일 상급종합병원 임상간호사의 근거기반실무 수행 영향요인
The Factors Influencing the Implementation of Evidence-Based Practice by Clinical Nurses at a Tertiary Hospital
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Purpose: This study sought to investigate the factors that influence the implementation of evidence-based practice by clinical nurses working at a tertiary hospital. Method: The study was a based on descriptive survey research design. All the participants were nurses working at a tertiary hospital in the D region. The collected data were analyzed using de- scriptive statistics, the t-test, ANOVA, Pearson’s correlation coefficient, and multiple regression analysis with the SPSS sta- tistics 22.0 program. Results: The results of the regression analysis showed that the factors influencing evidence-based practice implementation were patient-centered nursing (β=.16, p=.004), organizational culture for evidence-based practice (β=.14, p=.009), and a knowledge of evidence-based practice (β=.53, p<.001). The explanatory power of these varia- bles was 47.2% (F=21.53, p<.001). Conclusion: For clinical nurses to carry out evidence-based practice, it is essential that they first understand this practice well. Therefore, education on evidence-based practice must continue, and organ- izational efforts to support this are needed. Additionally, to implement evidence-based practice, individualized nursing services that consider the patient’s needs must be provided.
Abstract
Purpose: This study sought to investigate the factors that influence the implementation of evidence-based practice by clinical nurses working at a tertiary hospital. Method: The study was a based on descriptive survey research design. All the participants were nurses working at a tertiary hospital in the D region. The collected data were analyzed using de- scriptive statistics, the t-test, ANOVA, Pearson’s correlation coefficient, and multiple regression analysis with the SPSS sta- tistics 22.0 program. Results: The results of the regression analysis showed that the factors influencing evidence-based practice implementation were patient-centered nursing (β=.16, p=.004), organizational culture for evidence-based practice (β=.14, p=.009), and a knowledge of evidence-based practice (β=.53, p<.001). The explanatory power of these varia- bles was 47.2% (F=21.53, p<.001). Conclusion: For clinical nurses to carry out evidence-based practice, it is essential that they first understand this practice well. Therefore, education on evidence-based practice must continue, and organ- izational efforts to support this are needed. Additionally, to implement evidence-based practice, individualized nursing services that consider the patient’s needs must be provided.
참고문헌 (30)
- 김지은, "종합병원 간호사의 근거기반실무(EBP)역량 영향 요인", 학습자중심교과교육연구, 23(21), pp.907~917 (2023)[DOI]
- 류세앙, "종합병원 간호사의 근거기반실무준비도와 근거기반실무 역량의 영향요인", 간호행정학회지, 22(5), pp.448~460 (2016)[DOI]
- 박명화, "요양병원 간호사의 근거기반 신체억제대지침 이행에 영향을 미치는 요인", 노인간호학회, 18(3), pp.172~181 (2016)[DOI]
- 박현영, "임상간호사의 근거기반실무 실행 구조모형", Journal of Korean Academy of Nursing, 46(5), pp.697~709 (2016)[DOI]
- 유재용, "중환자실 간호사의 근거기반 감염관리 지식과 수행 수준 및 영향요인", 성인간호학회지, 24(3), pp.232~243 (2012)[DOI]
- 은영, "상급종합병원과 종합병원의 근거기반 임상간호실무지침의 활용도", 임상간호연구, 27(3), pp.233~244 (2021)[DOI]
- 이금아, "비판적 사고성향, 간호관리자의번혁적ㆍ거래적 리더십이 간호사의 근거기반실무 역량에 미치는 영향", 간호행정학회지, 26(4), pp.305~315 (2020)[DOI]
- 임경춘, "상급종합병원 간호사의 근거기반실무에 대한 지식과 태도 및 수행", 임상간호연구, 17(3), pp.375~387 (2011)
- 정현, "요양병원 간호사의 근거기반 낙상관리 이행 관련 영향요인", 간호행정학회지, 23(3), pp.270~279 (2017)[DOI]
- 정현, "상급종합병원 간호사의 환자중심간호 예측모형", Journal of Korean Academy of Nursing, 49(2), pp.191~202 (2019)[DOI]
