Benefits and challenges of reform in evidence-based obstetric nursing practice in clinical nursing:a qualitative study
10.3969/j.issn.1671-8283.2025.01.009
- VernacularTitle:产科循证护理实践变革对护士临床护理工作益处与挑战的质性研究
- Author:
Peng CHEN
1
;
Lin LIN
1
;
Wen ZHANG
1
;
Ting WAN
1
;
Guixiang XIE
1
;
Peihong WANG
1
Author Information
1. 华中科技大学同济医学院附属协和医院妇产科,湖北 武汉,430022
- Publication Type:Journal Article
- Keywords:
department of obstetrics;
evidence-based nursing practice;
reform;
descriptive phenomenological research
- From:
Modern Clinical Nursing
2025;24(1):52-58
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the benefits and challenges of the reform in evidence-based obstetric nursing practice in clinical nursing,therefore to provide a reference for initiating and keeping the reform in evidence-based nursing practices.Methods A method of descriptive phenomenological research was conducted between January and February 2024 in our hospital on 10 selected clinical nurses by purposive sampling.An outline for interviews was developed based on literature review and expert interviews,followed by semi-structured interviews with the nurses.Core themes were extracted with Colaizzi's seven-step analysis.Results Three themes and 12 sub-themes were summarised in this study.The 3 core themes that were identified among the nurses included:acceptance of evidence-based nursing practice reform(with 3 domains regarding knowledge,decision-making and action),perception of the benefits of the reform in evidence-based nursing practice(with 5 domains regarding the professionalism and scientific nature of clinical nursing,improvement of patient experience and nursing outcomes,enhancement of nursing quality and safety,promotion of innovation in on-the-job training and education,and facilitation of collaboration within the nursing team),and perception in the challenges of reform in evidence-based nursing practice(with 4 domains regarding the stress and challenges,doubts and resistance,poor cooperation between doctors and nurses,and risks in clinical decision-making).Conclusion The acceptance regarding reform in evidence-based nursing practice varies among the nurses.It is necessary to promote the acceptance,provide the targeted guidance and intervene in the factors of benefits and challenges among the nurses,hence to facilitate a smooth implementation of the reform in evidence-based nursing practice.
