台灣實證護理推展現況及相關影響因素探討

推展實證護理是全球趨勢，本研究目的為瞭解我國地區級以上醫院推行實證護理的現況及推行實證護理之影響因素及差異。本研究採郵寄問卷調查法，地區醫院等級以上之護理部為對象，以自擬之「實證護理推展現況與相關影響因素問卷」，經專家效度檢定後，郵寄問卷經其同意並填寫後寄回統計分析。郵寄問卷回收率65.8%，有效問卷261份進行分析。結果：國內有推行實證健康照護之醫院佔21.1%，有推行實證護理之醫院佔26.8%；醫學中心在實證健康照護及實證護理之推動教育訓練資源等皆較佳，區域醫院次之。推動實證之困難包括缺乏時間、缺乏實證專業技能、看不懂英文、醫院缺乏發展實證之組織與架構、缺乏實證護理師資人力及缺乏推動實證護理的資金等。成功推展實證護理之主要因素是長官支持、圖書及資料庫充足、有電腦教室硬體設備及獎勵措施等。本文期望提供產、官、學推展實證護理及政策擬定之參考。

關鍵字

實證護理；繼續教育；影響因素

並列摘要

The promotion of Evidence-based Nursing (EBN) has been an obvious global trend. The purpose of this study was to understand the present situation of EBN promotion and the factors affecting the differences in the promotion of EBN between medical centers, regional hospitals and local hospitals. A descriptive correlational method was used to investigate various perception of the strategies and barriers of EBN promotions. After the validity and reliability examination, an ”EBN promotion situation and factors identification questionnaire” was developed to collect the data. The return rate was 65.8% and the data from 261 returned questionnaires were analyzed. In Taiwan, 21.1% of the hospitals have been promoting the EBP (Evidence-based Practice) and 26.8% in promotion for EBN. Medical centers have more education training resources than regional hospitals in EBP and EBN. The barriers in promoting EBN included a lack of time, a lack of evidence-based professional skills, limited English ability, a lack in promoting EBP framework or organization, a lack of EBN teaching staffs and financial supports. The major success factors consist of organization support, sufficient lobotomy and EBN database, computer software and aware systems. The findings of this study could provide evidence of current EBN status as a reference for clinical, academic and policy-makers.

並列關鍵字

evidence-based nursing ； continuous education ； factors

參考文獻

王淑貞(2010) ‧ 實證護理一級棒—臨床推動甘苦談‧ 志為護理- 慈濟護理雜誌， 9(5)， 32-36。

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被引用紀錄

蘇淑芳、蔡珮芸、劉錦茹、薛瓊芳、林美秀（2021）。運用變革領導提升實證護理學術發表率之專案。高雄護理雜誌，38(1)，34-49。https://doi.org/10.6692/KJN.202104_38(1).0004

蔣立琦（2014）。護理新視界－實證護理的演變與發展。護理雜誌，61(4)，85-94。https://doi.org/10.6224/JN.61.4S.85

廖家惠、周幸生、郭素真、陳玉枝、王桂芸（2016）。實證護理臨床應用之省思：以北部某醫學中心為例。榮總護理，33(2)，153-163。https://doi.org/10.6142/VGHN.33.2.153

李宜玟、吳政燕、林秀玲、陳其嶸、金玉華（2022）。提升護理人員實證護理能力之改善專案。榮總護理，39(3)，290-297。https://doi.org/10.6142/VGHN.202209_39(3).0008

HUNG, H. Y., WANG, Y. W., FENG, J. Y., WANG, C. J., LIN, E. C. L., & CHANG, Y. J. (2019). Evidence-Based Practice Curriculum Development for Undergraduate Nursing Students: The Preliminary Results of an Action Research Study in Taiwan. The Journal of Nursing Research, 27(4), 1-11-002. https://doi.org/10.1097/jnr.0000000000000298

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台灣實證護理推展現況及相關影響因素探討

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