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Factors Influencing Evidence-Based Practice Readiness for Tertiary General Hospital Nurses

상급 종합병원 간호사의 근거기반실무 준비도에 대한 영향요인

  • Kim, Jeong-Sook (Department of Nursing, Jinju Health college) ;
  • Gu, Mee-Ock (College of Nursing & Institute of Health Sciences, Gyeongsang National University) ;
  • Jo, Sun-Yon (Director of Nursing, Gyeongsang National University Hospital)
  • 김정숙 (진주보건대학교 간호학과) ;
  • 구미옥 (경상대학교 간호대학) ;
  • 조순연 (경상대학교병원 간호부)
  • Received : 2013.05.06
  • Accepted : 2013.06.07
  • Published : 2013.06.30
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Abstract

This study was conducted to investigate factors contributing to Evidence-Based Practice Readiness(Knowledge/Skill, Attitudes, Organizational culture) for nurses. A descriptive correlational study design was used. The data were collected from Mar. 21 to Mar. 29 of 2013. The subject were 160 nurses who were working in the 2 Tertiary General Hospital. Factors influencing EBP Knowledge/Skill were critical thinking disposition, which explained about 34.7% of total variance. and EBP Attitudes were EBP Knowledge/Skill, surgical unit, Which explained about 14.2% of total variance. and Organizational culture for EBP were Innovation-oriented culture, Relational-oriented culture, Which explained about 24.6% of total variance. Therefore, For introduction and activated of EBP, Nursing organization-dimentional required at the critical thinking disposition and EBP Knowledge/Skill training programs development and to be applied. Also, Systematic support system for the nursing organization to create a culture of Innovation-oriented culture is required.

본 연구는 상급종합병원간호사의 비판적사고, 간호조직문화 유형, 근거기반실무 준비도를 파악하고, 근거기반실무 준비도(지식/기술, 태도, 조직의 지원)에 영향을 미치는 요인을 규명하기 위한 서술적 조사연구이다. 자료는 2013년 3월 21일부터 3월 28일까지 2개 상급종합병원에서 근무하는 간호사 160명을 대상으로 조사하였다. 수집된 자료는 t-test, ANOVA, 상관분석, 회귀분석으로 검정하였으며, 모든 검정의 유의수준은 p<.05이었다. 근거기반실무지식/기술의 영향요인은 비판적사고이었으며 34.7% 예측 설명하였고, 근거기반실무 태도의 영향요인은 근거기반실무지식/기술, 외과병동이었으며 14.2% 예측 설명하였다. 근거기반실무를 위한 조직의 지원에 대한 영향요인은 혁신지향문화, 관계지향문화이었으며 24.6% 예측 설명하였다. 따라서 근거기반실무 도입과 활성화를 위해서 간호부 차원에서의 비판적 사고와 근거기반실무 지식/기술을 높이기 위한 교육프로그램 개발 및 적용과 더불어 간호조직의 문화를 혁신지향문화로 조성하기 위한 체계적 지원구축이 요구된다.

Keywords

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