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Effectiveness of an Evidence‐Based Practice Nurse Mentor Training Program

机译:基于证据的实践护士导师培训计划的有效性

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ABSTRACT Background Multiple reasons are cited for why nurses do not incorporate evidence into clinical practice, including lack of knowledge and skills, training, time, and organizational support. Aims To investigate the effectiveness of a mentor training program on mentors’ perceptions of knowledge, attitude, skill, and confidence levels, and organizational readiness related to evidence‐based practice (EBP) and research utilization; and to investigate the effectiveness of creating a formalized structure to enculturate EBP in order to prepare nurses to incorporate EBP into clinical practice on nurses’ perceptions of knowledge, attitude, skill levels, barriers, nursing leadership, and organizational support related to EBP and research utilization. Methods A two‐group pretest–posttest quasi‐experimental, interventional design was used. A convenience sample of 66 mentors and 367 nurses working at a five hospital integrated healthcare system located in the Southeastern United States participated. Findings Nurse mentors’ knowledge, attitude, skill level, and organizational readiness related to EBP, t = ?8.64, p .001, and confidence, t = ?6.36, p .001, improved after training. Nurses’ knowledge, attitude, and skill level related to EBP, t = ?19.12, p .001, and barriers to research utilization, t = 20.86, p .001, EBP work environment t = ?20.18, p .001, and EBP nurse leadership, t = ?16.50, p .001, improved after a formalized structure was implemented. Linking Evidence to Action EBP mentors are effective in educating and supporting nurses in evidence‐based care. Leaders should use a multifaceted approach to build and sustain EBP, including developing a critical mass of EBP mentors to work with point of care staff.
机译:摘要背景护士不将证据纳入临床实践有多种原因,包括缺乏知识和技能、培训、时间和组织支持。旨在调查导师培训计划对导师对知识、态度、技能和信心水平的认知,以及与循证实践(EBP)和研究利用相关的组织准备度的有效性;并调查创建一个正式结构来培养循证医学的有效性,以便让护士准备将循证医学纳入临床实践,了解护士对循证医学知识、态度、技能水平、障碍、护理领导力以及与循证医学和研究利用相关的组织支持的看法。方法采用两组前测-后测准实验性介入设计。在位于美国东南部的一个五医院综合医疗系统工作的66名导师和367名护士组成的便利样本参与了调查。调查结果护士导师的知识、态度、技能水平和组织准备度与EBP相关,t=?8.64,p。001和信心,t=?6.36,p。001,训练后有所改善。护士的知识、态度和技能水平与EBP相关,t=?19.12,p。001和研究利用障碍,t=20.86,p。001,EBP工作环境t=?20.18,p。001和EBP护士领导力,t=?16.50,p。001,在实施正式结构后得到改进。将证据与行动联系起来,EBP导师可以有效地教育和支持循证护理中的护士。领导者应该使用多方面的方法来建立和维持EBP,包括培养足够数量的EBP导师与护理点员工合作。

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