Effects of implementation leadership of head nurses on nurses' evidence-based pain management practices behavior.

IF 3.1 2区医学 Q1 NURSING

BMC Nursing Pub Date : 2025-05-14 DOI:10.1186/s12912-025-03140-7

Lingyu Li, Quanru Wang, Ying Cao, Ling Liao, Binjie Yang, Min Tan

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引用次数: 0

Abstract

Background: Nurses' evidence-based practice competencies were positively correlated with the implementation leadership (IL) of head nurses. However, there was no study to analyze the effect of IL on nurses' evidence-based pain management practices (EBPMP) behavior from the hierarchical linear model (HLM) perspective. The objective of this study was to investigate the current status of head nurses' IL and nurses' EBPMP behavior, and to analyze the effects of head nurses' IL on nurses' EBPMP behavior.

Methods: In September 16, 2024 to September 30, 2024, nurses from 17 secondary and tertiary hospitals in Sichuan Province were selected by convenience sampling and investigated with the demographic characteristics, implementation leadership scale (ILS), and nurses' evidence-based practice behavior questionnaire for pain management. The influence of the head nurses' IL on nurses' EBPMP behavior was analyzed using the HLM.

Results: A total of 2124 nurses were included in the analysis. The scores for head nurses' IL were (M = 2.88, SD = 0.74) and nurses' EBPMP behavior was (M = 3.98, SD = 0.76). The results of the HLM analysis showed that IL of head nurses had a positive predictive effect on nurses' EBPMP behavior (p < 0.001); Nurses' attitudes towards pain management and participation in pain education and training had a positive predictive effect on nurses' EBPMP behavior (p < 0.001).

Conclusions: The EBPMP behavior of nurses and the IL of head nurses are at medium-high levels and still need further improvement. The IL of head nurses positively affected the nurses' EBPMP behavior. Hospital managers can construct programs to improve the level of head nurses' IL to facilitate the implementation of EBPMP and the implementation of more clinical evidence-based practices behavior.

Clinical trial number: Not applicable.

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护士长实施领导对护士循证疼痛管理实践行为的影响。

背景：护士循证实践能力与护士长实施领导力（IL）呈正相关。然而，目前还没有研究从层次线性模型（HLM）的角度分析IL对护士循证疼痛管理实践（EBPMP）行为的影响。本研究旨在调查护士长IL和护士EBPMP行为的现状，并分析护士长IL对护士EBPMP行为的影响。方法：采用方便抽样的方法，于2024年9月16日至9月30日对四川省17所二、三级医院的护士进行人口学特征、实施领导量表（ILS）和护士疼痛管理循证实践行为问卷调查。采用HLM分析护士长IL对护士EBPMP行为的影响。结果：共有2124名护士被纳入分析。护士长IL得分为（M = 2.88, SD = 0.74），护士EBPMP行为得分为（M = 3.98, SD = 0.76）。HLM分析结果显示，护士长IL对护士EBPMP行为有正向预测作用(p)。结论：护士EBPMP行为和护士长IL处于中高水平，仍需进一步提高。护士长的IL正向影响护士的EBPMP行为。医院管理者可以构建方案来提高护士长IL水平，以促进EBPMP的实施和更多临床循证实践行为的实施。临床试验号：不适用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMC Nursing Nursing-General Nursing

CiteScore

3.90

自引率

6.20%

发文量

317

审稿时长

30 weeks

期刊介绍： BMC Nursing is an open access, peer-reviewed journal that considers articles on all aspects of nursing research, training, education and practice.