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Kelley CB. Are You Intimidated by a Systematic Search? Am J Nurs 2024; 124:50-51. [PMID: 38900124 DOI: 10.1097/01.naj.0001025652.47006.e9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/21/2024]
Abstract
Don't let fear get in the way of greatness.
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Affiliation(s)
- Cyndi B Kelley
- Cyndi B. Kelley is a nurse manager at Texas Health Presbyterian Hospital Dallas and an adjunct professor at Grand Canyon University in Phoenix. Contact author: . The author has disclosed no potential conflicts of interest, financial or otherwise
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Makic MBF. Sustaining healthy work environments: Embracing best evidence to inform practice. Nurs Manag (Harrow) 2024; 55:51-54. [PMID: 38951729 DOI: 10.1097/nmg.0000000000000142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/03/2024]
Affiliation(s)
- Mary Beth Flynn Makic
- Mary Beth Flynn Makic is a professor and the Clinical Nurse Specialist Program Director at the College of Nursing, University of Colorado, Anschutz Medical Campus in Aurora, Colo
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Chikeme PC, Ogbonnaya NP, Ihudiebube-Splendor C, Abonyi EO, Madu O, Okoronkwo I. Self-directed learning readiness and learning achievements of a flipped classroom model approach in research methods class: A quasi-experimental study. Nurse Educ Pract 2024; 77:103968. [PMID: 38640708 DOI: 10.1016/j.nepr.2024.103968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2023] [Revised: 02/29/2024] [Accepted: 04/04/2024] [Indexed: 04/21/2024]
Abstract
AIM This study sought to assess how the flipped classroom model of instruction affected self-directed learning readiness and learning outcomes among Nigerian nursing students enrolled in a research method class. BACKGROUND Although the effectiveness of the flipped classroom model of instruction has been thoroughly and scientifically investigated in several fields, its potential to promote self-directed learning readiness and learning outcomes in a research method class has not yet been investigated. DESIGN A quasi-experimental design was employed. To achieve the study's objectives, two experiments were conducted: a pre-test and a post-test. METHODS Participants were 64 400-level nursing undergraduates purposively recruited from two government-owned universities in Southeast Nigeria. The experimental group received a flipped classroom model of teaching methods, while the control group received traditional teaching methods (TTM) from April - July 2021. A validated self-directed learning readiness scale and multiple-choice questions derived from a research method course were used to gather data. A structured questionnaire was used to collect demographic data. Descriptive statistics of frequencies, percentages, means and standard deviations were applied to the collected data. A one-factor independent measure analysis of covariance (ANCOVA) and an independent sample t-test was employed to compare the pre-and post-test results of FCM and TTM students. RESULTS Pre-test results from self-directed learning readiness showed overall scores of 3.99 ± 0.39 and 3.95 ± 0.35 for the traditional teaching method and flipped classroom model, respectively, while post-test results showed overall scores of 3.84 ± 077 for the traditional teaching method and 4.01 ± 0.81 for flipped classroom model. The difference in mean scores between the pre-and post-tests was statistically significant (p=0.030). Pre- (p=.001) and post- (p =.025) learning outcomes for the flipped classroom model were significantly higher than those for the traditional teaching method. CONCLUSION The flipped classroom model of instruction had a positive impact on nursing students' readiness for self-directed learning and learning outcomes in the research course. Since the method demonstrated statistically significant benefits in both the development of self-learning abilities and learning achievements, the need to improve learning experiences through the flipped learning method should be promoted.
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Affiliation(s)
- Paulina Chigwara Chikeme
- Department of Nursing Sciences, Faculty of Health Sciences and Technology, University of Nigeria, Enugu Campus, Nigeria
| | - Ngozi Phoebe Ogbonnaya
- Department of Nursing Sciences, Faculty of Health Sciences and Technology, University of Nigeria, Enugu Campus, Nigeria
| | - Chikaodili Ihudiebube-Splendor
- Department of Nursing Sciences, Faculty of Health Sciences and Technology, University of Nigeria, Enugu Campus, Nigeria.
| | - Everistus Obinna Abonyi
- Department of Medical Radiography and Radiological Sciences, Faculty of Health Sciences and Technology, University of Nigeria, Enugu Campus, Nigeria
| | - Obiageli Madu
- Department of Nursing Sciences, Faculty of Health Sciences and Technology, University of Nigeria, Enugu Campus, Nigeria
| | - Ijeoma Okoronkwo
- Department of Nursing Sciences, Faculty of Health Sciences and Technology, University of Nigeria, Enugu Campus, Nigeria
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Nwe HM, Akkadechanunt T, Abhicharttibutra K, Sripusanapan A. Individual and social system factors influencing evidence-based practices among nurses in general hospitals: A cross-sectional multi-institutional study. J Clin Nurs 2024. [PMID: 38433374 DOI: 10.1111/jocn.17083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2023] [Revised: 01/31/2024] [Accepted: 02/11/2024] [Indexed: 03/05/2024]
Abstract
AIMS AND OBJECTIVES To investigate evidence-based practices and examine the influence of individual and social system factors on evidence-based practices among nurses in general hospitals. BACKGROUND Evidence-based practice is essential for improving healthcare quality. However, a challenge for nursing worldwide is nurses' limited use of evidence-based practices. It is crucial to determine the individual and social system factors affecting nurses' use of evidence-based practices. DESIGN This study employs a multi-institutional cross-sectional design. METHODS With a multistage random sampling method, 336 registered nurses were recruited from 17 general hospitals in the Republic of the Union of Myanmar. Data were collected through a seven-part questionnaire, including the Evidence-Based Practice Implementation Scale and individual and social system factors. Data were analyzed using descriptive statistics and multiple linear regression. RESULTS Nurses in general hospitals perceived low levels of evidence-based practices. Individual factors, such as perceived barriers (p < .001), knowledge (p < .001) and attitudes (p = .001), were related to EBP as well as social system factors, including the work environment (p < .001) which influence nurses' practice, explaining 34% variance among nurses. CONCLUSION Nurses perceived the work environment as the most influencing factor related to evidence-based practices. Individual characteristics, including perceived knowledge, attitudes and barriers, were critical factors in performing evidence-based practices in Myanmar. RELEVANCE TO CLINICAL PRACTICE Nurse administrators and policymakers can develop strategies and interventions for improving knowledge, attitudes and work environment towards evidence-based practice. Minimizing the barriers to evidence-based practice will promote evidence-based practices in Myanmar general hospitals. IMPACT In addressing the individual and social system factors influencing the evidence-based practices of nurses, this study contributes to enhancing healthcare quality and outcomes. REPORTING METHOD This study adhered to the STROBE checklist. PATIENT OR PUBLIC CONTRIBUTION There was no patient or public contribution.
