理论实践一体化培训提高护士循证信念与实施水平的效果评价

doi:10.3761/j.issn.1672-9234.2021.04.005

摘要/Abstract

摘要：

目的评价理论实践一体化培训提高临床护士的循证信念和实施水平的有效性。方法从某医疗中心的51个科室中选取147名护士为培训对象。培训由理论和实践2个部分组成,理论部分包括循证问题提出、证据检索、证据质量评价、证据转化和结果评价,实践部分包括开题报告、中期审核、项目传播。在培训前、后采用中文版循证护理信念和实施量表评价护士的循证信念及实施水平。结果 147名护士的循证信念由培训前的（57.13±6.92）分提高至培训后的（60.07±6.24）分,循证实施水平由培训前的（35.85±13.96）分提高至培训后的（42.53±13.95）分,差异均有统计学意义（P<0.001）。51个小组成功开展了48个循证实践项目,其中28个项目基本遵照循证实践的程序。结论理论实践一体化培训可有效提高临床护士循证护理信念与实施水平,有利于促进循证护理实践。

关键词: 护士, 在职培训, 循证实践

Abstract:

Objective To evaluate the effects of theory and practice integrated training model on nurses’ evidence-based practice beliefs and implementation. Methods A total of 147 nurses from 51 departments in a medical center were included in the evidence-based practice（EBP） educational program. The EBP educational program was composed of two parts：theory and practice. The theoretical part included evidence-based questioning,evidence retrieval,evidence quality evaluation,evidence transformation,and result evaluation. The practical part included the opening report,mid-term review,and project dissemination. Before and after the training,the Chinese version of the evidence-based practice beliefs and implementation scales were used to assess the level of the nurses. Results The score of evidence-based practice beliefs of nurses increased from（57.13±6.92） to （60.07±6.24） after training,and the score of evidence-based practice implementation increased from（35.85±13.96） to （42.53±13.95） after training（P<0.001）. Fifty-one teams successfully carried out 48 EBP projects and 28 projects were guided by the evidence-based practice procedures. Conclusion The theory and practice integrated training model can improve the beliefs and implementation level of clinical nurses’ evidence-based practice,and promote the evidence transformation.

Key words: Nurses, Inservice Training, Evidence-Based Practice

殷彩欣, 刘美玲, 邓永芳, 吕云霞, 贺芳, 春晓. 理论实践一体化培训提高护士循证信念与实施水平的效果评价[J]. 中华护理教育, 2021, 18(4): 311-316.

YIN Cai-xin, LIU Mei-ling, DENG Yong-fang, LÜ Yun-xia, HE Fang, CHUN Xiao. The effects of theory and practice integrated model on nurses’ evidence-based practice beliefs and implementation level[J]. Chinese Journal of Nursing Education, 2021, 18(4): 311-316.

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