预防导尿管相关性尿路感染的循证实践策略的准备度评估

目的 了解在我院外科病房开展预防尿管相关性尿路感染(CAUTI)的循证实践策略的应用前准备度,识别项目应用中的障碍因素,根据障碍因素制定相对应的策略,以促进循证实践的开展。方法 采用基本资料调查表和循证护理实践准备度评估量表对我院开展预防CAUTI维护策略循证护理实践的科室护士进行问卷调查。结果CREBNA总量表得分为(137.71±16.48)分,达满分的88.85%。证据分量表得分为(52.75±6.54)分,组织环境分量表得分为(44.29±6.09)分,促进因素分量表得分为(40.66±4.81)分。得分最高的条目是“证据不违反国家的政策及法律法规”,得分最低的条目是“证据来源是可靠的”,t检验分析结果显示,量表总得分仅与开展循证实践的必要性有关(p=0.001),环境分量表得分,促进因素分量表得分与以上各因素没有相关性,而证据分量表得分与年龄分组有关(p=0.048)和开展循证护理实践的必要性有关(p=0.002)。结论 三甲医院护士循证实践准备情况较好,其中护士对循证护理实践的态度和年龄是影响循证实践的因素,科室管理者在临床开展循证实践时应重视提高护士对循证实践的态度,同时加强低年资护士对循证护理实践相关知识的培训,以促进循证实践在临床中的成功开展。

Evaluation of readiness for an evidence-based practice strategies for the prevention of catheterrelated urinary tract infections

Objective To understand the readiness before the application of evidence-based practice to prevent urinary catheter-associated urinary tract infection (CAUTI) maintenance strategy in the surgical ward of our hospital, identify the obstacle factors in the application of the project, and formulate corresponding strategies according to the obstacle factors, so as to promote the development of evidence-based practice.Method The basic data questionnaire and Clinic readiness of evidence-based nursing assessment scale were used to conduct a questionnaire survey on the department nurses who carried out the preventive CAUTI maintenance strategy in our hospital.