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Affiliation(s)
- Hla Myo Nwe
- University of Nursing, Mandalay, Myanmar
- Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
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Furtado L, Coelho F, Mendonça N, Soares H, Gomes L, Sousa JP, Duarte H, Costeira C, Santos C, Araújo B. Exploring Professional Practice Environments and Organisational Context Factors Affecting Nurses' Adoption of Evidence-Based Practice: A Scoping Review. Healthcare (Basel) 2024; 12:245. [PMID: 38255132 PMCID: PMC10815808 DOI: 10.3390/healthcare12020245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2023] [Revised: 01/07/2024] [Accepted: 01/16/2024] [Indexed: 01/24/2024] Open
Abstract
This scoping review, conducted within the Joanna Briggs Institute (JBI) framework, analysed the recent literature (January 2018 to March 2023) addressing factors inherent to professional practice environments and organisational contexts influencing nurses' adoption of evidence-based practice (EBP). This review included studies involving nurses regardless of sector, practice setting, and scope of practice. A systematic search was undertaken across the PubMed, Web of Science, CINAHL, and MEDLINE databases, as well as the EThOS, OATD, and RCAAP platforms. The extracted textual elements underwent a content analysis, resulting in a coding structure established through an inductive approach that categorised information into main categories and subcategories linked by similarity and thematic affinity. Forty-one studies were included, revealing four main categories of factors impacting EBP adoption by nurses: (1) organisational dynamics, (2) management and leadership, (3) teamwork and communication, and (4) resources and infrastructure. The study's limitations acknowledge the subjective nature of categorisation, recognising potential variations based on individual perspectives despite adopting procedures to minimise the risk of bias. The results provide a substantial foundation for developing interventions to cultivate environments conducive to EBP adoption by nurses, thereby enhancing the integration of evidence into nurses' professional practice contexts. This review was prospectively registered on the Open Science Framework (registration no. osf.io/e86qz).
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Affiliation(s)
- Luís Furtado
- Department of Nursing, Mental Health and Gerontology, School of Health, University of the Azores, 9700-042 Angra do Heroísmo, Portugal
- Faculty of Health Sciences and Nursing, Universidade Católica Portuguesa, 1649-023 Lisboa, Portugal
| | - Fábio Coelho
- Department of Nursing, Mental Health and Gerontology, School of Health, University of the Azores, 9700-042 Angra do Heroísmo, Portugal
| | | | - Hélia Soares
- Department of Nursing, Mental Health and Gerontology, School of Health, University of the Azores, 9700-042 Angra do Heroísmo, Portugal
| | - Luís Gomes
- Department of Nursing, Mental Health and Gerontology, School of Health, University of the Azores, 9700-042 Angra do Heroísmo, Portugal
| | - Joana Pereira Sousa
- Center for Innovative Care and Health Technology—ciTechCare, School of Health Sciences, Polytechnic of Leiria, 2411-090 Leiria, Portugal
| | - Hugo Duarte
- Center for Innovative Care and Health Technology—ciTechCare, School of Health Sciences, Polytechnic of Leiria, 2411-090 Leiria, Portugal
| | - Cristina Costeira
- Center for Innovative Care and Health Technology—ciTechCare, School of Health Sciences, Polytechnic of Leiria, 2411-090 Leiria, Portugal
| | - Cátia Santos
- Center for Innovative Care and Health Technology—ciTechCare, School of Health Sciences, Polytechnic of Leiria, 2411-090 Leiria, Portugal
| | - Beatriz Araújo
- Center for Interdisciplinary Research in Health, Faculty of Health Sciences and Nursing, Universidade Católica Portuguesa, 4169-005 Porto, Portugal
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Hamari L, Parisod H, Siltanen H, Heikkilä K, Kortteisto T, Kunnamo I, Pukkila H, Holopainen A. Clinical decision support in promoting evidence-based nursing in primary healthcare: a cross-sectional study in Finland. JBI Evid Implement 2023; 21:294-300. [PMID: 37102429 DOI: 10.1097/xeb.0000000000000375] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/28/2023]
Abstract
INTRODUCTION AND AIMS The aim was to explore clinical decision support (CDS) use in the practice of primary healthcare nurses. The objectives were to recognize to what extent nurses (registered nurses, public health nurses, and practical nurses) use CDS, what factors were associated with the CDS used, what kind of organizational support nurses need, and what were nurses' views about CDS development needs. METHODS The study was conducted with a cross-sectional study design, using an electronic questionnaire developed for this purpose. The questionnaire contained 14 structured questions and nine open-ended questions. The sample consisted of randomly selected primary healthcare organizations ( N = 19) in Finland. Quantitative data were analyzed using cross-tabulation and Pearson's chi-squared test, and qualitative data with quantification. RESULTS A total of 267 healthcare professionals (age range 22-63 years) volunteered to participate. Participants were mainly registered nurses, public health nurses, and practical nurses (46.8, 24, and 22.9%, respectively). Overall, 59% of the participants had never used CDS. The majority (92%) found it necessary to develop nursing-specific content for CDS. The most commonly used features were medication recommendations and warnings (74%), reminders (56%), and calculators (42%). Half of the participants (51%) had not received training on the use of CDS. The older age of participants was associated with the feeling of not having enough training to use CDS ( P = 0.039104). Nurses felt that CDS was helpful in their clinical work and decision-making, promoting evidence-based practice, and narrowing the research-into-practice gap, improving patient safety and the quality of care, and helping those who are new in their work. CONCLUSION CDS and its support structures should be developed from a nursing perspective to achieve the full potential of CDS in nursing practice.
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Affiliation(s)
- Lotta Hamari
- Nursing Research Foundation, Helsinki
- The Finnish Centre for Evidence-Based Healthcare: A JBI Centre of Excellence, Helsinki
- Department of Nursing Science, University of Turku, Turku
| | - Heidi Parisod
- Nursing Research Foundation, Helsinki
- The Finnish Centre for Evidence-Based Healthcare: A JBI Centre of Excellence, Helsinki
- Department of Nursing Science, University of Turku, Turku
| | - Hannele Siltanen
- Nursing Research Foundation, Helsinki
- The Finnish Centre for Evidence-Based Healthcare: A JBI Centre of Excellence, Helsinki
| | - Kristiina Heikkilä
- Nursing Research Foundation, Helsinki
- The Finnish Centre for Evidence-Based Healthcare: A JBI Centre of Excellence, Helsinki
- Department of Nursing Science, University of Turku, Turku
| | | | - Ilkka Kunnamo
- Duodecim Medical Publications Ltd, Helsinki, Finland
| | | | - Arja Holopainen
- Nursing Research Foundation, Helsinki
- The Finnish Centre for Evidence-Based Healthcare: A JBI Centre of Excellence, Helsinki
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Song C, Jang A. Mock trial as a simulation strategy allowing undergraduate nursing students to experience evidence-based practice: A scoping-review. PLoS One 2023; 18:e0289789. [PMID: 37561724 PMCID: PMC10414593 DOI: 10.1371/journal.pone.0289789] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2022] [Accepted: 07/25/2023] [Indexed: 08/12/2023] Open
Abstract
OBJECTIVE The purpose of this scoping review was to determine the underlying design of simulations that help undergraduate nursing students acquire evidence-based practice (EBP) experiences. METHOD The JBI methodology was used for this review. The inclusion criteria were studies conducted in academic, clinical, or virtual settings that examined simulation programs designed to facilitate the acquisition of EBP by undergraduate nursing students. A comprehensive search was performed on Jan 3, 2022, using the Medical Literature Analysis and Retrieval System Online (MEDLINE; PubMed), the Cumulative Index to Nursing and Allied Health Literature (CINAHL), the Education Resources Information Center (ERIC), and the Excerpta Medica database (EMBASE). Grey literature was not included. Publication year was limited to 2020 and later. There was no language restriction. Data were extracted using a tool developed by the reviewers and based on the National League for Nursing Jeffries Simulation Theory. RESULT A total of 12,931 articles were found, and after duplicate articles and articles deemed ineligible based on the title and abstract (12,914 articles), 17 published papers were examined. The full texts of these studies were reviewed for eligibility, and one study was selected for the present scoping review. The selected study examined a mock trial designed to allow undergraduate nursing students to experience the ethical decision-making based on a diversity of evidence. The program reported in the study consisted of a prebriefing-simulation (mock)-debriefing structure with verified positive effects on EBP education. CONCLUSION A mock trial is a useful educational strategy for allowing undergraduate nursing students to experience EBP, but a creative method should be found that can modify the mock trial for practical operation as the designing the program demands high levels of human and material resources. REGISTRATION OSF Registries, https://osf.io/gdtyu, We updated OSF registry data for documenting important protocol amendments.
