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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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

Received: 20 March 2024

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	Articles by authors
	Lin Bingsi
	Lu Huifang
	Ye Peizhi

Cite this article:

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 [J]. journal1, 2024, 31(4): 303-307.

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

［1］刘智慧，蔡晨婷，黄蓉．上海市医院护士循证护理实践素质、实施水平现状及其影响因素分析［J］．广西医学，2020，42(19)：2598-2602．DOI: 10.11675/j.issn.0253-4304.2020.19.30.

［2］傅亮，苏伟，张玉侠，等．公立医院不同特征护士循证实践能力的潜在剖面分析［J］．护士进修杂志，2022，37(11)：1050-1055．DOI: 10.16821/j.cnki.hsjx.2022.11.019.

［3］郭琴，吴修建．护士长循证实践中的实施领导力现状调查及影响因素分析［J］．护士进修杂志，2023，38(5)：442-449．DOI: 10.16821/j.cnki.hsjx.2023.05.012.

［4］CHENG L, FENG S, HU Y. Evidencebased nursing implementation in Mainland China: A scoping review［J］. Nurs Outlook, 2017,65(1):27-35. DOI: 10.1016/j.outlook.2016.07.016.

［5］NILSEN P, BERNHARDSSON S. Context matters in implementation science: A scoping review of determinant frameworks that describe contextual determinants for implementation outcomes［J］. BMC Health Serv Res, 2019,19(1):189. DOI: 10.1186/s12913-019-4015-3.

［6］白文辉，苗晓慧，闫凡，等．循证实践实施氛围量表的汉化及信效度检验［J］．护理学杂志，2022，37(18)：55-58．DOI: 10.3870/j.issn.1001-4152.2022.18.055.

［7］李峥，刘宇．护理学研究方法［M］．北京：人民卫生出版社，2012：50-54．

［8］]HU J L, GIFFORD W, RUAN H, et al. Translation and linguistic validation of the implementation leadership scale in Chinese nursing context［J］. J Nurs Manag, 2019,27(5):1030-1038. DOI: 10.1111/jonm.12768.

［9］王才康，胡中锋，刘勇．一般自我效能感量表的信度和效度研究［J］．应用心理学，2001，7(1)：37-40．DOI: 10.3969/j.issn.1006-6020.2001.01.007.

［10］刘成祥，张淼，贾雪丽，等．中文版循证护理实施氛围量表信效度检验［J］．护理实践与研究，2022，19(23)：3614-3619．

［11］胡雁，周英凤．循证护理：证据临床转化理论与实践［M］．上海：复旦大学出版社，2021．

［12］陈玲玲，潘疆疆，陈圆圆．三级甲等医院临床护士职业抱负对工作形塑的影响研究［J］．军事护理，2023，40(2)：80-82．

［13］张小艳，王君鑫，杨丹，等．实施科学视角下最佳证据实施情境测量工具的研究进展［J］．中国护理管理，2021，21(11)：1683-1688．

［14］陈丽玲，周春兰，吴艳妮，等．临床护士参与循证实践培训体验的质性研究［J］．护理学报，2020，27(23)：49-52．DOI: 10.16460/j.issn1008-9969.2020.23.049.

［15］潘莘莘，苏翔逸，柳琼，等．组织信任对临床护士差序氛围感知和工作满意度间的中介与调节效应［J］．中华全科医学，2023，21(5)：891-895．DOI: 10.16766/j.cnki.issn.1674-4152.003008.

［16］WILLIAMS N J, WOLK C B, BECKER-HAIMES E M, et al. Testing a theory of strategic implementation leadership, implementation climate, and clinicians′ use of evidence-based practice: A 5-year panel analysis［J］. Implement Sci, 2020,15(1):10. DOI: 10.1186/s13012-020-0970-7.

［17］杨莉，叶红芳，孙倩倩．临床护士循证护理能力现状及影响因素分析［J］．护士进修杂志，2023，38(2)：108-113．DOI: 10.16821/j.cnki.hsjx.2023.02.003.

［18］王婷，李金凤，李伟．自我效能感在护士感知的高绩效工作系统与工作幸福感间的中介作用［J］．护理学杂志，2022，37(14)：60-64．