Odnos in znanje medicinskih sester ter ovire pri implementaciji na dokazih temelječe prakse

integrativni pregled literature

Avtorji

  • Urban Bole Psihiatrična bolnišnica Begunje, Begunje 55, 4275 Begunje na Gorenjskem, Slovenija
  • Brigita Skela-Savič Fakulteta za zdravstvo Angele Boškin, Spodnji Plavž 3, 4270 Jesenice, Slovenija https://orcid.org/0000-0002-1028-5383

DOI:

https://doi.org/10.14528/snr.2018.52.2.206

Ključne besede:

zdravstvena nega, na dokazih temelječa praksa, implementacija, ovire

Povzetek

Uvod: Na dokazih temelječa praksa velja za zlati standard obravnave pacientov. Namen raziskave je bil preučiti odnos, znanje in ovire pri implementaciji na dokazih temelječe prakse v zdravstveni negi.
Metode: Uporabljen je bil sistematični pregled znanstvene in strokovne literature. V pregled so bile vključene naslednje baze: CINAHL Plus, ProQuest Dissertations & Theses Global, SpringerLink, WILEY in PubMed. Omejitvena kriterija iskanja sta bila objava članka med letoma 2008 in 2017 ter dostopnost celotnega besedila člankov v angleščini. Ključne besede iskanja: nurse, evidence based practice, implementation barriers. V končni pregled je bilo vključenih 37 člankov. Ocena kakovosti dokazov je prikazana v hierarhiji dokazov. Podatki so bili obdelani s tematsko kvalitativno analizo.
Rezultati: Identificiranih je 73 kod, ki so združene v 7 vsebinskih kategorij: (1) dejavniki, ki vplivajo na negativen odnos medicinskih sester do na dokazih temelječe prakse, (2) dejavniki, ki vplivajo na pozitiven odnos medicinskih sester do na dokazih temelječe prakse, (3) znanje raziskovanja medicinskih sester za uporabo znanstvenih dokazov v kliničnem okolju, (4) znanje uporabe informacijske tehnologije za iskanje dokazov, (5) vpliv mentorstva in kompetenc za implementacijo na dokazih temelječe prakse v klinično okolje, (6) ovire organizacije za implementacijo na dokazih temelječe prakse v klinično okolje in (7) ovire medicinskih sester za implementacijo na dokazih temelječe prakse v klinično okolje.
Diskusija in zaključek: Raziskava pokaže pozitiven kot tudi negativen odnos medicinskih sester do na dokazih temelječe prakse. Osredotoča se na pomanjkanja znanja in ovire, s katerimi se srečujejo medicinske sestre pri implementaciji na dokazih temelječe prakse v klinično okolje.

Prenosi

Podatki o prenosih še niso na voljo.

Metrike

Nalaganej metrik....

Biografije avtorja

Urban Bole, Psihiatrična bolnišnica Begunje, Begunje 55, 4275 Begunje na Gorenjskem, Slovenija

dipl. zn.

Brigita Skela-Savič, Fakulteta za zdravstvo Angele Boškin, Spodnji Plavž 3, 4270 Jesenice, Slovenija

izr. prof. dr., viš. med. ses., univ. dipl. org., znan. svet. 

 

Literatura

Ammouri, A.A., Raddaha, A.A., Dsouza, P., Geethakrishnan, R., Noronha, J.A., Obeidat, A.A., et al., 2014. Evidence-Based Practice: knowledge, attitudes, practice and perceived barriers among nurses in Oman. Sultan Qaboos University Medical Journal, 14(4), pp. 537–545.

Boström, A.M., Rudman, A., Ehrenberg, A., Gustavsson, J.P. & Wallin, L., 2013. Factors associated with evidence-based practice among registered nurses in Sweden: a national crosssectional study. BMC Health Services Research, 13, pp. 165. https://doi.org/10.1186/1472-6963-13-165

Booth, A., Papaioannou, D. & Sutton, A., 2012. Systematic approaches to a successful literature review. SAGE, Los Angeles, pp. 145–164.

Chan, G.K., Barnason, S., Dakin, C.L., Gillespie, G., Kamienski, M.C., Stapleton, S., et al., 2011. Barriers and perceived needs for understanding and using research among emergency nurses. Journal of Emergency Nursing, 37(1), pp. 24–31. https://doi.org/10.1016/j.jen.2009.11.016

Dalheim, A., Harthug, S., Nilsen, R.M., & Nortvedt, M.W., 2012. Factors influencing the development of evidence-based practice among nurses: a self-report survey. BMC Health Services Research, 12, pp. 367. https://doi.org/10.1186/1472-6963-12-367

Farokhzadian, J., Nayeri, N.D., Borhani, F. & Zare, M.R., 2015. Nurse leaders' attitudes, self-efficacy and training needs for implementing evidence-based practice: is it time for a change toward safe care. British Journal of Medicine and Medical Research, 7(8), 662–671. https://doi.org/10.9734/BJMMR/2015/16487