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Affiliation(s)
- Chieun Song
- Department of Nursing, Nambu University, Gwangju, South Korea
| | - Aeri Jang
- Department of Nursing, Nambu University, Gwangju, South Korea
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Abo Jalghef M, Eshah N, Al-Oweidat I, Nashwan AJ. Self-Perceived performance-based training needs among middle-level nursing managers in Jordan. INTERNATIONAL JOURNAL OF HEALTHCARE MANAGEMENT 2023:1-13. [DOI: 10.1080/20479700.2023.2231205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2023] [Accepted: 06/23/2023] [Indexed: 10/11/2023]
Affiliation(s)
| | - Nidal Eshah
- Faculty of Nursing, Zarqa University, Zarqa, Jordan
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Soliman R, Heneghan C, Boylan AM, Oke J, Eweida W, Elhaddad A. Barriers and Facilitators to Implementing Cost-Effective Evidence-Based Childhood Cancer Treatment in a Resource-Limited Setting in Egypt: A Qualitative Interview Study. JCO Glob Oncol 2023; 9:e2200424. [PMID: 37290021 PMCID: PMC10497298 DOI: 10.1200/go.22.00424] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Revised: 03/14/2023] [Accepted: 04/05/2023] [Indexed: 06/10/2023] Open
Abstract
PURPOSE Childhood cancer treatment is complex, resource-intensive, and expensive, and resource-limited settings would benefit from providing cost-effective treatment approaches on the basis of evidence. Effective implementation of cost-effective evidence-based treatment requires knowledge about factors influencing its use. In this study, we determined the clinicians' perceptions of the barriers and facilitators to implementing cost-effective evidence-based treatment for children with cancer in a resource-limited pediatric oncology setting in Egypt. METHODS We conducted a qualitative study on the basis of semistructured interviews with senior clinicians who make high-level decisions on treatment protocols and tailored decisions for the atypically complicated group of patients. Purposive sampling was used to recruit the participants. Thematic analysis was conducted semantically to develop themes of barriers and facilitators. RESULTS Fourteen participants agreed to participate in the study: nine pediatric oncologists; three surgeons; and two radiation oncologists. We identified four main themes of barriers and facilitators: awareness and orientation; knowledge, skills, and attitudes; system, resources, and context; and clinical practice. The main barriers included absence of easily available costs/cost-effectiveness data, limited resources and inability to pay for expensive novel (cost-effective) drugs, and gap between evidence and practice. The main facilitators included adopting standard treatment protocols on the basis of clinical effectiveness, leadership support, availability of patients' clinical and cost data from local context, and existing knowledge and skills in clinical research and health economic evaluation. The interview participants also provided suggestions to promote the implementation of cost-effective evidence-based treatment in priority areas. CONCLUSION Our study findings provide an understanding of the barriers and facilitators affecting the implementation of cost-effective evidence-based treatment for childhood cancers in Egypt. We provide practical recommendations to address the implementation gaps with implications on practice, policy, and research.
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Affiliation(s)
- Ranin Soliman
- Department of Continuing Education, University of Oxford, Oxford, United Kingdom
- Health Economics and Value Unit, Children's Cancer Hospital 57357 Egypt (CCHE), Cairo, Egypt
| | - Carl Heneghan
- Nuffield Department of Primary Care Health Sciences, Centre for Evidence-Based Medicine, University of Oxford, Oxford, United Kingdom
| | - Anne-Marie Boylan
- Nuffield Department of Primary Care Health Sciences, Centre for Evidence-Based Medicine, University of Oxford, Oxford, United Kingdom
| | - Jason Oke
- Nuffield Department of Primary Care Health Sciences, Centre for Evidence-Based Medicine, University of Oxford, Oxford, United Kingdom
| | - Wael Eweida
- Chief Operating Office, Children's Cancer Hospital 57357 Egypt (CCHE), Cairo, Egypt
| | - Alaa Elhaddad
- Paediatric Oncology Department, Children's Cancer Hospital 57357 Egypt (CCHE), Cairo, Egypt
- Paediatric Oncology Department, National Cancer Institute, Cairo University, Cairo, Egypt
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Fernández-Castro M, López M, Martín-Gil B, Rodríguez-Soberado P, Rivas-González N, Muñoz-Alvaredo L, Del Río-García I, Redondo-Pérez N, Jiménez JM. Nurses' evidence-based practice competence and hospital practice environment after specific training under the Best Practice Spotlight Organization® Programme. A cross sectional study. NURSE EDUCATION TODAY 2023; 126:105808. [PMID: 37086500 DOI: 10.1016/j.nedt.2023.105808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Revised: 03/06/2023] [Accepted: 03/28/2023] [Indexed: 05/03/2023]
Abstract
BACKGROUND Barriers to implementing training strategies for the improvement of evidence-based practice competence of nurses in hospital practice environments still persist. OBJECTIVE The aim of the study was to evaluate the impact of a specific training within the framework of the Best Practice Spotlight Organization® programme, on nurses' evidence-based practice competence and the practice environment in two hospitals. DESIGN This is a observational cross-sectional study assessing evidence-based practice competence and perceptions of Practice Environments. PARTICIPANTS The study sample were 204 nurses working at medical and surgical inpatient units at two hospitals involved in the Best Practice Spotlight Organization® programme. METHODS The study was conducted from February 2020 to May 2020. Three questionnaires were used to collect data: a sociodemographic/occupational questionnaire, a questionnaire exploring evidence-based practice skills, and a questionnaire exploring nurses' perceptions of their hospital practice environments. RESULTS A total of 204 nurses participated. They were classified into two groups: those who had received specific training within the framework of the programme, called trained-champions (n = 66), and those who had not yet received training, control group (n = 138). The trained-champions exhibited better evidence-based practice competence values than the control group in all dimensions (p < 0.001), with a higher difference in means in the "Utilisation" dimension (-0.80; CI:-0.99,-0.60) and the "Knowledge" dimension (-0.63; CI:-0.88,-0.38). Trained-champions also had a more positive perception of the practice environments than the controls in all dimensions (p ≤ 0.001). The largest differences in means were in the "Participation" dimension (-0.48; CI:-0.66,-0.31) and in the "Leadership" dimension (-0.41; CI:-0.59,-0.23). CONCLUSIONS Specific EBP training within the framework of the Best Practice Spotlight Organization® programme has succeeded in nurses (trained-champions) obtaining better EBP competence than others without this training. This could have contributed to increase nurses' abilities to integrate evidence into decision making in their clinical practice, while positively influencing them to perceive their PEs more favorably.
