Lynn Gallagher-Ford, Teresa-Lynn Terri Hinkley, Bindu Thomas, Robin Hertel, Jeff D Messinger, Adem Cengiz, Linda H Yoder
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引用次数: 0
Abstract
Objective: The purpose of this study was to determine medical-surgical nurse leaders' evidence-based practice (EBP) attributes, perceived barriers to EBP, and whether there were differences in leaders' EBP competencies and EBP implementation by demographic and organizational factors.
Background: Leaders are crucial to the development of cultures that support EBP implementation, but little is known about medical-surgical nurse leaders' capacity to perform this aspect of their role.
Methods: A cross-sectional design using survey methodology was used. The survey contained demographic/work setting questions and 3 instruments to measure EBP beliefs, implementation, and competencies.
Results: Senior leaders self-reported higher EBP attributes compared with nurses in other roles; nurses with an MSN or higher reported greater frequency of EBP implementation. A regression revealed that EBP competencies, EBP beliefs, having a DNP degree, and working in an Academy of Medical-Surgical Nurses Premier Recognition In the Specialty of Med-surg unit or a Pathway to Excellence® organization had significant, positive effects on EBP implementation scores ( R2 = 0.37).
Conclusions: Findings demonstrate there is a range of EBP beliefs and competencies, and barriers to EBP among medical-surgical nurse leaders. Because medical-surgical nursing is the largest acute care practice specialty in the United States and many other countries, leaders fully integrating EBP into their practice would be a substantial contribution to advancing EBP in healthcare.
目的:本研究旨在了解内外科护士长的循证实践(EBP)属性、感知到的EBP障碍，以及是否受人口统计学和组织因素的影响，在领导的循证实践能力和实施EBP方面存在差异。背景:领导者对支持EBP实施的文化发展至关重要，但很少有人知道内科外科护士领导者在履行其角色这方面的能力。方法:采用调查方法进行横断面设计。该调查包含人口统计/工作设置问题和3种工具来衡量EBP的信念、实施和能力。结果:高级领导自述的EBP属性高于其他角色的护士;MSN或更高的护士报告实施EBP的频率更高。回归分析显示，EBP能力、EBP信念、是否拥有DNP学位、是否在内科外科护士学会(Academy of medical -外科专科)或卓越之路(Pathway to Excellence®)组织工作对EBP实施得分有显著的积极影响(R2 = 0.37)。结论:研究结果表明，在医外科护士领导中存在一系列的EBP信念和能力，以及EBP障碍。由于内科外科护理是美国和许多其他国家最大的急症护理实践专业，领导者充分将EBP纳入他们的实践将是推进EBP在医疗保健领域的重大贡献。
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