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首页> 外文期刊>Bulletin of the Medical Library Association. >Adopting evidence-based practice in clinical decision making: nurses' perceptions, knowledge, and barriers
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Adopting evidence-based practice in clinical decision making: nurses' perceptions, knowledge, and barriers

机译:在临床决策中采用循证实践:护士的看法,知识和障碍

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Objective: Evidence-based practice (EBP) provides nurses with a method to use critically appraised and scientifically proven evidence for delivering quality health care to a specific population. The objective of this study was to explore nurses' awareness of, knowledge of, and attitude toward EBP and factors likely to encourage or create barriers to adoption. In addition, information sources used by nurses and their literature searching skills were also investigated.Method: A total of 2,100 copies of the questionnaire were distributed to registered nurses in 2 public hospitals in Singapore, and 1,486 completed forms were returned, resulting in a response rate of 70.8%.Results: More than 64% of the nurses expressed a positive attitude toward EBP. However, they pointed out that due to heavy workload, they cannot keep up to date with new evidence. Regarding self-efficacy of EBP-related abilities, the nurses perceived themselves to possess moderate levels of skills. The nurses also felt that EBP training, time availability, and mentoring by nurses with EBP experience would encourage them to implement EBP. The top three barriers to adopting EBP were lack of time, inability to understand statistical terms, and inadequate understanding of the jargon used in research articles. For literature searching, nurses were using basic search features and less than one-quarter of them were familiar with Boolean and proximity operators.Conclusion: Although nurses showed a positive attitude toward EBP, certain barriers were hindering their smooth adoption. It is, therefore, desirable that hospital management in Southeast Asia, particularly in Singapore, develop a comprehensive strategy for building EBP competencies through proper training. Moreover, hospital libraries should also play an active role in developing adequate information literacy skills among the nurses.
机译:目标:循证实践(EBP)为护士提供了一种方法,可以使用经过严格评估和科学证明的证据为特定人群提供优质的医疗服务。这项研究的目的是探讨护士对EBP的认识,知识和态度,以及可能鼓励或造成收养障碍的因素。方法:向新加坡2家公立医院的注册护士分发了2,100份问卷调查表,并返回了1,486份完整表格,得到了答复结果:70%以上的护士对EBP持积极态度。但是,他们指出,由于工作量繁重,他们无法及时掌握新证据。关于EBP相关能力的自我效能,护士认为自己具备中等水平的技能。护士们还认为,具有EBP经验的护士进行EBP培训,提供时间并进行指导将鼓励他们实施EBP。采用EBP的三大障碍是时间紧缺,无法理解统计术语以及对研究文章所用术语的理解不足。对于文献搜索,护士使用的是基本搜索功能,其中不到四分之一的人熟悉布尔运算符和接近运算符。结论:尽管护士对EBP持积极态度,但某些障碍阻碍了他们的顺利采用。因此,希望东南亚地区(尤其是新加坡)的医院管理部门制定全面的战略,以通过适当的培训来提高EBP能力。此外,医院图书馆还应在培养护士充分的信息素养技能方面发挥积极作用。

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