实施氛围
影响因素
调查研究
clinical nurse
evidence-based practice atmosphere
influencing factor
research