- Alatawi, M., "Barriers of implementing evidence-based practice in nursing profession : A literature review", American Journal of Nursing Science, 9(1), pp.35~42 (2020)[DOI]
- Alharbi, T. S. J., "Experiences of persons-centered care patients’ perceptions : Qualitative study", BMC Nursing, 13(1), pp.1~9 (2014)[DOI]
- Balci, F., "The relationship of evidence-based nursing attitudes of nurses working in surgical wards with patient-centred care competencies", Journal of PeriAnesthesia Nursing, 38(5), pp.753~757 (2023)[DOI]
- Chen, L., "Value, knowledge and implementation on evidencebased practice among nurse managers in china : A regional cross-sectional survey", Journal of Nursing Management, 28(1), pp.139~147 (2020)[DOI]
- Connor, L., "Evidencebased practice improves patient outcomes and healthcare system return on investment : Findings from a scoping review", Worldviews on Evidence-Based Nursing, 20(1), pp.6~15 (2023)[DOI]
- Engle, R. L., "Evidence-based practice and patient-centered care : doing both well", Health Care Management Review, 46(3), pp.174~ (2021)
- Jordan, Z., "Now that we’re here, where are we? the JBI approach to evidence-based healthcare 20 years on", JBI Evidence Implementation, 13(3), pp.117~120 (2015)[DOI]
- Marty, D., "Factors influencing consumer outcome monitoring in implementation of evidence-based practices : Results from the national ebp implementation project", Administration and Policy in Mental Health and Mental Health Services Research, 35, pp.204~211 (2008)[DOI]
- Mashiach Eizenberg, M., "Implementation of evidence-based nursing practice : Nurses’ personal and professional factors?", Journal of Advanced Nursing, 67(1), pp.33~42 (2011)[DOI]
- Melnyk, B. M., "Organizational culture and readiness for system-wide implementation of EBP(OCR-SIEP)scale" (2003), ARCC llc Publishing
- Melnyk, B. M., "Evidence-based practice, step by step : sustaining evidence-based practice through organizational policies and an innovative model", AJN The American Journal of Nursing, 111(9), pp.57~60 (2011)[DOI]
- Melnyk, B. M., "Differences between magnet and non-magnet-designated hospitals in nurses’ evidence-based practice knowledge, competencies, mentoring, and culture", Worldviews on Evidence-Based Nursing, 17(5), pp.337~347 (2020)[DOI]
- Morgan, S., "A concept analysis of person-centered care", Journal of Holistic Nursing, 30(1), pp.6~15 (2012)[DOI]
- Reynolds, S., "Evidence-based practice(EBP)improves patient satisfaction in healthcare organizations", Journal of Business & Behavioral Sciences, 34(1), pp.76~87 (2022)
- Sackett, D. L., "Evidence based medicine : What it is and what it isn’t", BMJ, 312(7023), pp.71~72 (1996)[DOI]
- Saunders, H., "The state of readiness for evidence-based practice among nurses : An integrative review", International Journal of Nursing Studies, 56, pp.128~140 (2016)[DOI]
- Skela-Savič, B., "Evidencebased practice among nurses in Slovenian hospitals : a national survey", International Nursing Review, 63(1), pp.122~131 (2016)[DOI]
- Suhonen, R., "Individualized care scalenurse version : a finnish validation study", Journal of Evaluation in Clinical Practice, 16(1), pp.145~154 (2010)[DOI]
- Upton, D., "Development of an evidence-based practice questionnaire for nurses", Journal of Advanced Nursing, 53(4), pp.454~458 (2006)[DOI]
- Weaver, R. R., "Reconciling evidence-based medicine and patient-centred care : defining evidence-based inputs to patient-centred decisions", Journal of Evaluation in Clinical Practice, 21(6), pp.1076~1080 (2015)[DOI]
