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상급종합병원 신규간호사와 프리셉터 간호사의 근거기반실무에 대한 신념, 간호실무지침에 대한 중요도와 수행도

Belief in Evidence-Based Practice, Awareness of Importance and Performance of Nursing Practice Guidelines among Novice Nurses and Preceptors in a Tertiary General Hospital

  • 서주희 (경상국립대학교병원) ;
  • 은영 (경상국립대학교 간호대학.의과학연구원)
  • Seo, Ju Hee (Department of Nursing, Gyeongsang National University Hospital) ;
  • Eun, Young (College of Nursing, Institute of Medical Sciences, Gyeongsang National University)
  • 투고 : 2023.05.29
  • 심사 : 2023.06.16
  • 발행 : 2023.08.31

초록

Purpose: This study was to investigate the belief in evidence-based practice, awareness of importance and performance of intravenous infusion and pressure ulcer evidence-based practice guidelines among nurses in a tertiary general hospital. Methods: The subjects of this study were 217 nurses working in a tertiary general hospital. Data collection was performed between February 11 and February 25, 2022. Data analysis was conducted descriptive statistics, t-test, hierarchical regression analysis, and Importance-Performance Analysis. Results: The mean score of belief for evidence-based practice among novice nurses was 3.34 out of 5, while preceptor nurses scored a mean of 3.41 out of 5. There was no significant difference in belief scores between novice nurses and preceptor nurses (t=-1.21, p=.227). The factors influencing the performance of evidence-based practice guidelines for intravenous infusion were belief in evidence-based practice (β=.14, p=.009) and importance of intravenous infusion (β=.51, p<.001), and the factors influencing the performance of evidence-based practice guidelines for pressure ulcer were belief in evidence-based practice (β=.15, p=.002) and importance of pressure ulcer (β=.65, p<.001). Importance-Performance Analysis of the evidence-based practice guidelines of two groups were used to identify common and different items. Conclusion: To improve the performance of evidence-based practice guidelines, it is necessary to enhance the evidence-based practice belief and importance of evidence-based practice guidelines. In particular, evidence-based practice should be provided to improve nursing quality through education on items of low-importance and low-performance and items of high-importance but low-performance guidelines identified through Importance-Performance Analysis.

