Investigation Of Evidence-based Nursing Qualities On Clinical Nurses And Influential Factors In Henan

ObjectiveThis study is to realize fully and compare the current level of evidence-based nursing practice onTertiary Hospitals in Henan province (including knowledge, attitudes, skills and behaviors), andinfluencing factors of the status of the nurses. To realize the difficulties of evidence-based nursing practicein the process, to find out the direction and management of evidence-based nursing education and providea theoretical basis of continuing education for clinical nurses, which could be improve the quality ofevidence-based clinical nurse effectively in Henan Province, and to promote the development ofevidence-based care.MethodsIn this paper, with the methods of convenient campling, the study extracted five cities in Henan(Zhengzhou, Kaifeng, Luoyang, Xinxiang, Pingdingshan), easy to extract five Tertiary Hospitals, the use ofqualified nurses randomly selected for the study.Survey Tool: This study is survey questionnaires including demographic data, including age,department, work experience, marital status, education, and finally the first degree, title, Position, nature ofwork. Rumei Young amendments the evidence-based practice knowledge, attitudes, behavior questionnaire(EBPQ)(Chinese version), and evidence-based Practice Factors Questionnaire (DEBPQ), EBPQ scalehave24entries. Including knowledge, practices and behavior of the three dimensions, according to “never”to “always” using seven scoring methods, were given one minute to seven fractional numbers, the higherthe score indicates the level of the nurses in the process, The each dimension of the total questionnaires cronbach, s coefficients were0.940,0.841,0.789and0.935; DEBPQ scale of48entries and sixdimensions, with a total questionnaire cronbachs coefficient was0.930, higher scale and internalconsistency, could be used to evaluate the level of domestic nurses.Survey methodology: The research team first selected five cities from Henan Province, which were inZhengzhou City, Kaifeng City, Luoyang City, Xinxiang City, Pingdingshan City, and then select hospitalsform extraction cities easily. The group members contact the nursing leaders of each hospitals, with theconsent and assistance to disbursement and recovery the questionnaires. Using a convenient campling ofnurses qualified for the study, when the surveyed nurses known what to do and then fill out the survey byno names.Statistical analysis: To statistical analysis the numbers by SPSS17.0statistical software package, P<0.05was considered statistically significant, and which were taken bilaterally probability of t test,analysis of variance, Pearson correlation analysis, statistical inference and statistical description.ResultsA total of550questionnaires were distributed and were returned521valid questionnaires, returned94.72%. The age distribution of the range of20to55years, with an average age of (28.62±5.37) and itsmainly the internal medicine department (39.53%) and surgical department (30.13%).62.96%of thosesurveyed nurses, work experience within10years; the most first degree is secondary school andcollege-based (85.60%); highest degree is a bachelor accounted for62.57%.the number of junior titlesaccounted for62.38%. The research subjects of the EBPQ questionnaire scores were divided into4.34±1.05, the average dimensions of Practice behaviors, attitudes, knowledge were4.05±1.14,4.64±1.13and4.47±0.96respectively. Different departments of the EBPQ questionnaire survey found that thepractice of evidence-based knowledge, skills and behaviors of different sections had statistically significant (P <0.05), Emergency department nurses had a higher score than other departments in practice actsdimension(P <0.05), while in the ICU the nurses had a higher score than other departments dimension inknowledge and skills(P <0.05).Nurses in different age groups had a significant difference in conductevidence-based practice, evidence-based knowledge and skills(P <0.05), but had no difference in attitudescores (P>0.05); Which below30years group had lower score than the31to40age group. Differentwork experience with evidence-based knowledge on the attitudes and behaviors statistically significantdifference (P <0.05), which16to20years of working nurses had the highest score on each dimension,followed by more than21years. Marriage had no effects of evidence-based nursing practice acts, attitudesand knowledge skills(P>0.05). Different first degree had an significant differences of the study, Practicesand behaviors(P <0.05); different educational background had a statistical different score in practicenurses, dimension behavior, attitudes dimension, knowledge and skills (P <0.05). Senior nurses had ahigher scores in nurses evidence-based knowledge, attitudes and practice behaviors (P <0.05), junior titlesnurses scored higher than other nurses (P <0.05). Pearson correlation analysis of the relationship betweenDEBPQ Practice acts and EBPQ questionnaire scores between each dimension and had a significantdifference (P <0.05).ConclusionsEmergency departments, highly educated, highly title, years of evidence-based practice nurses areconducive to evidence-based care. Implementation of evidence-based Practice in knowledge sources,Practice difficult situation and find the support, skills, find evidences all had affects.