Prepričanja in implementacija na dokazih podprte prakse med visokošolsko izobraženimi diplomiranimi medicinskimi sestrami in zdravstveniki v Sloveniji (1. del)
psihometrična analiza instrumentov
DOI:
https://doi.org/10.14528/snr.2022.56.3.3116Ključne besede:
zdravstvena nega, pacienti, klinična ekspertiza, izboljšave, raziskave, spremembe, znanjePovzetek
Uvod: Za načrtovanje strategije uvajanja na dokazih podprte prakse v slovenski zdravstveni negi je pomembna ocena znanj, prepričanj in različnih vidikov uporabe na dokazih podprte prakse pri izvajalcih zdravstvene nege. Ocena mora biti zanesljiva, veljavna in reprezentativna, da lahko koristi načrtovanju nacionalnih strategij na tem področju. Namen raziskave je prikaz psihometrične analize uporabljenega in mednarodno uveljavljenega instrumenta.
Metode: Sodelovalo je 1014 visokošolsko izobraženih medicinskih sester in zdravstvenikov z vseh treh nivojev zdravstvenega varstva. V raziskavi sta bili uporabljeni dve lestvici, in sicer »Evidence-Based Practice Beliefs Scale« in »Evidence-Based Practice Implementation Scale«. Lestvici sta bili psihometrično analizirani s testi zanesljivosti in veljavnosti.
Rezultati: Povprečna vrednost prepričanj na dokazih podprte prakse je 3,47 (s = 0,54). Zanesljivost lestvice je znašala 0,909, varianca je bila pojasnjena v 63,71 % s tremi faktorji (prepričanja v znanje, prepričanja v uporabnost, težavnost uporabe in časovna potratnost). Povprečna vrednost implementacije je 2,23 (s = 0, 89). Zanesljivost lestvice je znašala 0,969, varianca je bila pojasnjena v 68,52 % z dvema faktorjema (uporaba znanj, uporaba korakov).
Diskusija in zaključek: Testirana instrumenta se pokažeta kot zanesljiva in veljavna. Raziskava zelo poudari primanjkljaj znanj za razvoj na dokazih podprte prakse in znanj, ki so del vsakodnevnih razvojnih aktivnosti v delokrogu visokošolsko izobražene medicinske sestre. Zahtevajo se aktivnosti za izboljšanje stanja na ravni visokošolskih in zdravstvenih zavodov, kot na ravni nacionalnih združenj v zdravstveni negi.
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