摘要
目的探讨将基于证据的《成人经鼻胃管喂养临床实践指南》进行临床转化的障碍和支持因素。方法对上海市某三甲医院的3个试点科室护士(n=6,n=6,n=8)分别进行小组焦点访谈,了解护士层面的障碍和支持因素,访谈过程全程录音,转成文本后,由2名研究者独立进行分析,整合结果。结果证据进行临床转化过程中,主要的障碍因素有8个:工作量增加、人员资源缺乏、过度依赖固有习惯、质疑证据、担心对患者产生不利影响、缺乏相应的工具、缺乏沟通和患者自身情况的限制;2个支持因素:证据易于实施、掌握一定的循证护理知识。结论在指南进行临床转化的过程中,要不断地剪裁干预策略,尽可能地克服障碍,并最大限度地利用促进因素,推动证据的临床应用。
Objective To identify barriers and facilitators of nurses＇ implementation of evidenced-based clinical practice guideline for nasogastric tube feeding in adult patients. Methods Three focus group interviews （n= 6, n = 6, n=8） were conducted separately in three departments of a tertiary hospital of Shanghai to have an understanding of barriers and facilitators of nurses＇ implementation of evidenced-based clinical practice guideline for nasogastrie tube feeding in adult patients. All the interviews were recorded from the beginning to end. Then those recordings were transcribed and analyzed separately by two researchers. All the results from the two researchers would be integrated. Results There were eight barriers, including increased workload, insufficient nurses, over-reliance on original habits, questioning some evidence, worrying about the adverse influence on patients, inadequate communication, and the constraints of illness. Easy implementation of some evidence and mastering some knowledge of evidence-based nursing were the two facilitators. Conclusion To promote the implementation of guideline, the strategy of intervention needs to be tailored to overcome the barriers and take advantage of facilitators as much as possible.
作者
李晨露
程云
赵丽蓉
Li Chenlu Cheng Yun Zhao Lirong(School of Nursing, Fudan University, Shanghai 200032, Chin)
出处
《护理学杂志》
CSCD
2017年第3期65-68,共4页
Journal of Nursing Science
基金
复旦大学护理科研基金项目(FNF201301)
上海市护理学会立项课题(2014SD-B04)
关键词
鼻饲
循证指南
小组焦点访谈
障碍
支持因素
nasogastric tube feeding
evidence based guideline
focus group interview
barriers
facilitators
