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三甲医院护士循证护理实践知信行现状及影响因素研究

A study on the current situation and influencing factors of evidence-based nursing practice knowledge-attitude-practice among nurses in third Class A hospitals
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摘要 目的 探索三级甲等综合医院的临床护士循证护理实践知识技能、态度和行为的能力水平现况及其影响因素。方法 采用便利抽样方式,于2023年3月选取蚌埠市3所三级甲等综合医院的251名临床护士为研究对象,采用一般资料调查表、循证实践知信行量表对其开展问卷调查,分析循证护理实践知信行现状并探讨相关影响因素。结果 251名三级甲等综合医院临床护士的循证实践知信行总分为(105.24±20.98)分,条目均分为(4.38±0.87)分,知识技能维度总分为(55.61±11.22)分、均分为(4.27±0.86)分,实践态度维度总分为(22.80±5.15)分、均分为(4.56±1.03)分,实践行为维度总分为(26.82±7.05)分、均分为(4.47±1.17)分。其中,实践态度的均分最高、知识技能的均分最低。单因素分析显示,年龄、职称、工作年限、计算机技能、专科技术水平、职业态度、循证护理知晓程度、循证护理培训经历、循证实践经历、实施个性化护理的能力、循证护理临床实用性均是临床护士循证实践知信行总分的影响因素(P<0.05)。多元线性回归分析显示,计算机技能、职业态度、循证护理知晓程度、循证实践经历、实施个性化护理的能力均是蚌埠市三级甲等综合医院临床护士循证护理实践知信行水平的影响因素(P<0.05)。结论 三级甲等综合医院的临床护士循证护理实践知信行水平仍有待提高,管理者应根据各种影响因素制定并开展针对性的培训方案,进一步提高医疗护理服务水平。 Objective A study was conducted to investigate the current status of capacity levels and factors influencing the knowledge-attitude-practice of evidence-based nursing in Grade 3A general hospital.Methods In March 2023,a convenience sampling method was employed to select 251 clinical nurses as research subjects from three Grade 3A general hospitals in Bengbu City.Questionnaire surveys were conducted using the general information questionnaire and the evidence-based practice questionnaire to analyze the current situation and explore the relevant influencing factors.Results The total scores of evidence-based nursing practice knowledge-attitude-practice among 251 clinical nurses in Grade 3A general hospitals were(105.24±20.98) points.The entry mean score was(4.38±0.87) points.The scores for each dimension were as follows:knowledge skills had a total score(55.61±11.22) points and a mean score of(4.27±0.86) points,attitude towards practice behavior had a total score(22.80±5.15) points and a mean score of(4.56±1.03) points,and practice behavior had a total score of(26.82±7.05) points and a mean score of(4.47±1.17) points.Among these dimensions,practical attitude had the highest mean scores,while knowledge skills had the lowest mean scores.One-way analysis showed significant differences among the 251 clinical nurses in terms of age,title,years of experience,computer skills,specialized technical skills,professional attitudes,knowledge of evidence-based nursing,experience of training in evidence-based nursing,experience of evidence-based practice,ability to implement personalized nursing care,and the practicality of evidence-based nursing practice(P<0.05).Multiple linear regression analysis indicated that computer skills,professional attitude,knowledge of evidence-based nursing,experience of evidence-based practice,and ability to implement personalized care were the factors influencing the level of knowledge,belief,and practice of evidence-based nursing practice among clinical nurses in Grade 3A general hospitals i
作者 邢思思 段晓侠 袁玥 陈玲玲 XING Sisi;DUAN Xiaoxia;YUAN Yue;CHEN Lingling(The Graduate School of Bengbu Medical University,Bengbu,Anhui 233030,China;不详)
出处 《中华全科医学》 2024年第3期522-525,529,共5页 Chinese Journal of General Practice
基金 安徽省高等学校省级质量工程项目(2021jyxm0946)。
关键词 循证护理 知信行 影响因素 Evidence-based nursing Knowledge-attitude-practice Influencing factors
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