Friesen, M.A., Brady, J.M., Milligan, R. & Christensen, P., 2017. findings from a pilot study: bringing evidence-based practice to the bedside. Worldviews on Evidence-based Nursing, 14(1), pp. 22–34. https://doi.org/10.1111/wvn.12195

Filippini, A., Sessa, A., Di Giuseppe, G. & Angelillo, I.F., 2011. Evidence-based practice among nurses in Italy. Journal of Educational Evaluation for Health Professions, 34(3), pp. 371–382. https://doi.org/10.1177/0163278710387924

Foo, S., Majid, S., Mokhtar, I.A., Zhang, X., Luyt, B., Chang, Y.K., et al., 2011. Nurses' perception of evidence-based practice at the National University Hospital of Singapore. American Journal of Continuing Education in Nursing, 11, pp. 522–528. https://doi.org/10.3928/00220124-20110516-04

Gentizon, J., Borrero, P., Vincent-Suter, S., Ballabeni, P., Morin, D. & Eicher, M., 2016. Evidence based practice of nurses working in university hospitals in the French speaking part of Switzerland: a descriptive and correlational study. Recherche en soins infirmiers, 127(4), pp. 28–42. https://doi.org/10.3917/rsi.127.0028

Gerrish, K., McDonnell, A., Nolan, M., Guillaume, L., Kirshbaum, M. & Tod, A., 2011. The role of advanced practice nurses in knowledge brokering as a means of promoting evidence-based practice among clinical nurses. International journal of Advanced Nursing Studies, 67(99), pp. 2004–2014. https://doi.org/10.1111/j.1365-2648.2011.05642.x

Henderson, E.M. &, Fletcher, M., 2015. Nursing culture: an enemy of evidence-based practice: a focus group exploration. Journal of Child Healthc Care, 19(4), pp. 550–557. https://doi.org/10.1177/1367493514530956

Liberati, A., Altman, D.G., Tetzlaff, J., Mulrow, C., Gotzsche, P.C. & Ioannidis, J.P.A., 2009. The PRISMA statement for reporting dystematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med 6(7), art. ID e1000100. https://doi.org/10.1371/journal.pmed.1000100

Khammarnia, M., Haj Mohammadi, M., Amani, Z., Rezaeian, S., & Setoodehzadeh, F., 2015. Barriers to implementation of evidence based practice in Zahedan Teaching Hospitals, Iran, 2014. Nursing Research and Practice, art. ID 357140. https://doi.org/10.1155/2015/357140

Kim, S.C., Brown, C.E., Ecoff, L., Davidson, J.E., Gallo, A.M., Klimpel, K., et al., 2013. Regional evidence-based practice fellowship program: impact on evidence-based practice implementation and barriers. Clinical Nursing Research, 22(1), pp. 51–69. https://doi.org/10.1177/105477381244606

Köpke, S., Koch, F., Behncke, A. & Balzer, K., 2013. German hospital nurses' attitudes concerning evidence-based nursing practice. Pflege, 26(3), pp. 163–175. https://doi.org/10.1024/1012-5302/a000289

Majid, S., Foo, S., Luyt, B., Zhang, X., Theng, Y.L., Chang, Y.K., et al.,. 2011. Adopting evidence-based practice in clinical decision making: nurses’ perceptions, knowledge, and barriers. Journal of the Medical Library Association, 99(3), pp. 229–236. http://doi.org/10.3163/1536-5050.99.3.010

Mallion, J. & Brooke J., 2016. Community- and hospital-based nurses' implementation of evidence-based practice: are there any differences. British Journal of Community Nursing, 21(3), pp. 148–154. https://doi.org/10.12968/bjcn.2016.21.3.148

Mehrdad, N., Joolaee, S., Joulaee, A. & Bahrani, N., 2012. Nursing faculties' knowledge and attitude on evidence-based practice. Iranian Journal of Nursing and Midwifery Research, 17(7), pp. 506–511. PMid:23922597; PMCid:PMC3730454

Melnyk, B.M., Fineout-Overholt, E., Feinstein, N.F., Sadler, LS. & Green-Hernandez, C., 2008. Nurse practitioner educators'perceived knowledge, beliefs, and teaching strategies regarding evidence-based practice: implications for accelerating the integration of evidence-based practice into graduate programs. Journal of Professional Nursing, 24(1), pp. 7–13. https://doi.org/10.1016/j.profnurs.2007.06.023

Melnyk, B.M., Gallagher-Ford, L., Long, L.E. & Fineout-Overholt, E., 2014. The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-based Nursing, 11(1), pp. 5–15. https://doi.org/10.1111/wvn.12021

Middlebrooks, R., Carter-Templeton, H., Mund A.R., 2016. Effect of evidence-based practice programs on individual barriers of workforce nurses: an integrative review. American Journal of Continuing Education in Nursing, 47(9), pp. 398–406. https://doi.org/10.3928/00220124-20160817-06

Mokhtar, I.A., Majid, S., Foo, S., Zhang, X., Theng, Y.L., Chang, Y.K., et al., 2012. Evidence-based practice and related information literacy skills of nurses in Singapore: an exploratory case study. Health and Informatics in Nursing, 18(1), pp. 12–25. https://doi.org/10.1177/1460458211434753

Nguyen, T.N. & Wilson, A., 2016. Knowledge, skills, and attitudes to implementing best practice in hospitals in Central Vietnam. International Journal of Evidence-based Healthcare, 14(4), pp. 142–149. https://doi.org/10.1097/XEB.0000000000000081 PMid:27089395

Polit, D.F., Beck, T.C., 2008. Nursing research: principles and methods. 7th ed. Philadelphia: Lippincott, Williams & Wilkins.