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Affiliation(s)
| | - María López
- Nursing Faculty, University of Valladolid, Spain.
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McMillan Boyles C, Spoel P, Montgomery P, Nonoyama M, Montgomery K. Representations of clinical practice guidelines and health equity in healthcare literature: An integrative review. J Nurs Scholarsh 2023; 55:506-520. [PMID: 36419399 DOI: 10.1111/jnu.12847] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2022] [Revised: 09/12/2022] [Accepted: 11/01/2022] [Indexed: 11/25/2022]
Abstract
AIM This paper reports an integrative review of international health literature that discusses health equity in relation to clinical practice guidelines (CPGs). BACKGROUND Healthcare professionals (HCPs), policy makers, and decision makers rely on sound empirical evidence to make fiscally responsible and appropriate decisions about the allocation of health resources and health service delivery. CPGs provide statements and recommendations that aim to standardize care with an implicit goal of achieving equity of care among diverse populations. Developers of CPGs must be careful not to exacerbate inequity when making recommendations. As such, it is important to determine how equity is discussed within the context of CPGs. DESIGN This integrative review was conducted according to integrative review methods as outlined by Whittemore and Knafl (2005), and Toronto and Remington (2020). These authors outlined a systematic process for the identification of relevant literature across health disciplines to examine the state of knowledge pertaining to a phenomenon such as health equity. SEARCH METHODS The computerized databases PubMed, CINAHL, Cochrane, Embase, Medline, and Web of Science were searched using a combination of keywords. Search parameters included international peer-reviewed published, full-text, English language articles, editorials, and reports over the last decade (January 2011 to February 2022). A reference search of included articles was conducted to identify any additional articles. Dissertations and theses were not included. SEARCH OUTCOME A total of 139 peer-reviewed English language articles were identified. RESULTS The findings of this review revealed five main ways in which health equity is in context of CPGs including if they target or exacerbate inequity among disadvantaged populations, equity and CPG development, implementation, and evaluation, and checklists and tools to assist developers and users of CPG to consider equity. Although critical appraisal tools exist to assist users of CPGs assess and to evaluate how well CPGs address issues of equity, the definition of equity and how CPG development panels should incorporate and articulate it remains unclear and haphazard. As such, recommendations intended to be implemented by HCPs to optimize health equity remains diverse and unclear. CONCLUSION The way equity is discussed within the reviewed health literature has implications for their uptake by and utility for HCPs. The ability of HCPs to implement CPGs may be hindered without an appreciation and integration of equity considerations across the various phases of CPG conceptualization, development, implementation, and evaluation, and their relevance and appropriateness to diverse geographic and socioeconomic contexts with variable access to health human resources and services. This situation could be improved if equity were more clearly articulated within all aspects of the CPG process. CLINICAL RELEVANCE Understanding how equity is discussed in the literature relative to CPGs has implications for their uptake by and utility for HCPs in their goal of providing equitable health care. Successful implementation of CPGs with consideration equity could be improved if equity were more clearly articulated within all aspects of the CPG process including conceptualization, development, implementation, and evaluation.
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Affiliation(s)
- Christina McMillan Boyles
- School of Nursing and Allied Health Professions, Faculty of Education and Health, Laurentian University, Sudbury, Ontario, Canada.,School of Kinesiology and Health Sciences, Faculty of Education and Health, Laurentian University, Sudbury, Ontario, Canada
| | - Philippa Spoel
- School of Kinesiology and Health Sciences, Faculty of Education and Health, Laurentian University, Sudbury, Ontario, Canada.,School of Liberal Arts, Faculty of Arts, Laurentian University, Sudbury, Ontario, Canada
| | - Phyllis Montgomery
- School of Nursing and Allied Health Professions, Faculty of Education and Health, Laurentian University, Sudbury, Ontario, Canada.,School of Kinesiology and Health Sciences, Faculty of Education and Health, Laurentian University, Sudbury, Ontario, Canada
| | - Mika Nonoyama
- Faculty of Health Sciences, Ontario Tech University, Oshawa, Ontario, Canada
| | - Kyle Montgomery
- Library & Learning Commons, Cambrian College, Sudbury, Ontario, Canada
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Nzengya DM, Mutisya AK, Wagoro MC, Secor-Turner M, Edwards J. Nurses' and midwives’ participation and utilization of health-related research in Kenya: Implications for evidence-based practice. Int J Nurs Sci 2023; 10:199-205. [PMID: 37128489 PMCID: PMC10148246 DOI: 10.1016/j.ijnss.2023.02.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2022] [Revised: 01/30/2023] [Accepted: 02/15/2023] [Indexed: 03/09/2023] Open
Abstract
Objective To assess the level of participation of nurses and midwives in health-related research, determine the status of utilization of research to inform nursing and midwifery practice in Kenya, and explore perspectives of nurses and midwives about strategies to empower nurses/midwives to engage in health research in Kenya. Methods Data were extracted from online survey responses of 156 nurse and midwife educators, practitioners, and managers/administrators. SPSS version 26 was used to analyze quantitative data; qualitative data were analyzed using Excel to organize data into categories. Results Over one-third of participants reported ever publishing research (37.2%, 58/156). Participants reported using knowledge gained in nursing school to guide practice most frequently (n = 148). Utilization of research findings to guide practice was reported by 80.3% (110/137) of participants. Strategies to enhance participation in the research included research training, research forums, policy reforms, and emphasis on research in curricula. Conclusions There is need to intensify and prioritize proposed strategies to empower nurses/midwives to engage in health research.
