J. Duff, M. Butler, M. Davies, Robyn Williams, Jannelle Carlile
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引用次数: 10
摘要
循证实践已被证明对患者预后有积极影响;不幸的是,有许多因素阻碍了医疗保健临床医生使用研究证据。我们之前的研究报告了一项多地点调查,评估了澳大利亚围手术期护士的知识、实践、态度和对证据使用的感知障碍。随后的分析使用单变量和多变量二元逻辑回归,优势比(OR)和95%置信区间(CI)来比较护士个人和高循证实践(EBP)使用的组织特征。与EBP相关的两个护士个体特征是研究生学历(OR 1.69, 95% CI 1.07-2.6, p=0.02)和以前的研究经历(OR 1.9, 95% CI 1.6-2.4, p=0.01)。与EBP相关的组织特征包括访问互联网(OR为2.04,95% CI为1.3-3.0,p=0.001)和接受持续的EBP教育(OR为1.6,95% CI为1.1-2.5,p=0.01)。既往研究经验(OR 1.6, 95% CI 1.0-2.3, p=0.01)是EBP的唯一独立预测因子。鉴于我们的发现,我们建议做出更大的努力来促进护士参与围手术期的研究。
Factors that predict evidence use by Australian perioperative nurses
Evidence-based practice has been demonstrated to positively
impact patient outcomes; unfortunately, there are many factors
that hinder the use of research evidence by healthcare clinicians.
Our previous study reported a multisite survey assessing
Australian perioperative nurses knowledge, practice, attitude, and
perceived barriers to evidence use. This subsequent analysis used
univariate and multivariate binary logistic regression with odds
ratios (OR) and 95% confidence intervals (CI) to compare individual
nurse and organisational characteristics with high evidencebased
practice (EBP) use. Two individual nurse characteristics
found to be related to EBP were postgraduate qualifications (OR
1.69, 95% CI 1.07–2.6, p=0.02) and previous research experience
(OR 1.9, 95% CI 1.6–2.4, p=0.01). Organisational characteristics
related to EBP included access to the internet (OR 2.04, 95% CI
1.3–3.0, p=0.001) and access to ongoing EBP education (OR 1.6,
95% CI 1.1–2.5, p=0.01). Previous research experience (OR 1.6, 95%
CI 1.0–2.3, p=0.01) was the only independent predictor of EBP.
Given our finding, we suggest that considerably greater effort be
made to facilitate nurses involvement in research studies in the
perioperative setting.