影響護理人員運用研究成果於臨床的因素

The Barriers of Research Utilization in Practice

本研究之目的係瞭解護理人員運用研究成果於臨床實務的現況與影響因素。研究設計採相關性研究調查法，對象為某區域教學醫院的臨床護理人員。共發出問卷281份，回收248份，其中有效問卷為243份。研究設計以自行設計之結構式問卷，採Likert五點計分法。研究結果發現護理人員運用研究於臨床上的影響因素依序為「醫院政策」、「傳統束縛」、「知識與技能」及「對研究的態度」，其中有足夠的時間從事研究、參考資料足夠、有時間閱讀研究報告、大學以上學歷才有能力做研究及有電腦設備是影響之五大因素。此外，個人背景方面，年齡、教育程度、職級、科別、閱讀專業期刊的頻率、運用研究成果於臨床及受過相關課程訓練亦會影響研究之運用。因此，本研究探討哪些因素會影響護理人員將研究成果運用於臨床上，以利未來產、官、學界能更有效推動護理實證之發展，並進一步提昇護理人員運用研究成果的能力，以維護護理專業地位與照護品質。

The purpose of this research was to understand the implementation of research findings in practice and identify the barriers to research utilization perceived by clinical nurses. A descriptive-correlational survey research design was applied for this study and a survey of registered nurses working in regional medical center in Taiwan was conducted. 243/281 (86.4%) nurses returned questionnaires to determine the bafflers to the implementation of research utilization in practice. The self-designed questionnaire was used for the study consisted of the 33-item bafflers scale and a five-point scale was used and respondents were asked to circle the response which applied to them. A greatest category of barrier to research utilization were in proper order as following hospital policy, traditional constraint, research know ledge and attitudes to research. The items perceived most often as a great or moderate to nurses in this sample are including enough time and resource to do research, enough time to read the research articles, higher education background above bachelor degree and appropriate computer facility. Moreover, age, education background, professional post, work units, the frequency of reading literature related to their work, and training of research related program were the factors of research implementation in practice. Thus the paper explored the bafflers of research utilization in practice in order to achieve the development of evidence-based nursing.