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引文資料
題名:
護理人員實證護理能力之探究及其在臨床上之應用
書刊名:
護理雜誌
作者:
許麗齡
/
謝素英
/
黃雅萱
作者(外文):
Hsu, Li-ling
/
Hsieh, Suh-ing
/
Huang, Ya-hsuan
出版日期:
2015
卷期:
62:5
頁次:
頁30-40
主題關鍵詞:
實證護理
;
知識
;
自我效能
;
實證照護
;
護理人員
;
Evidence-based nursing
;
Knowledge
;
Self-efficacy
;
Evidence-based practice
;
Nurses
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
1
) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:
1
共同引用:
12
點閱:80
背景 為了因應臨床實務需求,培養護理人員有足夠的實證護理能力,經由發現問題、搜尋資料、研讀與整合文獻,將最佳證據應用在病人身上,做最妥善的醫療照護,以提升護理照護品質。因此,臨床實務之需求,有其必要於醫療機構中精進護理人員實證護理能力。目的 本研究目的為評估基礎實證護理種子培訓課程介入,對於提升護理人員實證護理知識、實證護理實務自我效能、實證照護預期結果以及實證護理應用阻礙之改變。方法 本研究為類實驗性單組前後測研究設計,採方便取樣,以北部某市立醫院的34名護理人員為研究對象;接受2週共8小時基礎實證護理種子培訓課程,並於培訓課程前後填寫研究問卷,研究工具包括:基本屬性問卷、醫護文獻之搜尋與使用經驗、實證護理知識測驗I及II、實證護理實務的自我效能、實證照護預期結果量表、實證護理應用阻礙及學習滿意度。使用paired t test、Wilcoxon SignedRank和McNemar檢定分析資料,以瞭解護理人員參與「實證護理概念與應用」工作坊後,其實證護理知識與行為之改變。結果 護理人員透過「實證護理概念與應用」工作坊介入後,實證護理知識測驗II、實證護理實務的自我效能、實證照護預期結果量表上,後測平均數均比前測高,且皆呈統計上顯著差異;實證護理應用阻礙方面,後測平均低於前測,顯示護理人員在應用上之阻礙較介入前低,惟未達統計顯著差異。結論 實證護理課程對於提升護理人員之實證護理知識、自我效能、預期結果皆有顯著效果,也能降低護理人員對於實證護理的應用阻礙。醫療院所可定期舉辦實證護理課程,提供護理人員在職進修之管道,使護理人員能將實證技能與知識應用於臨床,提升病人照護品質。
以文找文
Background: Nurses must develop competence in evidence-based nursing in order to provide the best practice medical care to patients. Evidence-based nursing uses issue identification, data mining, and information consolidation from the related medical literature to help nurses find the best evidence. Therefore, for medical institutions to provide quality clinical care, it is necessary for nurses to develop competence in evidence-based nursing. Purpose: This study aims to explore the effect of a fundamental evidence-based nursing course, as a form of educational intervention, on the development of evidence-based nursing knowledge, self-efficacy in evidence-based practice activities, and outcome expectations of evidence-based practice in nurse participants. Further the competence of these nurses in overcoming obstacles in evidence-based nursing practice. Methods: This quasi-experimental study used a pre-post test design with a single group of participants. A convenience sample of 34 nurses from a municipal hospital in northern Taiwan received 8 hours of a fundamental evidence- based nursing course over a two-week period. Participants were asked to complete four questionnaires before and after the intervention. The questionnaires measured the participants' basic demographics, experience in mining the medical literature, evidence-based nursing knowledge, self-efficacy in evidence-based practice activities, outcome expectations of evidence-based practice, competence in overcoming obstacles in evidence-based nursing practice, and learning satisfaction. Collected data was analyzed using paired t, Wilcoxon Signed Rank, and McNemar tests to measure the differences among participants' evidence-based nursing knowledge and practice activities before and after the workshop. Results: The nurses demonstrated significantly higher scores from pre-test to post-test in evidence-based nursing knowledge II, self-efficacy in evidence-based nursing practice activities, and outcome expectations of evidence-based practice. Although the differences did not reach statistical significance, the post-test scores were significantly lower than pre-test scores in terms of the measurement of the nurses' obstacles in evidence-based nursing practice, which indicates significant improvements from pre-test to post-test in terms of the competence of participants in overcoming obstacles in evidence-based nursing practice. Conclusions: The intervention was found to be effective in improving the evidence-based nursing knowledge, self-efficacy in evidence-based nursing practice activities, and outcome expectations of evidence-based practice of participants and effective in reducing their obstacles in evidence-based nursing practice. Medical institutions should provide evidence-based nursing courses on a regular basis as a part of in-service education for nurses in order to help nurses develop the evidence-based nursing knowledge and practical competence required to provide quality clinical care.
