Evaluation of evidence-based nursing practice readiness of graded nursing scheme for acute gastrointestinal injury in patients with mechanical ventilation

ZHANG Zijing; ZHENG Jianhuang

doi:10.12102/j.issn.2095-8668.2024.15.006

Abstract：Objective:To investigate the readiness of evidence-based practice of graded nursing program for acute gastrointestinal injury in patients with mechanical ventilation,identify the promoting factors and obstacles to evidence-based practice,and promote the successful change of evidence to practice.Methods:A total of 68 clinical nurses from the intensive care department of a Grade A hospital who participated in the graded nursing plan for acute gastrointestinal injury in patients with mechanical ventilation were selected by continuous sampling method.The self-made basic data questionnaire and evidence-based nursing practice readiness assessment scale were used to investigate,and the scores of the total scale and each subscale were calculated.The relevant factors affecting the score of total scale and subscale are analyzed.Results:The total score of evidence-based nursing practice readiness scale in each subscale was(128.45±18.47),evidence subscale was(52.65±7.17),organizational environment subscale was(37.12±5.87),and facilitation subscale was(38.68±7.45).Entries 25,26,and 27 had low scores(all＜4).The results of univariate analysis showed that research experience affected the total score of the scale and the score of the evidence subscale(P＜0.05),and evidence-based practice experience affected the score of the evidence subscale(P＜0.05).Conclusion:Evidence readiness and organizational environment readiness are good,but there are problems such as lack of decision-making power,evidence-based practice training in place and imperfect incentive mechanism in facilitating factor readiness.The research team should formulate coping strategies in time to reduce or eliminate the obstacles of these factors to evidence transformation.