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Affiliation(s)
- Daniel M. Nzengya
- Research and Innovation, St. Paul’s University, Limuru, Kenya
- Corresponding author.
| | - Albanus K. Mutisya
- School of Nursing, Jomo Kenyatta University of Agriculture & Technology, Nairobi, Kenya
| | | | - Molly Secor-Turner
- Mark and Robyn Jones College of Nursing, Montana State University, Bozeman, MT, USA
| | - Joan Edwards
- Nelda C. Stark College of Nursing, Texas Woman's University, Houston, TX, USA
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Beebe LH. Psychiatric Nursing Research in Schizophrenia: Call to Action. J Psychosoc Nurs Ment Health Serv 2023; 61:2-4. [PMID: 36720051 DOI: 10.3928/02793695-20230109-01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Affiliation(s)
- Lora Humphrey Beebe
- College of Nursing Chair, Institutional Review Board University of Tennessee Knoxville, Tennessee
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Pitsillidou M, Noula M, Roupa Z, Farmakas A. Barriers to the Adoption of Evidence Based Practice in Nursing: a Focus Group Study. Acta Inform Med 2023; 31:306-311. [PMID: 38379685 PMCID: PMC10875937 DOI: 10.5455/aim.2023.31.306-311] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2023] [Accepted: 09/04/2023] [Indexed: 02/22/2024] Open
Abstract
Background Evidence Based Practice is considered a complex process with many factors hindering its implementation. The use of focus groups to detect barriers to its application can provide an in-depth investigation of the phenomenon. Objective The investigation of nurses' views regarding the obstacles connected to the implementation of Evidence Based Practice. Methods This is a qualitative study carried out using focus groups and constitutes the continuation of a quantitative study. Deliberate sampling was used to recruit a total of 31 nurses. Results The main categories that emerged regarding the obstacles in the implementation of Evidence Based Practice in nursing, concerned the lack of logistical support, the difficulty of accessing data, the insufficient knowledge of nurses as well as their attitude, the nature of the work, the decision-making process and the impossibility of safeguarding decisions made. Conclusion In this study, various factors were identified that affect the application of Evidence Based Practice, in the nursing environment of Cyprus. Identifying these factors can be the basis for discussions and finding ways to resolve the problems that exist by health care managers.
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Affiliation(s)
| | - Maria Noula
- Department of Nursing, University of Nicosia, Nicosia, Cyprus
| | - Zoe Roupa
- Department of Nursing, University of Nicosia, Nicosia, Cyprus
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Lamesa D, Seifu W, Abdella J, Ezo E. Utilization of Evidence-Based Nursing Practice and Associated Factors Among Nurses Working in Saint Paul's Hospital Millennium Medical College, Ethiopia. SAGE Open Nurs 2023; 9:23779608231215599. [PMID: 38020318 PMCID: PMC10666712 DOI: 10.1177/23779608231215599] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2023] [Revised: 10/23/2023] [Accepted: 11/05/2023] [Indexed: 12/01/2023] Open
Abstract
Introduction Organizations still struggle with the best mechanisms to implement research into practice, and guideline developers need to continue to strive toward collaboration and avoidance of duplication. Objective To assess the utilization of evidence-based nursing practice and associated factors among nurses working in Saint Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia, 2022. Methods An institutional-based cross-sectional study was conducted from 10 September 2022 to 25 November 2022. The total sample size was 418, and a simple random sampling technique was used to select nurses. Data were collected through a self-administered questionnaire. Data were entered using EpiData version 4.6 and exported to SPSS version 25 for analysis. Multicollinearity was considered by using a variance inflation factor (VIF > 10). The goodness of fit test was done using the Hosmer-Lemeshow model. Binary logistic regression was done, and variables with a p-value of less than 0.25 in the bivariable analysis were taken into the multivariable analysis. Statistical significance was declared at a p-value of less than 0.05 with an adjusted odds ratio and 95% confidence interval. Result The utilization of evidence-based nursing practice was 58.1% [95% CI: 52.23-63.24]. Male sex [AOR 4.65, 95%CI: 2.51-8.63], work experience of >5 years [AOR 6.83, 95%CI: 2.27-20.58], head nurse role in the hospital [AOR 1.72, 95%CI: 1.02-3.18], master's degree educational status [AOR 2.78, 95%CI: 1.89-8.61], and availability of EBNP guideline in the ward [AOR 1.24, 95%CI: 1.04-5.32] were significantly associated. Conclusion About six in 10 nurses utilize EBNP at Saint Paul's Hospital Millennium Medical College. Sex, experience of >5 years, head nurse role in the hospital, master's degree educational status, and availability of EBNP guidelines in the ward were significantly associated with the utilization of EBNP. Therefore, recruiting experienced nurses, learning master`s degrees, and availing the EBNP guidelines in the ward might increase the utilization of EBNP.
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Affiliation(s)
- Dinka Lamesa
- Department of Comprehensive Nursing, School of Nursing, College of Medicine and Health Sciences, Wachemo University, Hosanna, Ethiopia
| | - Wubareg Seifu
- Department of Public Health College of Health Science, Jigjiga University, Jigjiga, Ethiopia
| | - Jabir Abdella
- Department of Surgical Nursing, School of Nursing, College of Medicine and Health Sciences, Wachemo University, Hosanna, Ethiopia
| | - Elias Ezo
- Department of Comprehensive Nursing, School of Nursing, College of Medicine and Health Sciences, Wachemo University, Hosanna, Ethiopia
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Dakka FJ. Nurses Barriers to Evidence-Based Practice in Palliative Care: A Systematic Review. SAGE Open Nurs 2022; 8:23779608221142957. [PMCID: PMC9742693 DOI: 10.1177/23779608221142957] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Revised: 11/14/2022] [Accepted: 11/15/2022] [Indexed: 12/14/2022] Open
Abstract
Background Research shows low evidence-based practice (EBP) uptake among palliative care nurses, a global concern because the demand for palliative care services is rising, raising the urgent need to improve healthcare quality. Promoting EBP uptake in palliative care can improve healthcare quality. This systematic review investigated nurses’ barriers to EBP implementation in palliative care. Methods PubMed, MEDLINE, CINHAL, and Google Scholar were used to identify seven articles. Articles were included for review if they were published within the past 10 years (English only) and investigated barriers to EBP implementation in palliative care. Results Four barriers were identified: (a) time and resource constraints, (b) lack of readiness for organizational change, (c) negative attitudes toward palliative care, and (d) process-specific difficulties. Conclusion This systematic review's findings can inform policy changes to improve the uptake of EBP in palliative care.
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Affiliation(s)
- Falah Jamal Dakka
- Falah Jamal Dakka, Arbel Geriatric Center—Moria Group, ELHANAN 4, Petah Tikva, Israel.
