實證護理培訓課程對護理人員實證護理知識、態度及行為之成效探討

The Effects ofEvidence-Based Nursing τraining Program on Nurses' Knowledge, Attitude, and Behavior

背景：提供以實證為基礎的照護措施，是改善醫療照護品質的重要要素，故培養護理人員具備實證護理的能力，是推展實證實務的基礎，但過去的研究較少評值實證護理培訓計畫之成效。目的：評值實證護理種子培訓課程對護理人員實證護理之知識、態度及行為的影響；並探討此成效是否因受訓者基本資料不同而有差異。方法：本研究為單組前後測研究設計，針對72位接受18小時實證護理基本課程、小組分組輔導及實作報告9小時之實證護理種子培訓之護理人員，以自擬之實證護理知識態度行為問卷，評量其訓練前後的實證護理知識、態度及行為，並以配對t檢定驗證此訓練計畫之成效。結果：研究對象接受實證護理培訓課程後，其實證護理行為後測分數顯著高於前測（t＝7.17，p＜.001）。實證護理知識前後測得分（t＝1.25，p＝.22）及實證護理的態度前後測得分（t＝0.51，p＝.61）則無顯著差異。進一步依據研究對象基本資料分析發現，實證護理培訓課程對提升具大學及以下學歷、年齡31-35歲、工作年資6-10年及非主管之研究對象的實證護理知識有顯著成效（p＜.05）。對於年齡≦30歲、工作年資少於5年、曾經上過實證護理相關課程之研究對象之實證護理行為改變並無顯著差異。結論：本研究之實證護理種子培訓課程能有效提升受訓護理人員的實證護理行為，此結果可做為其他醫療機構進行實證護理培訓課程規劃之參考。Background: Evidence-based nursing (EBN) is an essential issue for improving quality of care. Enhancing the competence of EBN is the foundation of implementing evidence-based practice. However, little study investigated the effectiveness of the EBN training program.Purpose: The purpose of the study was to evaluate the effectiveness of an EBN training program on nurses' knowledge, attitude, and behavior, and to explore whether the effectiveness varied with nurses' demographic characteristics.Methods: The study was a pretest-posttest research design. Seventy-two nurses received an EBN training program with 18 hours classes, practicum, and 9 hours presentation. The EBN knowledge, attitude, and behavior were measured with a questionnaire before and after implementing the training program. The paired-t statistics was used to analyze the effectiveness of the training program.Results: The posttest score of EBN behavior was significantly higher than the score of pretest (t＝7.17, p＜.001). There was no significant difference in EBN knowledge score (t＝1.25, p＝.22) and attitude scores (t＝0.51, p＝.61) between pretest and posttest. However, the posttest score of EBN knowledge in nurses at the age of 31-35 years, 6-10 years of work experience, bachelor degree, and non-administrator were significantly higher than the score of pretest. There was no significant difference in EBN behavior between pre and post test in nurses of or younger than 30 years old, and with work experience less than 5 years.Conclusions: The EBN training program improved nurses' evidence-based nursing behavior. The content of this program can be a reference for designing a systematic training program of other institutes.