Factors Related to Evidence-Based Practices Among Mental Health Nurses in Thailand: A Cross-Sectional Study.

IF 2.4 Q1 NURSING Nursing Reports Pub Date : 2024-10-18 DOI:10.3390/nursrep14040224

Napapat Manitkul, Kwaunpanomporn Thummathai, Patraporn Bhatarasakoon

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Abstract

Background and objectives: Despite the robustness of evidence-based practice in increasing efficiency in nursing care and improving patient safety, using evidence in practice is still rare in mental health nursing. This correlational descriptive research aimed to explore the factors and examine the relationship between attitudes, knowledge/skills, organizational culture, mentorship, and demographic factors to evidence-based practices among mental health nurses working in psychiatric hospitals in Thailand.

Methods: The sample consisted of 255 nurses working in psychiatric hospitals under the Thai Department of Mental Health, located in service units across the country's four regions. The data collection tools included (1) a demographic questionnaire, (2) the Evidence-Based Practice Questionnaire: EBPQ, (3) Organizational Culture & Readiness for System-wide Integration of Evidence-Based Practice: OCRSIEP, and (4) the Evidence-Based Practice Mentorship Scale. Descriptive statistics and Spearman's correlation coefficient were used for data analysis.

Results: The findings revealed that the factors positively correlated with evidence-based practice among mental health nurses in Thailand were attitude with a mean score of 4.90 (r = 0.39, p-value < 0.001), knowledge/skills with a mean score of 4.69 (r = 0.61, p-value < 0.001), organizational culture with a mean score of 3.94 (r = 0.26, p-value < 0.001), and mentorship with a mean score of 2.77 (r = 0.16, p-value = 0.011). Demographic factors such as educational level (r = 0.21, p-value < 0.001) and work experience in psychiatric and mental health nursing (r = 0.14, p-value = 0.031) were also positively correlated.

Conclusions: This research revealed that EBP knowledge and skills are the most significant factors related to evidence-based practice among Thai mental health nurses. Therefore, EBP knowledge and skills should be enhanced in the curriculum during the nursing study and through continuing education once nurses graduate. Organizational culture and mentorship also need to be promoted to strengthen the use of EBP in Thailand.

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泰国心理健康护士中与循证实践相关的因素：一项横断面研究。

背景和目的：尽管循证实践在提高护理效率和改善患者安全方面具有强大的作用，但在精神卫生护理工作中使用循证实践的情况仍然很少。这项相关描述性研究旨在探讨在泰国精神病院工作的精神卫生护士的态度、知识/技能、组织文化、指导和人口统计因素与循证实践之间的关系：样本包括 255 名在泰国精神卫生部下属精神病医院工作的护士，分布在全国四个地区的服务单位。数据收集工具包括：(1) 人口统计学问卷；(2) 循证实践问卷；(3) EBPQ：EBPQ，(3) 组织文化与全系统整合循证实践的准备情况：OCRSIEP，以及 (4) 循证实践指导量表。数据分析采用了描述性统计和斯皮尔曼相关系数：研究结果表明，与泰国精神卫生护士循证实践正相关的因素有：态度，平均得分为 4.90（r = 0.39，p 值 < 0.001）；知识/技能，平均得分为 4.69（r = 0.61，p 值 < 0.001）；组织文化，平均得分为 3.94（r = 0.26，p 值 < 0.001）；指导，平均得分为 2.77（r = 0.16，p 值 = 0.011）。教育水平（r = 0.21，p 值 < 0.001）和精神与心理健康护理工作经验（r = 0.14，p 值 = 0.031）等人口统计学因素也呈正相关：本研究表明，EBP 知识和技能是泰国精神卫生护士循证实践的最重要因素。因此，EBP 知识和技能应在护士学习期间的课程中以及护士毕业后的继续教育中得到加强。还需要促进组织文化和导师制，以加强 EBP 在泰国的应用。

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来源期刊

Nursing Reports NURSING-

CiteScore

2.50

自引率

4.20%

发文量

期刊介绍： Nursing Reports is an open access, peer-reviewed, online-only journal that aims to influence the art and science of nursing by making rigorously conducted research accessible and understood to the full spectrum of practicing nurses, academics, educators and interested members of the public. The journal represents an exhilarating opportunity to make a unique and significant contribution to nursing and the wider community by addressing topics, theories and issues that concern the whole field of Nursing Science, including research, practice, policy and education. The primary intent of the journal is to present scientifically sound and influential empirical and theoretical studies, critical reviews and open debates to the global community of nurses. Short reports, opinions and insight into the plight of nurses the world-over will provide a voice for those of all cultures, governments and perspectives. The emphasis of Nursing Reports will be on ensuring that the highest quality of evidence and contribution is made available to the greatest number of nurses. Nursing Reports aims to make original, evidence-based, peer-reviewed research available to the global community of nurses and to interested members of the public. In addition, reviews of the literature, open debates on professional issues and short reports from around the world are invited to contribute to our vibrant and dynamic journal. All published work will adhere to the most stringent ethical standards and journalistic principles of fairness, worth and credibility. Our journal publishes Editorials, Original Articles, Review articles, Critical Debates, Short Reports from Around the Globe and Letters to the Editor.