Status quo and influencing factors of knowledge, attitude and practice on evidence-based practice in community nurses

Abstract

Objective To explore the status quo of evidence-based practice in community nurses in terms of knowledge, attitude and practice (KAP) and to analyze its influencing factors. Methods Totally 422 community nurses from Hangzhou and Shenzhen were selected by convenient sampling from October 2017 to April 2018, and their evidence-based KAP was investigated with the evidence-based knowledge, attitude and practice questionnaire. SPSS 20.0 was used for statistical analysis. The total score and scores of various dimensions and items were calculated. The t test and variance analysis were used to compare the scores of community nurses under different conditions, and multivariate linear regression analysis was employed to analyze the influencing factors of evidence-based practice in community nurses. Results The average scores of evidence-based knowledge, attitude and practice in community nurses were (3.86±0.32) , (4.27±0.45) and (3.76±0.25) , respectively. There was statistically significant difference in total KAP scores between community nurses with professional titles, management jobs, research experience and regular reading of literature, in total scores and evidence-based knowledge scores and practice in community nurses with different first degrees, in evidence-based practice scores and total scores between community nurses with different current degrees and in evidence-based attitude scores and total scores between community nurses with or without evidence-based training (P<0.05) . Multivariate linear regression analysis revealed that professional title and evidence-based training experience affected evidence-based knowledge, attitude scores and total scores (P<0.05) , and professional title and current degree affected evidence-based practice in community nurses (P<0.05) . Conclusions The evidence-based practice of community nurses needs to be improved. Degrees have impact on the evidence-based practice of community nurses. The evidence-based practice of community nurses with higher titles is better. Evidence-based training may facilitate the evidence-based knowledge and attitude of community nurses. Key words: Evidence-based medicine; Evidence-based practice; Community nurses; Questionnaire investigation