Prepričanja in implementacija na dokazih podprte prakse med visokošolsko izobraženimi diplomiranimi medicinskimi sestrami in zdravstveniki v Sloveniji (1. del) : psihometrična analiza instrumentov

Skela-Savič, Brigita (author), Bole, Urban (author), Lobe, Bojana (author)

Uvod: Za načrtovanje strategije uvajanja na dokazih podprte prakse v slovenski zdravstveni negi je pomembna ocena znanj, prepričanj in različnih vidikov uporabe na dokazih podprte prakse pri izvajalcih zdravstvene nege. Ocena mora biti zanesljiva, veljavna in reprezentativna, da lahko koristi načrtovanju nacionalnih strategij na tem področju. Namen raziskave je prikaz psihometrične analize uporabljenega in mednarodno uveljavljenega instrumenta.Metode: Sodelovalo je 1014 visokošolsko izobraženih medicinskih sester in zdravstvenikov z vseh treh nivojev zdravstvenega varstva. V raziskavi sta bili uporabljeni dve lestvici, in sicer »Evidence-Based Practice Beliefs Scale« in »Evidence-Based PracticeImplementation Scale«. Lestvici sta bili psihometrično analizirani s testi zanesljivosti in veljavnosti.Rezultati: Povprečna vrednost prepričanj na dokazih podprte prakse je 3,47 (s = 0,54). Zanesljivost lestvice je znašala 0,909, varianca je bila pojasnjena v 63,71 % s tremi faktorji (prepričanja v znanje, prepričanja v uporabnost, težavnost uporabe in časovna potratnost). Povprečna vrednost implementacije je 2,23 (s = 0, 89). Zanesljivost lestvice je znašala 0,969, varianca je bila pojasnjena v 68,52 % z dvema faktorjema (uporaba znanj, uporaba korakov).Diskusija in zaključek: Testirana instrumenta se pokažeta kot zanesljiva in veljavna. Raziskava zelo poudari primanjkljaj znanj za razvoj na dokazih podprte prakse in znanj, ki so del vsakodnevnih razvojnih aktivnosti v delokrogu visokošolsko izobražene medicinske sestre. Zahtevajo se aktivnosti za izboljšanje stanja na ravni visokošolskih in zdravstvenih zavodov, kot na ravni nacionalnih združenj v zdravstveni negi.

• Language: Slovenian
• Keywords: zdravstvena nega, pacienti, klinična ekspertiza, izboljšave, raziskave, spremembe, znanje
• Work type: Article
• Typology: 1.01 - Original Scientific Article
• Organization: FDV - Faculty of Social Sciences
• Publication status: Published
• Publication version: Version of Record
• Year: 2022
• Number of pages: Str. 184-193
• Numbering: Letn. 56, št. 3
• PID: 20.500.12556/RUL-144019
• UDC: 616-083
• ISSN on article: 1318-2951
• DOI: 10.14528/snr.2022.56.3.3116
• COBISS.SI-ID: 121756163
• Publication date in RUL: 26.01.2023

Record is a part of a journal

• Title: Obzornik zdravstvene nege : strokovno glasilo Zveze društev medicinskih sester in zdravstvenih tehnikov Slovenije
• Shortened title: Obzor. zdrav. neg.
• Publisher: Zbornica zdravstvene nege
• ISSN: 1318-2951
• COBISS.SI-ID: 39433728

Licences

• License: CC BY 4.0, Creative Commons Attribution 4.0 International
• Link: http://creativecommons.org/licenses/by/4.0/
• Description: This is the standard Creative Commons license that gives others maximum freedom to do what they want with the work as long as they credit the author.

Secondary language

• Language: English
• Title: Evidence-based practice beliefs and implementation among nurses with a higher education degree in Slovenia (1. Part) : a psychometric analysis of instruments

Abstract

Introduction: Planning the strategy of evidence-based care implementation in Slovenian nursing calls for an assessment of knowledge, beliefs, and various aspects of evidence-based care implementation among nursing care providers. The assessment should be reliable, valid and representative in order to be used for the planning of national strategies in this field. The aim of the article is to present the psychometric analysis results of the internationally-renowned instrument used.Methods: A total of 1,014 nurses with a higher education degree from all three levels of health care participated in the research. Two established scales were used in the research: Evidence-Based Practice Beliefs Scale and Evidence-Based Practice Implementation Scale. A psychometric analysis of the data was conducted using reliable, valid tests.Results: The mean value for evidence-based practice beliefs was 3.47 (s = 0.54). Reliability of the scale was 0.909, the variance was explained in 63.71% with three factors (beliefs in knowledge; beliefs in usefulness; difficulty of implementation and time efficiency). The mean value for implementation was 2.23 (s = 0.89). Reliability of the scale was 0.969, the variance was explained in 68.52% with two factors (application of knowledge; application of implementation steps).Discussion and conclusion: The tested instruments have proven to be reliable and valid.Research results clearly demonstrate insufficient knowledge for the development of evidence-based practice and knowledge that is required for daily development activities implemented by nurses with a higher education degree. Steps should be taken to improve the situation in higher education institutions, healthcare institutions, and at the level of national nursing associations.

• Keywords: nursing, patients, clinical expertise, improvements, research, change, knowledge