Prior, P., Wilkinson, J. & Neville, S., 2010. Practice nurse use of evidence in clinical practice: a descriptive survey. Nursing Praxis in New Zealand, 26(2), pp. 14–25. PMid:21032971

Ramos-Morcillo, A.J., Fernández-Salazar, S., Ruzafa-Martínez, M. & Del-Pinu-Casado, R., 2015. Effectiveness of a brief, basic evidence-based practice course for clinical nurses. Worldviews on evidence-based nursing, 12(4), pp. 199–207. https://doi.org/10.1111/wvn.12103

Saunders, H. & Vehviläinen-Julkunen, K., 2017. Nurses'evidence-based practice beliefs and the role of evidence-based practice mentors at University Hospitals in Finland. Worldviews on Evidence – Based Nursing, 14(1), pp. 35–45. https://doi.org/10.1111/wvn.12189

Saunders, H. & Vehviläinen-Julkunen, K., 2016. The state of readiness for evidence-based practice among nurses: an integrative review. Internationa lJournal of Advanced Nursing Studies, 56, pp. 128–140. https://doi.org/10.1016/j.ijnurstu.2015.10.018

Shafiei, E., Baratimarnani, A., Goharinezhad, S., Kalhor, R. & Azmal, M., 2014. Nurses' perceptions of evidence-based practice: a quantitative study at a teaching hospital in Iran. Medical Journal of the Islamic Republic of Iran, 28, p. 135. PMid:25694993; PMCid:PMC4322335

Skela-Savič, B, Hvalič Touzery, S. & Pesjak, K. 2017. Professional values and competencies as explanatory factors for the use of evidence-based practice in nursing. Journal of Advanced Nursing, pp. 1–14. https://doi.org/10.1111/jan.13280

Skela-Savič, B., Pesjak, K., Lobe, B., 2016. Evidence-based practice among nurses in Slovenian hospitals: a national survey. International Nursing Review, 63(1), pp. 122–131. https://doi.org/10.1111/inr.12233

Stokke, K., Olsen, N.R., Espehaug, B., & Nortvedt, M.W., 2014. Evidence based practice beliefs and implementation among nurses: a cross-sectional study. BMC Nursing, 13(8). https://doi.org/10.1186/1472-6955-13-8

Thorsteinsson, H.S., 2013. Icelandic nurses' beliefs, skills, and resources associated with evidence-based practice and related factors: a national survey. Worldviews on Evidence-based Nursing, 10(2), pp. 116–126. https://doi.org/10.1111/j.1741-6787.2012.00260.x

Zhou, F., Hao, Y., Guo, H. & Liu, H., 2016. Attitude, knowledge, and practice on evidence-based nursing among registered nurses in traditional Chinese medicine hospitals: a multiple center cross-sectional survey in China. Evidence-Based Complementary and Alternative Medicine, art. ID 5478086. https://doi.org/10.1155/2016/5478086

Weng, Y.H., Chen, C., Kuo, K.N., Yang, C.Y., Lo, H.L., Chen, K.H., et al., 2015. Implementation of evidence-based practice in relation to a clinical nursing ladder system: a national survey in Taiwan. Worldviews on Evidence – Based Nursing, 12(1), 22–30. https://doi.org/10.1111/wvn.12076

White-Williams, C., Patrician, P., Fazeli, P., Degges, M.A., Graham, S., Andison, M., et al., 2013. Use, knowledge, and attitudes toward evidence-based practice among nursing staff. The Journal of Continuing Education in Nursing, 44(6), pp. 246–254. https://doi.org/10.3928/00220124-20130402-38

Yoder, L.H., Kirkley, D., McFall, D.C., Kirksey, K.M., StalBaum, A.L. & Sellers, D., 2014. Staff nurses' use of research to facilitate evidence-based practice. The Journal of Continuing Education in Nursing, 114(9), pp. 26–37.

Prenosi

Objavljeno

2018-09-16

Kako citirati

Bole, U., & Skela-Savič, B. (2018). Odnos in znanje medicinskih sester ter ovire pri implementaciji na dokazih temelječe prakse: integrativni pregled literature. Obzornik Zdravstvene Nege, 52(3), 177–185. https://doi.org/10.14528/snr.2018.52.2.206

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