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17
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Al Nusair H, Bani-Issa W, Alnjadat R, Fonbuena M, Perinchery S, AlAzza R. The effect of multicomponent approach in enhancing the level of confidence with evidence-based practice activities and promoting evidence-based practice culture among nurses in a clinical setting in the United Arab Emirates. J Nurs Manag 2022; 30:4285-4293. [PMID: 36190519 DOI: 10.1111/jonm.13826] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Revised: 09/27/2022] [Accepted: 09/29/2022] [Indexed: 12/30/2022]
Abstract
AIM The aim of this work is to examine the effect of multicomponent interventions on enhancing the level of confidence of staff nurses with evidence-based practice in an acute care hospital in the United Arab Emirates. BACKGROUND Evidence-based practice is one of the strategic pillars of nursing practice and a key to organizational success. To effectively implement and sustain evidence-based practice programmes in clinical sites, well-designed implementations can promote staff attitude, knowledge, skills, and confidence in translating research evidence into optimal patient care. METHODS Experienced and bachelor prepared nurse managers in collaboration with the clinical resource nurse undertook condensed staff training and interventions for the evidence-based practice programme, where 70 registered nurses participated. The intervention was conducted over a period of time extending from December 2019 until December 2020. The study design is quasi-experimental using the pre- and post-Self Efficacy Assessment tool to gauge the nurses' confidence in evidence-based practice. Also, SPSS software was used to explore the effect of the programme. RESULTS Higher significant score on the evidence-based nursing practice self-efficacy scale postprogramme was noted (t = -7.667 and p value <.001). CONCLUSION Participating in a well-structured evidence-based practice programme would positively enhance the nurse's confidence in the programme implementation and promote an evidence-based practice culture in clinical settings. IMPLICATIONS FOR NURSING MANAGERS Nurse managers must recognize their critical role in promoting evidence-based practice among nurses. A focused and well-designed intervention may assist in establishing a culture of evidence-based practice to ensure the best patient outcome.
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Affiliation(s)
| | | | | | | | | | - Rawan AlAzza
- Fatima College of Health Sciences, Abu Dhabi, UAE
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Lai J, Brettle A, Zhang Y, Zhou C, Li C, Fu J, Wu Y. Barriers to implementing evidence-based nursing practice from the hospitals' point of view in China: A regional cross-sectional study. NURSE EDUCATION TODAY 2022; 116:105436. [PMID: 35709543 DOI: 10.1016/j.nedt.2022.105436] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/27/2021] [Revised: 04/17/2022] [Accepted: 06/07/2022] [Indexed: 06/15/2023]
Abstract
BACKGROUND There is a widespread international agreement that healthcare should be based on high-quality evidence; however, bridging the gap from evidence to practice is still problematic. Although barriers to the implementation of evidence-based nursing practice have been identified, most studies have focused on clinical nurses' perceptions of the barriers to evidence-based nursing practice, with a lack of investigation into barriers from the hospitals' viewpoint. OBJECTIVES To identify existing barriers to implementing evidence-based nursing practice from the hospitals' viewpoint. DESIGN A descriptive study employing a regional cross-sectional survey. SETTINGS AND PARTICIPANTS A convenience sample of 91 hospitals in Guangdong Province, China. METHODS The survey used an online questionnaire containing basic hospital information and an open-ended question. Descriptive statistics were used to analyse basic hospital data. Responses to the open-ended question were analysed with thematic analysis. RESULTS The sample consisted of 89 valid responses to the open-ended question. Five themes were identified: (1) knowledge (70.8 %); (2) environmental context and resources (42.7 %); (3) social influences (7.9 %); (4) intentions (7.9 %); and (5) beliefs about capabilities (1.1 %). CONCLUSION Introduced early in 2001, China has embraced evidence-based nursing for more than 20 years. However, lack of knowledge is still the top barrier to implementing evidence-based nursing practice in hospitals in China. The findings indicate a need for more evidence-based nursing practice teaching strategies towards further enhancing clinical nurses' and nursing managers' evidence-based nursing practice beliefs, knowledge, and skills.
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Affiliation(s)
- Jie Lai
- Nanfang Hospital, Southern Medical University, Guangzhou, PR China; School of Nursing, Southern Medical University, Guangzhou, PR China
| | - Alison Brettle
- School of Health & Society, University of Salford, Salford, UK
| | - Yingjie Zhang
- Nanfang Hospital, Southern Medical University, Guangzhou, PR China
| | - Chunlan Zhou
- Nanfang Hospital, Southern Medical University, Guangzhou, PR China
| | - Chaixiu Li
- Nanfang Hospital, Southern Medical University, Guangzhou, PR China; School of Nursing, Southern Medical University, Guangzhou, PR China
| | - Jiaqi Fu
- Nanfang Hospital, Southern Medical University, Guangzhou, PR China; School of Nursing, Southern Medical University, Guangzhou, PR China
| | - Yanni Wu
- Nanfang Hospital, Southern Medical University, Guangzhou, PR China.
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Teixeira AC, Nogueira A, Barbieri-Figueiredo MDC. Professional empowerment and evidence-based nursing: A mixed-method systematic review. J Clin Nurs 2022. [PMID: 36039039 DOI: 10.1111/jocn.16507] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Revised: 08/08/2022] [Accepted: 08/11/2022] [Indexed: 11/27/2022]
Abstract
AIMS AND OBJECTIVES To review, synthesise and integrate primary research on the relationship between professional empowerment and evidence-based practice (EBP) in nursing. BACKGROUND Professional empowerment research exposes an association between empowerment and positive work behaviours and attitudes. Empowerment is associated with nurses' productivity, autonomy and resources. However, implementing evidence into practice is not easy due to barriers to EBP, namely organisational and cultural. Research demonstrating the relationship between professional empowerment and EBP will provide direction for future interventions aimed at the development of an effective healthcare sector. DESIGN A mixed-methods systematic review, according to the Joanna Briggs Institute approach, with results reported according to PRISMA. The associated checklist for systematic reviews was also used. METHOD The electronic databases searched for relevant studies included: Medline, Cumulative Nursing and Allied Health Literature (CINAHL), JBI Database of Systematic Reviews and Implementation Reports, and The Cochrane Library; thesis and dissertation databases; and Web pages of reference organisations and Scientific Events programs. Quality assessments, data extraction and analysis were completed on all included studies, according JBI. Thematic analysis was used to synthesise the data. RESULTS We identified 477 studies. After removing duplicates and reviewing title and abstract following the inclusion and exclusion criteria, 26 papers were evaluated for eligibility. The review included 9 articles. The literature was categorised into three themes: (a) organisational and leadership characteristics, (b) individual characteristics, and (c) outcomes/consequences. CONCLUSION This review highlights the importance of empowering environments in EBP. A relationship was evident between leadership, organisation, empowerment, individual characteristics and the use and implementation of evidence, resulting in tangible and measurable gains. However, more robust studies are needed. This systematic review was registered in the International Prospective Register of Systematic Reviews (PROSPERO; CRD42018086414).