以文找文
期刊論文
1.
蔡玉梅、郭倩琳、鄭夙芬(20100600)。臨床護理人員執行實證實務影響因素之探討。護理暨健康照護研究,6(2),79-88。
延伸查詢
2.
李佳諭、王維芳、張瑩如(20110400)。實證護理培訓課程對護理人員實證護理知識、態度及行為之成效探討。新臺北護理期刊,13(1),19-31。
延伸查詢
3.
郭雪敏、林貞秀、李秀現、張美珍、范聖心、張瑩如(20110400)。營造實證實務組織文化--實證護理與能力進階制度結合之經驗。護理雜誌,58(2),68-74。
延伸查詢
4.
Penz, K.、Bassendowski S. L.(2006)。Evidence-based nursing in clinical practice: Implications for nurse educators。The Journal of Continuing Education in Nursing,37(6),250-254。
5.
葉蒨菁、黃靜宜、廖以誠、張淑真、黃素猜(20101100)。某醫學中心護理人員接受實證護理工作坊之成效。新臺北護理期刊,12(2),7-15。
延伸查詢
6.
方鶯珍、璩大成(20040400)。實證醫學簡介。北市醫學雜誌,1(2),233-237。
延伸查詢
7.
王雅蓉、陳映君、吳侑璘、蔡昇宗、李玲玲(20130600)。護理人員執行實證實務自我效能及其與實證實務信念與障礙關聯之初探。榮總護理,30(2),144-152。
延伸查詢
8.
高靖秋、楊舒琴(20050600)。萬芳醫院發展實證護理之經驗分享。領導護理,6(1),1-7。
延伸查詢
9.
張惠甄、Russell, Cherry、莊依婷(20050600)。影響護理人員運用研究成果於臨床的因素。健康管理學刊,3(1),41-51。
延伸查詢
10.
謝伶瑜、林淑英(20140100)。探討實證護理工作坊對護理人員實證知識、態度、技能及批判性思考之學習成效。臺灣醫學,18(1),22-30。
延伸查詢
11.
謝佩玲、黃千慧(20140600)。實證護理於學校護理人員之應用。長庚科技學刊,20,35-40。
延伸查詢
12.
Adams, S.、Barron, S.(2009)。Use of evidence-based practice in school nursing: Prevalence, associated variables, and perceived needs。Worldviews on Evidence-Based Nursing,6(1),16-26。
13.
Bahtsevani, C.、Khalaf, A.、William, A.(2005)。Evaluating psychiatric nurses' awareness of evidence-based nursing publications。Worldviews on Evidence-Based Nursing,2(4),196–207。
14.
Cadmus, E.、Van Wynen, E. A.、Chamberiain, B.、Steingall, P.、Kilgallen, M. E.、Holly, C.、Gallagher-Ford, L.(2008)。Nurses' skill level and access to evidence-based practice。The Journal of Nursing Administration,38(11),494-503。
15.
Chang, A. M.、Crowe, L. M.(2011)。Validation of scales measuring self-efficacy and outcome expectancy in evidence-based practice。Worldviews on Evidence-Based Nursing,8(2),106-115。
16.
Closs, S. J.、Cheater, F. M.(1999)。Evidence for nursing practice: A clarification of the issues。Journal of Advanced Nursing,30(1),10-17。
17.
Fink, R.、Thompson, C. J.、Bonnes, D.(2005)。Overcoming barriers and promoting the use of research in practice。The Journal of Nursing Administration,35(3),121-129。
18.
