Prepričanja in implementacija na dokazih podprte prakse med visokošolsko izobraženimi medicinskimi sestrami in zdravstveniki (2. del)
presečna raziskava
DOI:
https://doi.org/10.14528/snr.2022.56.4.3126Ključne besede:
znanje, izobraževanje duševno zaostalih, raziskovanje, karierni razvoj, zdravstvena politika, zdravstveni menedžmentPovzetek
Uvod: Zaposleni v zdravstveni negi še vedno niso dovolj opolnomočeni s kompetencami o dokazih podprti praksi. Namen raziskave je bil prepoznati dejavnike, ki oblikujejo prepričanja in tudi implementacijo na dokazih podprte prakse medicinskih sester na vseh ravneh zdravstvenega varstva v Sloveniji.
Metode: Izvedena je bila presečna raziskava. Uporabljeni sta bili dve lestvici, in sicer »Evidenced based practice Beliefs Scale and the Implementation Scale«. Sodelovalo je 1014 visokošolsko izobraženih medicinskih sester in zdravstvenikov z vseh treh nivojev zdravstvenega varstva. Podatke smo obdelali z opisnimi, eksplorativnimi in eksplikativnimi statističnimi metodami.
Rezultati: O raziskovanju na področju zdravstva se je izobraževalo n = 325 (38,8 %) anketirancev, o dokazih podprti praksi n = 280 (34 %) anketirancev. Pozitivna prepričanja o dokazih podprte prakse pojasnijo samoocena znanja o dokazih podprti praksi (β = 0,249) in raziskovanju (β = 0,162), leta zaposlitve (β = –0,124), zadovoljstvo z delom (β = 0,117), izobraževanje o dokazih podprti praksi (β = 0,092) in izobrazba strokovni magisterij (β = 0,077). Pogostejšo implementacijo pojasnijo pozitivna prepričanja o dokazih podprte prakse (β = 0,306) in zaposlitev v zdravstvenem domu (β = 0,132).
Diskusija in zaključek: Pomanjkanje znanja o raziskovanju in dokazih podprte prakse se pokažeta kot najtrdnejša napovedna dejavnika za razvoj prepričanj, medtem ko so pozitivna prepričanja trden napovednik za pogostejšo implementacijo na dokazih podprte prakse. Karierni razvoj medicinskih sester in zdravstvenikov na primarni ravni, ki je osredinjen na prevzem novih nalog, se pokaže kot pomemben dejavnik implementacije na dokazih podprte prakse med vključenimi v raziskavo.
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