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Affiliation(s)
- Abílio Cardoso Teixeira
- ICBAS: School of Medicine and Biomedical Sciences - University of Porto, Porto, Portugal.,CINTESIS - Center for Health Technology and Services Research, Porto, Portugal.,Santa Maria Health School, Porto, Portugal
| | - Assunção Nogueira
- Sousa Valley Health School, Gandra, Portugal.,Institute for Research and Advanced Training in Health Sciences and Technologies, Porto, Portugal
| | - Maria do Céu Barbieri-Figueiredo
- ICBAS: School of Medicine and Biomedical Sciences - University of Porto, Porto, Portugal.,CINTESIS - Center for Health Technology and Services Research, Porto, Portugal.,Huelva University - Departamento de Enfermeria, Huelva, Spain
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Younas A. Research utilization: Identifying barriers and facilitators. Nurs Manag (Harrow) 2022; 53:41-45. [PMID: 35383676 DOI: 10.1097/01.numa.0000771764.66437.c7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Ahtisham Younas
- Ahtisham Younas is a doctoral student at the Memorial University of Newfoundland School of Nursing in Newfoundland, Canada
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21
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Almalki MS, Kimpton A, Jones LK, Da Costa C. Nurses’ Perceived Facilitators of Research Utilisation in a Multicultural Setting in Saudi Arabia: Observational Study. NURSING REPORTS 2022; 12:164-174. [PMID: 35324563 PMCID: PMC8951267 DOI: 10.3390/nursrep12010017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2022] [Revised: 02/11/2022] [Accepted: 02/28/2022] [Indexed: 11/16/2022] Open
Abstract
Facilitators of research utilisation are important in the implementation of evidence-based practice. Numerous facilitators for nursing practice have been identified, but knowledge of the impact of demographic characteristics on these enablers of research utilisation is limited. The study’s aim was to determine nurses’ perceptions of the facilitators of research utilisation and assess differences in the facilitator of research utilisation score based on nurses’ demographic characteristics. A total of 2650 registered nurses from five hospitals in Riyadh, Saudi Arabia, were recruited for participation. A facilitator scale and self-designed demographic survey were used for data collection. The number of completed questionnaires was 1824 (69%). The results showed that many of the participants were female, aged between 20 to 40 years, and were expatriates mainly from the Philippines. Most respondents were clinical nurses with 6 to 10 years of experience. Many of the nurses had a bachelor’s degree and a qualification from the Asian region. The mean total facilitator score was 26.1, with strong facilitators of research, including advanced education, providing colleague support, more clinically focused research and employing nurses with research skills. Recommendations for the facilitation of research utilisation include a strengthening of the research curriculum in nursing education programs as well as through continuing professional education.
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Affiliation(s)
| | - Amanda Kimpton
- School of Health and Biomedical Sciences, Royal Melbourne Institute of Technology University, P.O. Box 71, Bundoora, VIC 3083, Australia; (A.K.); (C.D.C.)
| | - Linda Katherine Jones
- School of Health and Biomedical Sciences, Royal Melbourne Institute of Technology University, P.O. Box 71, Bundoora, VIC 3083, Australia; (A.K.); (C.D.C.)
- Correspondence: ; Tel.: +61-411-209-169
| | - Cliff Da Costa
- School of Health and Biomedical Sciences, Royal Melbourne Institute of Technology University, P.O. Box 71, Bundoora, VIC 3083, Australia; (A.K.); (C.D.C.)
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22
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Yoder LH, Cengiz A, Hinkley T, Hertel RA, Gallagher-Ford L, Koshy Thomas B. Medical-surgical nurses' EBP beliefs and competencies. Worldviews Evid Based Nurs 2022; 19:149-159. [PMID: 35229968 DOI: 10.1111/wvn.12567] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2021] [Revised: 12/20/2021] [Accepted: 01/01/2022] [Indexed: 11/28/2022]
Abstract
BACKGROUND The lack of evidence-based practice (EBP) knowledge and inability to implement EBP among nurses is a major barrier to quality nursing care. The literature shows that nurses highly value the use of EBP, however, they lack necessary EBP competencies. Although medical-surgical nurses were included in studies examining cross-sections of the nursing workforce, no studies exist specifically investigating their EBP beliefs and EBP competencies. AIMS The purpose of this study was to describe medical-surgical nurses' self-reported EBP beliefs and competencies. METHOD A descriptive, cross-sectional design employing survey methodology was used. RESULTS A total of 1,709 medical-surgical nurses participated for a response rate of 13%. The findings revealed that medical-surgical nurses had positive beliefs about EBP. However, they rated themselves competent in only 2 EBP competencies of 24. Medical-surgical nurses working in units or organizations that had a special designation such as Academy of Medical-Surgical Nurses Premier Recognition in the Specialty of Med-Surg (AMSN PRISM; p = .001) or Pathway to Excellence (p = .006) reported greater EBP competency scores. Also, nurses educated at the master's level or higher had better EBP competency scores (p < .0001). LINKING EVIDENCE TO ACTION Medical-surgical nurses need support at the personal and organizational levels to improve their EBP competence and increase uptake of EBP in their practice. Therefore, individual nurses must reflect on their EBP competence level and pursue opportunities to develop these essential attributes. Leaders must also create practice environments where EBP is valued, and barriers to EBP implementation are eliminated. Faculty in prelicensure and graduate programs should integrate EBP into their curricula and assess students' EBP competencies.
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Affiliation(s)
- Linda H Yoder
- The University of Texas at Austin School of Nursing, Austin, Texas, USA
| | - Adem Cengiz
- The University of Texas at Austin School of Nursing, Austin, Texas, USA
| | - Terri Hinkley
- Academy of Medical-Surgical Nurses, Sewell, New Jersey, USA
| | - Robin A Hertel
- Academy of Medical-Surgical Nurses, Sewell, New Jersey, USA.,Ascend Learning, Leawood, Kansas, USA
| | - Lynn Gallagher-Ford
- Helene Fuld Health Trust National Institute for EBP in Nursing and Healthcare, Columbus, Ohio, USA
| | - Bindu Koshy Thomas
- Helene Fuld Health Trust National Institute for EBP in Nursing and Healthcare, Columbus, Ohio, USA
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Ozga D, Krupa S, Mędrzycka-Dąbrowska W, Penar-Zadarko B. Adaptation and validation of the Barriers to Research Utilization (BARRIERS scale) questionnaire among Polish nurses and midwives: Cross-sectional study. Appl Nurs Res 2022; 63:151547. [PMID: 35034703 DOI: 10.1016/j.apnr.2021.151547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2020] [Revised: 09/21/2021] [Accepted: 11/15/2021] [Indexed: 12/01/2022]
Abstract
AIM The study was designed to assess a Polish version of the Barriers to Research Utilization (BRU) scale for reliability and validity, in a group of nurses and midwives. BACKGROUND The implementation of Evidence-Based in practice is a key element of care and the use of research requirements the research awareness of nurses. METHODS In 2018, cross-sectional validation was carried out among nurses and midwives qualified for the project. RESULTS The Cronbach alpha internal consistency index and mean correlations between items for each of the five subscales comprised in the BRU Instrument were satisfactory. The regression weights show that the items fit well with the subscales and there are no deviations from it. CONCLUSIONS We should the right tools to assess research awareness and be able to identify barriers. Knowing them will allow us to implement preventative measures and allow us to plan our activities.
