摘要
目的比较和分析医护人员对循证医学(EBM)的认知。方法对江苏省某三甲医院606名临床医护人员进行匿名问卷调查,内容包括:个人和职业信息、医学信息来源、关于循证医学、关于循证医学数据库、关于循证医学障碍和培训共5个方面。结果 219名医生、387名护士的问卷有效回收,有效率53.49%。护士学历层次明显低于医生;当处理某一患者遇到问题时医生比护士更多选择了"教科书"和"研究性文献";医生比护士更多使用网络解决有关患者的难题;护士自认为对最新医学信息不够了解;无论是医生还是护士对EBM里最重要的基本概念"医学证据"不够了解,护士了解程度不如医生;虽然多数医生和护士自认为进入过循证医学专用数据库,但大多数选择的只是普通医学检索平台;医生和护士认为阻碍其进行EBM实践的主要原因前3名是"缺少时间"、"缺乏循证医学相关的知识"和"缺少动力(包括晋升、荣誉、金钱等)";大多数医生和护士对EBM感兴趣,并且愿意接受EBM技能的培训。结论医生和护士对EBM认知现状有所不同,可以采取有针对性的措施去弥补两者之间的差距,达到相互配合、共同提高的目的。
Objective To investigate and compare the cognition of evidence-based medicine（EBM） among doctors and nurses. Methods An anonymous survey was conducted among 606 clinical doctors and nurses in a third-grade class-A hospital in Jiangsu Province. The survey included personal and professional information, sources for medical information, and awareness of evidence-based medicine, EBM databases, and difficulties in EBM and training for EBM. Results Valid questionnaires were collected from 219 doctors and 387 nurses（valid return rate was 53.49%）. The education background of the nurses was distinctly weaker than that of the doctors. The doctors preferred to refer to textbooks and research articles when they encountered problems in treating a patient and they would like to use the Internet for a solution more than the nurses did. The nurses considered themselves to have an inadequate knowledge of the latest medical information. Both doctors and nurses did not have enough understanding of ＂medical evidence＂, which is the most important concept in EBM. The situation was worse with the nurses. Although many doctors and nurses believed that they had searched for information in the special databases for EBM, most of them only used general medical search engines. The three primary factors that the doctors and nurses thought to stand in the way of applying EBM were being lack of time, being lack of EBM related knowledge and being of motives such as job promotion, glories and money. Most doctors and nurses were interested in EBM and willing to take trainings. Conclusions The cognitive situations of EBM are different with the doctors and the nurses. Specific measures can be taken to fill the gap between them, for better cooperation and mutual improvement.
出处
《中国卫生信息管理杂志》
2016年第3期312-318,共7页
Chinese Journal of Health Informatics and Management
基金
2012年南通大学教学研究课题(项目编号:2012B095)
关键词
循证医学
护士
医生
问卷调查
Evidence-based medicine
Nurses
Doctors
Questionnaire
