目的 设计基于促进证据应用模式的证据应用培训方案,评价该培训方案对临床护理人员的循证护理知识、态度与能力的影响,并了解培训对象对方法学培训的满意度.方法 采用类实验性研究设计,对来自上海市11所三级甲等医院的44名临床护理人员开展为期6个月的理论授课、小组讨论、案例分享、项目设计和实施等多种方法相结合的综合性证据应用培训,并使用循证护理知识、态度、能力问卷在培训3个月后、培训6个月后对培训效果进行测评.结果 培训对象在培训前、培训3个月后、6个月后的循证护理知识与能力得分差异具有统计学意义(P＜0.05),态度得分差异无统计学意义(P＞0.05),培训对象对方法学培训过程和内容的满意率均＞80％,并完成22个证据应用项目.结论 基于促进证据应用模式的证据应用培训能够提高培训对象的循证护理知识与能力,对提高培训对象的循证护理态度无显著效果,培训对象对方法学培训的满意度较高,项目完成较好.%Objective To develop training program of evidence implementation(EI) based on PARIHS model and to evaluate the effectiveness on clinical nurses for evidence-based nursing knowledge,attitudes and ability,and to understand the evaluation of participants about the methodological training.Methods A quasi-experiment design was conducted.A 6-month comprehensive evidence implementation training program was developed including methodological lecture,group discussion,EI case analysis,EI project development and implementation,and was carried out among 44 clinical nurses from 11 tertiary hospitals in Shanghai.The participants' EBN knowledge,attitudes and ability were measured by EBN knowledge,attitudes and ability questionnaire at 3 months and 6 months after training.Results Participants' EBN knowledge and ability were significantly improved at 3 months and 6 months after training(P＜0.05),and participants' EBN attitude had no significant difference before and after training (P＞0.05).The level of training satisfaction among participants was higher than 80.0％,and participants had finished 22 evidence implementation programs.Conclusion Evidence implementation training based on PARIHS can enhance clinical nurses' EBN knowledge and ability.Participants' EBN attitude hasn't been significantly improved.Participants have high satisfaction towards methodological training.
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