일개 대학병원 임상간호사의 근거기반 간호실무 신념, 역량, 조직의 지원에 관한 조사
Nurses’ Evidence-Based Practice Beliefs and Competencies, and Organizational Supports
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목적: 이 연구는 근거기반실무를 발전시키기 위해 간호사의 근거기반 간호실무 신념, 역량, 조직의 지원에 대한 조사하기 위해 시행되었다. 방법: 본 연구는 서술적 조사연구이며, 일개 대학병원에 근무하는 간호사를 대상으로 설문지를 이용하여 시행되었다. 결과: 총 1413명의 간호사들에게 설문지가 배부되었으며, 1318명의 간호사들이 설문지에 응답했다. 교육수준에 따라 근거기반 간호실무 신념, 역량, 조직의 지원 수준에 통계적으로 유의미한 차이가 있었으며, 근거기반 간호실무 신념과 역량, 근거기반 간호실무 신념과 조직의 지원, 근거기반 간호실무 역량과 조직의 지원 모두 양의 상관관계를 나타내었다. 근거기반 간호실무 역량은 총 임상경력 3년 이하의 간호사들이 가장 높았고, 조직의 지원은 총 임상경력 10년 이상의 간호사들이 가장 높은 것으로 나타났다. 결론: 본 연구의 결과는 근거기반 간호실무의 성공적 정착을 위해 간호사들의 요구를 반영한 교육 프로그램, 훈련, 조직의 지원이 필요하다는 것을 의미한다.
Abstract
Purpose: The aim of this study was to assess nurses’ evidence-based practice (EBP) beliefs and competencies, and organizational supports to develop EBP. Methods: A descriptive study was conducted using a survey of clinical nurses at a tertiary hospital in South Korea. Results: The survey was distributed to a total of 1,413 nurses and was completed by 1,318 nurses. There were significant differences in the EBP beliefs and competencies, and the perception of organizational supports among nurses at different educational levels. The EBP beliefs, EBP competencies, and organizational supports had a positive correlation with each other. EBP competencies were the highest in nurses with less than 3-years of clinical experience, and the perception of organization supports were the highest in nurses with more than 10-years of clinical experience. Conclusion: The findings suggest that educational programs, training, and organizational supports are recommended for facilitating successful EBP among nurses.
참고문헌 (24)
- Lee YJ, "Development of a competency model for evidence based nursing practice by clinical ladder", pp.2013
- Sackett DL, "Evidence based medicine: What it is and what it isn't", BMJ, 312(7023), pp.71~72 (1996)[DOI]
- Melnyk BM, "The state of evidence- based practice in US nurses: Critical implications for nurse leaders and educators", The Journal of Nursing Administration, 42(9), pp.410~417 (2012)[DOI]
- Bays CL, "An evidence-based practice primer for infusion nurses", Journal of Infusion Nursing, 33(4), pp.220~225 (2010)[DOI]
- Park MH, "Practical examples of applying evidence based nursing practice", Journal of Nursing Query, 13(2), pp.60~76 (2005)
- Lim KC, "Awareness and attitude of registered nurses about evidence based nursing", Nursing Research in Korea: Present and Future, pp.177~ (2010), Korean Society of Nursing Science
- Oh EG, "Theoretical model and platform for implementing and diffusing evidence into nursing practice", Evidence and Nursing, 4(1), pp.1~3 (2016)
- McClellan MB, "Institute of Medicine of The National Academies. Evidence-based medicine and the changing nature of healthcare: 2007 IOM Annual Meeting Summary" (2008), National Academies Press
- Choe MA, "Current status and direction for future development of evidence-based nursing in Korea", Perspectives in Nursing Science, 8(2), pp.129~138 (2011)
- 장인숙, "간호조직의 지식관리, 간호사의 근거기반실무 신념 및역량이 근거기반 의사결정에 미치는 영향", 성인간호학회지, 28(1), pp.83~94 (2016), 한국성인간호학회[DOI]
- 이지은, "간호사의 정보자원 접근 및 활용정도와 근거중심실무 장애요인 및 역량", 성인간호학회지, 23(3), pp.255~266 (2011), 한국성인간호학회
- 조명숙, "일개 상급종합병원 간호사의 근거기반실무(Evidence-Based Practice) 촉진요인에 대한 인식", 기본간호학회지, 18(3), pp.300~309 (2011), 기본간호학회
- Melnyk BM, "The evidence based practice beliefs and implementation scales: psychometric properties of two new instruments", Worldviews on Evidence-Based Nursing, 5(4), pp.208~216 (2008)[DOI]
- Ilic D, "Assessing competency in evidence based practice: Strengths and limitations of current tools in practice", BMC Medical Education, 9, pp.53~ (2009)[DOI]
- Melnyk BM, "The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real- world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs", Worldviews on Evidence-Based Nursing, 11(1), pp.5~15 (2014)[DOI]
- Nagy S, "Nurses' beliefs about the conditions that hinder or support evidence based nursing", International Journal of Nursing Practice, 7(5), pp.314~321 (2001)[DOI]
- 류세앙, "종합병원간호사의 근거기반실무 준비도와 근거기반실무 역량의 영향 요인", 간호행정학회지, 22(5), pp.448~460 (2016), 간호행정학회[DOI]
- 김정숙, "상급 종합병원 간호사의 근거기반실무 준비도에 대한 영향요인", 한국산학기술학회논문지, 14(6), pp.2945~2957 (2013), 한국산학기술학회[DOI]
- Thiel L, "Determining registered nurses' readiness for evidence-based practice", Worldviews on Evidence-Based Nursing, 5(4), pp.182~192 (2008)[DOI]
- 최미향, "간호대학생에서 근거기반실무 태도에 영향을 미치는 요인", 한국간호교육학회지, 22(3), pp.274~282 (2016), 한국간호교육학회[DOI]
- Choi M, "Current status of teaching evidence-based nursing to nursing students and educational strategies for dissemination", Evidence and Nursing, 5(1), pp.4~15 (2017)
- Keib CN, "Changes in nursing students' perceptions of research and evidence-based practice after completing a research course", Nurse Education Today, 54, pp.37~43 (2017)[DOI]
- Cho YA, "Current status of evidence-based nursing in general hospitals in Korea", Evidence and Nursing, 1(1), pp.16~24 (2013)
- Eizenberg MM, "Implementation of evidence based nursing practice: nurses' personal and professional factors", Journal of Advanced Nursing, 67(1), pp.33~42 (2011)[DOI]