Hannes, K.、Leys, M.、Vermeire, E.、Aertgeerts, B.、Buntinx, F.、Depoorter, A. M.(2005)。Implementing evidence-based medicine in general practice: A focus group based study。BMC Family Practice,6,37-49。
19.
Hendricson, W. D.、Rugh, J. D.、Hatch, J. P.、Stark, D. L.、Deahl, T.、Wallmann, E. R.(2011)。Validation of an instrument to assess evidence-based practice knowledge, attitudes, access, and confidence in the dental environment。Journal of Dental Education,75(2),131-144。
20.
Jonson, N.、List-Ivankovic, J.、Eboh, W. O.、Ireland, J.、Adams, D.、Mowatt, E.、Martindale, S.(2010)。Research and evidence based practice: Using a blended approach to teaching and learning in undergraduate nurse education。Nurse Education in Practice,10(1),43-47。
21.
Lee, L. L.、Arthur, A.、Avis, M.(2008)。Using self-efficacy theory to develop interventions that help older people overcome psychological barriers to physical activity: A discussion paper。International Journal of Nursing Studies,45(11),1690-1699。
22.
Ross, J.(2010)。Information literacy for evidence-based practice in perianethesia nurses: Readiness for evidence-based practice。Journal of PeriAnesthesia Nursing,25(2),64-70。
23.
Rycroft-Malone, J.、Bucknall, T.、Melnyk, B. M.(2004)。Editorial。Worldviews on Evidence-Based Nursing,1(1),1-2。
24.
陳可欣(20050600)。簡介實證護理。領導護理,6(1),8-15。
延伸查詢
25.
Bonner, A.、Sando, J.(2008)。Examining the knowledge, attitude and use of research by nurse。Journal of Nursing Management,16(3),334-343。
26.
Brown, C. E.、Wickline, M. A.、Ecoff, L.、Glaser, D.(2009)。Nursing practice, knowledge, attitudes and perceived barriers to evidence-based practice at an academic medical center。Journal of Advanced Nursing,65(2),371-381。
27.
Ciliska, D.(2005)。Educating for evidence-based practice。Journal of Professional Nursing,21(6),345-350。
28.
Gerrish, K.、Ashworth, P.、Lacey, A.、Bailey, J.、Cooke, J.、Kendall, S.、McNeilly, E.(2007)。Factors influencing the development of evidence-based practice: A research tool。Journal of Advanced Nursing,57(3),328-338。
29.
Munroe, D.、Duffy, P.、Fisher, C.(2008)。Nurse knowledge, skills, and attitudes related to evidence based practice: Before and after organizational supports。Medsurg Nursing,17(1),55-60。
30.
陳杰峰、蔡宛真、邱文達(20040300)。實證醫學於健康照護之應用。臺灣醫學,8(2),235-240。
延伸查詢
31.
宋惠娟、張淑敏(2006)。臨床決策:實證實務的步驟。志為護理--慈濟護理雜誌,5(3),73-80。
延伸查詢
32.
Pravikoff, D. S.、Tanner, A. B.、Pierce, S. T.(2005)。Readiness of U.S. nurses for evidence-based practice。American Journal of Nursing,105(9),40-51。
33.
盧美秀(20010200)。實證醫學、實證護理與實證管理。新臺北護理期刊,3(1),1-6。
延伸查詢
會議論文
1.
臺灣腫瘤護理學會(2014)。腫瘤護理臨床實證研討會。
延伸查詢
圖書
1.
Craig, J. V.、Smyth, R. L.(2012)。The evidence-based practice manual for nurses。London, England:Churchill Livingstone/Elsevier。
其他
1.
Critical Appraisal Skills Programme(2013)。Critical Appraisal Skills Programme (CASP) making sense of evidence,http://www.casp-uk.net/#!casp-tools-checklists/c18f8。
圖書論文
1.
McSherry, R.、Simmons, M.、Pearce, P.(2002)。An introduction to evidence-informed nursing。Evidence-informed nursing: A guide for clinical nurses。New York, NY:Routledge。
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