護理人員實證護理能力之探究及其在臨床上之應用

許麗齡; 謝素英; 黃雅萱

doi:10.6224/JN.62.5.30

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P30 - 40

医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学

DOI： 10.6224/JN

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护理人员实证护理能力之探究及其在临床上之应用

A Study of the Evidence-Based Nursing Practice Competence of Nurses and Its Clinical Applications

许丽龄(Li-Ling Hsu) ；谢素英(Suh-Ing Hsieh) ；黄雅萱(Ya-Hsuan Huang)

护理杂志； 62 卷 5 期 (2015 / 10 / 01) ， P30 - 40

繁体中文 DOI： 10.6224/JN.62.5.30

实证护理；知识；自我效能；实证照护；护理人员； evidence-based nursing ； knowledge ； self-efficacy ； evidence-based practice ； nurses

4 个人觉得这篇文章赞

摘要 │ 参考文献 (37) │ 被引用文献 (1) │ 国际计量

摘要〈TOP〉

并列摘要〈TOP〉

Background: Nurses must develop competence in evidence-based nursing in order to provide the best practice medical care to patients. Evidence-based nursing uses issue identification, data mining, and information consolidation from the related medical literature to help nurses find the best evidence. Therefore, for medical institutions to provide quality clinical care, it is necessary for nurses to develop competence in evidence-based nursing. Purpose: This study aims to explore the effect of a fundamental evidence-based nursing course, as a form of educational intervention, on the development of evidence-based nursing knowledge, self-efficacy in evidence-based practice activities, and outcome expectations of evidence-based practice in nurse participants. Further the competence of these nurses in overcoming obstacles in evidence-based nursing practice. Methods: This quasi-experimental study used a pre-post test design with a single group of participants. A convenience sample of 34 nurses from a municipal hospital in northern Taiwan received 8 hours of a fundamental evidence- based nursing course over a two-week period. Participants were asked to complete four questionnaires before and after the intervention. The questionnaires measured the participants' basic demographics, experience in mining the medical literature, evidence-based nursing knowledge, self-efficacy in evidence-based practice activities, outcome expectations of evidence-based practice, competence in overcoming obstacles in evidence-based nursing practice, and learning satisfaction. Collected data was analyzed using paired t, Wilcoxon Signed Rank, and McNemar tests to measure the differences among participants' evidence-based nursing knowledge and practice activities before and after the workshop. Results: The nurses demonstrated significantly higher scores from pre-test to post-test in evidence-based nursing knowledge II, self-efficacy in evidence-based nursing practice activities, and outcome expectations of evidence-based practice. Although the differences did not reach statistical significance, the post-test scores were significantly lower than pre-test scores in terms of the measurement of the nurses' obstacles in evidence-based nursing practice, which indicates significant improvements from pre-test to post-test in terms of the competence of participants in overcoming obstacles in evidence-based nursing practice. Conclusions: The intervention was found to be effective in improving the evidence-based nursing knowledge, self-efficacy in evidence-based nursing practice activities, and outcome expectations of evidence-based practice of participants and effective in reducing their obstacles in evidence-based nursing practice. Medical institutions should provide evidence-based nursing courses on a regular basis as a part of in-service education for nurses in order to help nurses develop the evidence-based nursing knowledge and practical competence required to provide quality clinical care.

参考文献 ( 37 ) 〈TOP〉

Adams, S.,Barron, S.(2009).Use of evidence-based practice in school nursing: Prevalence, associated variables, and perceived needs.Worldviews on Evidence-Based Nursing,6(1),16-26.
Bahtsevani, C.,Khalaf, A.,William, A.(2005).Evaluating psychiatric nurses’ awareness of evidence-based nursing publications.Worldviews on Evidence-Based Nursing,2(4),196-207.
Bonner, A.,Sando, J.(2008).Examining the knowledge, attitude and use of research by nurse.Journal of Nursing Management,16(3),334-343.
Brown, C. E.,Wickline, M. A.,Ecoff, L.,Glaser, D.(2009).Nursing practice, knowledge, attitudes and perceived barriers to evidence-based practice at an academic medical center.Journal of Advanced Nursing,65(2),371-381.
Cadmus, E.,Van Wynen, E. A.,Chamberiain, B.,Steingall, P.,Kilgallen, M. E.,Holly, C.,Gallagher-Ford, L.(2008).Nurses’ skill level and access to evidence-based practice.The Journal of Nursing Administration,38(11),494-503.

被引用文献 ( 1 ) 〈TOP〉

李宜玟(Yi-Wen Lee);吴政燕(Jeng-Yan Wu);林秀玲(Hsiu-Ling Lin);陈其嵘(Chyi-Rong Chen);金玉华(Yu-Hua Chin)(2022)。提升护理人员实证护理能力之改善专案。荣总护理。39(3)。290-297。

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