温州市某三甲医院临床护士循证实践实施氛围现状及影响因素分析

doi:10.3969/j.issn.1006-5253.2024.04.013

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目的探讨某三甲医院临床护士循证实践实施氛围现状及影响因素，为护理管理提供理论依据。方法 2023年2—3月采用便利抽样法，应用一般情况调查表、循证实践实施氛围量表、实施领导力量表及一般自我效能感量表对浙江省温州市某三甲医院373名临床护士进行问卷调查。结果临床护士循证实践实施氛围得分（2.88±0.73）分；临床护士循证实践实施氛围得分，在不同受教育程度、技术职称、聘用形式、是否参加过循证培训，组间差异有统计学意义（P＜0.05）；临床护士循证实践实施氛围与实施领导力、一般自我效能及各维度呈正相关（P＜0.05）；回归分析结果显示，实施领导力、技术职称、自我效能、是否参加过循证培训进入回归方程，可以解释总变异的29.7%。结论三甲医院临床护士循证实践实施氛围有待提高，护理管理者应重视循证实践实施氛围的营造，提供系统、规范的循证护理培训，提升临床护士循证实践实施氛围感知。

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	林兵思
	卢慧芳
	叶佩芝

关键词 ：临床护士, 循证实践实施氛围, 影响因素, 调查研究

Abstract：

Objective To explore the current situation and influencing factors of evidence-based practice atmosphere among clinical nurses in tertiary hospitals, so as to provide theoretical basis for nursing management.Methods From February to March 2023, a questionnaire survey was conducted among 373 clinical nurses in a tertiary hospital in Wenzhou, Zhejiang Province by using convenience sampling method and general situation questionnaire, evidence-based practice implementation atmosphere scale, implementation leadership scale and general self-efficacy scale.Results The score of evidence-based practice atmosphere of clinical nurses was (2.88±0.73); there were significant differences in the scores of education, technical title, employment form and evidence-based training (P<0.05); the evidence-based practice environment of clinical nurses was positively correlated with the implementation leadership, general self-efficacy and all dimensions (P＜0.05); the results of regression analysis showed that the implementation of leadership, technical title, self-efficacy, and with evidence-based training entered the regression equation, which could explain 29.7% of the total variance.Conclusion The atmosphere of evidence-based practice of clinical nurses in tertiary hospitals should be improved, and nursing managers should pay attention to the construction of the atmosphere of evidence-based practice, provide systematic and standardized evidence-based nursing training, and promote the awareness of the environment of evidencebased practice for clinical nurses.

Key words： clinical nurse evidence-based practice atmosphere influencing factor research

收稿日期: 2024-03-20

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通讯作者: 卢慧芳，Email：luhf1219@126.com

引用本文:

林兵思，卢慧芳，叶佩芝. 温州市某三甲医院临床护士循证实践实施氛围现状及影响因素分析 [J]. 中国医院统计, 2024, 31(4): 303-307.
Lin Bingsi，Lu Huifang，Ye Peizhi. Current status and influencing factors of evidence-based practice atmosphere among clinical nurses working in a tertiary hospital in Wenzhou . journal1, 2024, 31(4): 303-307.

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http://manu58.magtech.com.cn/Jwk_zgyytj/CN/10.3969/j.issn.1006-5253.2024.04.013 或 http://manu58.magtech.com.cn/Jwk_zgyytj/CN/Y2024/V31/I4/303

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