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臨床本科護士循證護理素質(zhì)的現(xiàn)況研究與培訓內(nèi)容的構(gòu)建

發(fā)布時間:2018-05-20 23:35

  本文選題:循證護理 + 本科護士; 參考:《山西醫(yī)科大學》2017年碩士論文


【摘要】:目的:1.運用問卷調(diào)查法,對四所三甲醫(yī)院臨床本科(全日制本科和后續(xù)本科)護士循證護理實踐基本素質(zhì)與循證護理培訓態(tài)度進行橫斷面調(diào)查,了解循證護理素質(zhì)水平和薄弱點,為構(gòu)建本科學歷護理人員循證護理培訓內(nèi)容提供理論依據(jù);2.采用訪談法、德爾菲法確定本科護士(全日制本科和后續(xù)本科)循證護理培訓內(nèi)容,為護理管理者開展系統(tǒng)的循證護理培訓提供理論參考。方法:1.采用便利抽樣法抽取山西省四所三甲醫(yī)院,運用問卷調(diào)查法對860名臨床本科護士循證護理實踐基本素質(zhì)及循證護理培訓態(tài)度現(xiàn)狀進行調(diào)查,了解本科學歷護士循證護理素質(zhì)基本狀況與培訓態(tài)度,分析循證護理素質(zhì)的影響因素;2.采用半結(jié)構(gòu)訪談法收集專家對于構(gòu)建本科護士循證護理培訓內(nèi)容的建議,采用德爾菲法確定本科學歷護士循證護理培訓內(nèi)容。結(jié)果:1.循證護理實踐基本素質(zhì)量表調(diào)查結(jié)果顯示:臨床本科護士循證護理實踐基本素質(zhì)整體水平較低,循證護理知識與循證護理技能掌握不足,循證護理行為較少,只有循證護理態(tài)度良好;2.多元線性回歸顯示:文獻閱讀頻率、計算機水平、論文發(fā)表情況與行政職務(wù)為循證護理素質(zhì)的主要影響因素;3.臨床本科護士對參加循證護理培訓態(tài)度良好,能夠認識到循證護理對護理學科發(fā)展的重要意義,學習態(tài)度較為積極,護理管理者應(yīng)抓住契機,提升護士循證護理素質(zhì);4.構(gòu)建了針對本科(全日制本科和后續(xù)本科)護士的循證護理培訓內(nèi)容。結(jié)論:1.臨床本科護士循證護理素質(zhì)整體水平較低,循證護理態(tài)度良好,循證護理知識、技能的欠缺是導(dǎo)致護理人員循證護理實踐障礙的主要原因;2.綜合本科護士循證護理素質(zhì)現(xiàn)狀與專家意見,構(gòu)建針對本科護士循證護理培訓內(nèi)容,培訓內(nèi)容包括循證護理理論知識與實踐內(nèi)容,共十章二十九小節(jié)。
[Abstract]:Purpose 1. The basic quality of evidence-based nursing practice and the attitude of evidence-based nursing training among nurses in four third Class A hospitals (full-time undergraduate and follow-up undergraduate) were investigated by means of questionnaire to understand the quality level and weakness of evidence-based nursing. To provide theoretical basis for establishing the content of evidence-based nursing training for nursing staff with undergraduate degree. By using interview method and Delphi method, the contents of evidence-based nursing training for undergraduate nurses (full-time undergraduate and follow-up undergraduate) were determined, which provided a theoretical reference for nursing managers to carry out systematic evidence-based nursing training. Method 1: 1. Four third Class A hospitals in Shanxi Province were selected by convenient sampling method. The basic quality of evidence-based nursing practice and the attitude of evidence-based nursing training among 860 clinical undergraduate nurses were investigated by questionnaire. To understand the basic status and training attitude of nursing quality of undergraduate nurses, and analyze the influencing factors of evidence-based nursing quality. The semi-structured interview method was used to collect the suggestions of experts on the construction of evidence-based nursing training content for undergraduate nurses, and Delphi method was used to determine the content of evidence-based nursing training for undergraduate nurses. The result is 1: 1. The results of investigation on the basic quality scale of evidence-based nursing practice showed that the overall level of basic quality of evidence-based nursing practice of clinical undergraduate nurses was low, the knowledge and skills of evidence-based nursing were insufficient, and the behavior of evidence-based nursing was less. Only Evidence-based nursing attitude is good. Multiple linear regression showed that reading frequency of literature, computer level, publication of papers and administrative position were the main influencing factors of Evidence-based nursing quality. Clinical undergraduate nurses have a good attitude towards taking part in evidence-based nursing training. They can realize the importance of evidence-based nursing to the development of nursing discipline, and have a positive learning attitude. Nursing administrators should seize the opportunity to improve the quality of evidence-based nursing of nurses. The content of Evidence-based nursing training for undergraduate (full-time undergraduate and subsequent undergraduate) nurses was constructed. Conclusion 1. The overall level of evidence-based nursing quality of clinical undergraduate nurses is low, and the attitude of evidence-based nursing is good. The lack of knowledge and skills of evidence-based nursing is the main reason leading to the obstacles of evidence-based nursing practice. By synthesizing the present situation and expert opinion of undergraduate nurses' evidence-based nursing quality, the training contents of evidence-based nursing for undergraduate nurses were constructed. The training contents included the theoretical knowledge and practice of evidence-based nursing, which consisted of 10 chapters and 29 sections.
【學位授予單位】:山西醫(yī)科大學
【學位級別】:碩士
【學位授予年份】:2017
【分類號】:R47

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