키워드

참고문헌

  1. Choe MA, Bang KS, Park YH, Kang HJ. Current status and direction for future development of evidence-based nursing in Korea. Perspectives in Nursing Science. 2011;8(2):129-138. 
  2. International Council of Nurses. ICN Position Statements [Internet]. Geneve: International Council of Nurses; n.d. [cited 2022 Dec 1]. Available from: https://www.icn.ch/nursing-policy/position-statements. 
  3. Melnyk BM, Fineout-Overholt E. Evidence-based practice in nursing & healthcare: A guide to best practice. 2nd ed. Philadelphia(PA): Lippincott Williams & Wilkins; 2011. 
  4. Field MJ, Lohr KN. Clinical practice guidelines: Directions for a new program. Washington(DC): National Academy Press; 1990. 
  5. Thomas LH, Cullum NA, McColl E, Rousseau N, Soutter J, Steen N. Guidelines in professions allied to medicine. Cochrane Database of Systematic Reviews. 1999;1:CD000439. https://doi.org/10.1002/14651858.CD000349 
  6. Kim AJ, Jeong IS. Performance of evidence-based pressure ulcer prevention practices among hospital nurses. Global Health and Nursing. 2018;8(1):8-16. https://doi.org/10.35144/ghn.2018.8.1.8 
  7. Ryu SA, Kim YH, Jang KS, Chung KH, Choi JY, Yang JJ, et al. Nurses' knowledge and performance for the prevention of intravascular catheter-related infections according to the strength of recommendations of evidence based guidelines. Korean Journal of Adult Nursing. 2012;24(5):546-555. https://doi.org/10.7475/kjan.2012.24.5.546 
  8. Lim KC, Park KO, Kwon JS, Jeong JS, Choe MA, Kim JH, et al. Registered nurses' knowledge, attitudes, and practice about evidence-based practice at general hospitals in Korea. Journal of Korean Clinical Nursing Research. 2011;17(3):375-387. https://doi.org/10.22650/JKCNR.2011.17.3.8 
  9. Cho MS, Song MR, Cha SK. Nurses' perceptions regarding evidence-based practice facilitators in a tertiary hospital. Journal of Korean Academy of Fundamentals of Nursing. 2011;18(3):300-309. 
  10. Eun Y, Gu MO, Cho YA, Jeong JS, Kwon JS, Yoo CS. Extent of diffusion of intravenous infusion nursing practice guideline among nurses in advanced general hospital and general hospital in Korea. Evidence and Nursing. 2015;3(1):4-17.  https://doi.org/10.54003/kebn.2015.3.1.4
  11. Melnyk BM, Gallagher F, Thomas BK, Troseth M, Wyngarden K, Szalacha L. A study of chief nurse executives indicates low prioritization of evidence based practice and shortcomings in hospital performance metrics across the United States. Worldviews on Evidence Based Nursing. 2016;13(1):6-14. https://doi.org/10.1111/wvn.12133 
  12. Oh EG, Oh HJ, Lee YJ. Nurses' research activities and barriers of research utilization. Journal of Korean Academy of Nursing. 2004;34(5):838-848. https://doi.org/10.4040/jkan.2004.34.5.838 
  13. Eun Y, Jeon MY, Gu MO, Cho YA, Kim JY, Kwon JS, et al. Utilization of evidence-based clinical nursing practice guidelines in tertiary hospitals and general hospitals. Journal of Korean Clinical Nursing Research. 2021;27(3):233-244. https://doi.org/10.22650/JKCNR.2021.27.3.233 
  14. Melnyk BM, Fineout-Overholt E, Mays MA. The evidence-based practice beliefs and implementation scales: Psychometric properties of two new instruments. Worldviews on Evidence-Based Nursing. 2008;5(4):208-216. https://doi.org/10.1111/j.1741-6787.2008.00126.x 
  15. Ryu SA, Kim YS, Kim YH. Factors influencing of evidence based practice competency and evidence based practice readiness in general hospital nurses. Journal of Korean Academy of Nursing Administration. 2016;22(5):448-460. https://doi.org/10.11111/jkana.2016.22.5.448 
  16. Yoo JY, Oh EG. Level of beliefs, knowledge and performance for evidence-based practice among nurses experienced in preceptor role. Journal of Korean Academy of Nursing Administration. 2012;18(2):202-212. https://doi.org/10.11111/jkana.2012.18.2.202 
  17. Jang IS, Park MH. Knowledge management, beliefs, and competence on evidence-based practice, evidence-based decision making of nurses in general hospitals. Korean Journal of Adult Nursing. 2016;28(1):83-94. https://doi.org/10.7475/kjan.2016.28.1.83 
  18. Ferguson LM, Day RA. Supporting new nurses in evidence-based practice. Journal of Nursing Administration. 2004;34(11):490-492. https://doi.org/10.1097/00005110-200411000-00004 
  19. Stichler JF, Fields W, Kim SC, Brown CE. Faculty knowledge, attitudes, and perceived barriers to teaching evidence-based nursing. Journal of Professional Nursing. 2011;27(2):92-100. https://doi.org/10.1016/j.profnurs.2010.09.012 
  20. Gu MO, Cho YA, Eun Y, Jeong IS, Jang HG, Kim H, et al. Evidence-based clinical nursing practice guideline: Intravenous infusion [Internet]. 2017 Revision. Seoul: Korean Hospital Nurses Association; 2017 Aug [cited 2021 Aug 1]. Available from: https://khna.or.kr/home/data/khna_guide_ebp09.pdf. 
  21. Hong IH, Eun Y. Development and effectiveness of practice application program of intravenous infusion evidence-based nursing practice guideline: For small and medium sized hospitals. Journal of Korean Academy of Nursing. 2020;50(6):863-875. https://doi.org/10.4040/jkan.20196 
  22. Park GH, Kim JY, Park O, Park JH, Lee YG, Hwang JH, et al. Evidence-based clinical nursing practice guideline: Prevention and management of pressure ulcer [Internet]. 2017 Revision. Seoul: Korean Hospital Nurses Association; 2017 Dec [cited 2021 Aug 1]. Available from: https://khna.or.kr/home/data/khna_guide_ebp10.pdf. 
  23. Gu MO, Cho MS, Cho YA, Jeong JS, Eun Y, Jeong IS, et al. A prioritizing for the evidence-based nursing practice guidelines development. Journal of Korean Clinical Nursing Research. 2012;18(1):39-51. https://doi.org/10.22650/JKCNR.2012.18.1.39 
  24. Von Elm E, Altman DG, Egger M, Pocock SJ, Go̸tzsche PC, Vandenbroucke JP. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: Guidelines for reporting observational studies. Epidemiology. 2007;18(6):800-804. https://doi.org/10.1097/ede.0b013e3181577654 
  25. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale (NJ): Lawrence Erlbaum Associates; 1988. 
  26. Park HY, Jang KS. Structural model of evidence-based practice implementation among clinical nurses. Journal of Korean Academy of Nursing. 2016;46(5):697-709. https://doi.org/10.4040/jkan.2016.46.5.697 
  27. Lynn MR. Determination and quantification of content validity index. Nursing Research. 1986;35(6):382-386. https://doi.org/10.1097/00006199-198611000-00017 
  28. Yang NY, Moon SY. Perceived importance, educational needs, knowledge and performance concerning pressure ulcer care by clinical nurses. Korean Journal of Adult Nursing. 2009;21(1):95-104. 
  29. Park SM, Yang NY, Choi JS. Factors affecting attitudes and preventive practice of pressure ulcer among nurses. Journal of Muscle and Joint Health. 2013;20(1):43-51. https://doi.org/10.5953/JMJH.2013.20.1.43 
  30. Jeong HS. Non-surgical treatment for pressure ulcer. Journal of the Korean Medical Association. Journal of the Korean Medical Association. 2021;64(1):26-33. https://doi.org/10.5124/jkma.2021.64.1.26