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Affiliation(s)
- Dorota Ozga
- Institute of Health Sciences, College of Medical Sciences of the University of Rzeszow, Poland St. Warzywna 1A, 35-310 Rzeszow, Poland.
| | - Sabina Krupa
- Institute of Health Sciences, College of Medical Sciences of the University of Rzeszow, Poland St. Warzywna 1A, 35-310 Rzeszow, Poland
| | | | - Beata Penar-Zadarko
- Institute of Health Sciences, College of Medical Sciences of the University of Rzeszow, Poland St. Warzywna 1A, 35-310 Rzeszow, Poland
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Panczyk M, Iwanow L, Musik S, Wawrzuta D, Gotlib J, Jaworski M. Perceiving the Role of Communication Skills as a Bridge between the Perception of Spiritual Care and Acceptance of Evidence-Based Nursing Practice-Empirical Model. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:12591. [PMID: 34886316 PMCID: PMC8672274 DOI: 10.3390/ijerph182312591] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/20/2021] [Revised: 11/23/2021] [Accepted: 11/27/2021] [Indexed: 11/17/2022]
Abstract
Decision making using evidence-based practice (EBP) is generally universally accepted by nurses. Such acceptance may affect the personnel's behaviour towards patients, which is also demonstrated by taking into consideration the patient's preferences, including the patient's spiritual needs, in the care plan. The provision of such care requires the development of an attitude of approval and an adequate level of communicative competence, which will enable the actual implementation of the EBP. The purpose of our study was to assess the perception of spirituality and the nurse's role in providing spiritual care, as well as the perception of the significance of communication skills in the approval of EBP in professional practice. A multi-centre cross-section study was conducted on a population of 1176 participants (459 undergraduate (bachelor's programme, BP) and 717 postgraduate students (master's programme, MP)) from 10 medical universities in Poland. Three tools were used in the study to evaluate the participants' approach: Evidence-Based Practice Competence Questionnaire (EBP-COQ), The Spirituality and Spiritual Care Rating Scale (SSCRS), and Communication Skills Attitude Scale (CSAS). Structural equation modelling was used for the analysis. An analysis of structural equations revealed the presence of positive relationships of the attitude to spiritual care and the role of communicative competences with the approach to EBP regardless of the cohort. A significant difference was found related to the influence of age on the attitude towards learning communicative competences. The approval in this respect was observed to decrease with age in the MP group. Increasing approval of EBP requires strengthening the approach to activity-centred spiritual care, with the simultaneous development of a positive attitude towards learning communicative competences. The model reveals the need to integrate a humanistic approach with EBP, which can be achieved by planning different interventions in different groups of recipients: nurses, academic teachers and students.
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Affiliation(s)
- Mariusz Panczyk
- Department of Education and Research of Health Sciences, Faculty of Health Sciences, Medical University of Warsaw, Zwirki i Wigury 81, 02091 Warsaw, Poland; (L.I.); (S.M.); (D.W.); (J.G.); (M.J.)
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25
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Alzaatreh M, Al-Maraira OA, Abu Tabar N, Alsadi MR, Khrais H, Abunab HY, Kasasbeh KM, Almaani M, Khalil M. Integrating evidence-based interventions in clinical settings in Jordan: a policy brief. F1000Res 2021; 10:933. [PMID: 34987770 PMCID: PMC8689402 DOI: 10.12688/f1000research.54362.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/02/2021] [Indexed: 11/22/2022] Open
Abstract
Background: Evidence-based nursing practice (EBNP) is considered a major and very important global paradigm shift. Unfortunately, most healthcare providers and researchers embrace the concept of evidence-based practice (EBP) without integrating this concept in clinical settings. The current situation of EBP and new practice guidelines utilization in Jordan are scarce. This policy brief aimed to discusses the process of utilizing nursing EBP in clinical settings in Jordan. Methods: The authors adopted an action plan utilizing a systematic approach to develop and implement specific strategies and policies to integrate EBP in clinical settings in Jordanian hospitals. We present an experience of one country in terms of introducing a policy brief to establish an EBP policy accompanied by developing an EBP unit in the hospital's country. Results: A comprehensive description of this policy is provided with reference to the eminent steps of policy analysis and evaluation. In fact, EBP policies and clinical practice guidelines should keep a live document and revise regularly or as needed. Overall, the authors suggest the development of a unit for EBP to deal with issues related to clinical practice guidelines. Conclusions: Expected outcomes for the introduction of the EBP unit and its policy include increase research utilization and accelerated adoption of new evidence, increase the quality of care provided, increase patient, staff, and managers satisfaction, and decrease staff workload by reducing complications associated with medical errors and outdated interventions.
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Affiliation(s)
- Mohammad Alzaatreh
- Prince Al Hussein Bin Abdullah II Academy for Civil Protection, Department of paramedics, Al-Balqa Applied University, Asalt, Amman, 41111, Jordan
| | | | | | | | | | | | - Khaled M. Kasasbeh
- Quality department, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
| | - Mohammad Almaani
- Department of Nursing, Emirate Health Services, Dubai, United Arab Emirates
| | - Malek Khalil
- Faculty of Nursing, Zarqa University, Amman, Jordan
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Thomas A, Bussières A. Leveraging knowledge translation and implementation science in the pursuit of evidence informed health professions education. ADVANCES IN HEALTH SCIENCES EDUCATION : THEORY AND PRACTICE 2021; 26:1157-1171. [PMID: 33651210 DOI: 10.1007/s10459-020-10021-y] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/08/2020] [Accepted: 12/17/2020] [Indexed: 06/12/2023]
Abstract
Evidence informed approaches to health professions education can ensure accountability to learners and society in providing meaningful and effective education and helping resource strained systems via streamlined and cost-efficient practices. Knowledge translation and implementation science are two areas of study originally developed in clinical medicine in response to concerns that health care practices were incongruent with the scientific evidence. Two decades of research have led to important advances in our understanding of the nature and magnitude of research-practice gaps, the factors that support or impede adoption of evidence in clinical decision-making, and in the design and evaluation of theory driven interventions to reduce gaps. This paper borrows concepts from knowledge translation and implementation science to further our thinking about how health professions education can 'truly' be evidence informed. The article is organised in four sections: a discussion of the impetus for the evidence informed health professions education movement; a description of the origins of knowledge translation and implementation science; a discussion on how knowledge translation and implementation science can be leveraged to advance the evidence informed health professions education agenda; and suggestions for future discussion and research. An example is used to illustrate the application of the underpinning principles of knowledge translation and implementation science. The authors suggest a theory driven, staged and systematic approach that integrates knowledge translation principles and processes and involves key stakeholders interested in promoting the application of educational research of evidence.
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Affiliation(s)
- Aliki Thomas
- School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Montreal, Canada.
- Institute of Health Sciences Education, Faculty of Medicine and Health Sciences, McGill University, Montreal, Canada.
- Centre for Interdisciplinary Research in Rehabilitation, Montreal, Canada.
| | - André Bussières
- School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Montreal, Canada
- Centre for Interdisciplinary Research in Rehabilitation, Montreal, Canada
- Département Chiropratique, Université du Québec à Trois-Rivières, Trois-Rivières, Canada
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Nursing educators' and undergraduate nursing students' beliefs and perceptions on evidence-based practice, evidence implementation, organizational readiness and culture: An exploratory cross-sectional study. Nurse Educ Pract 2021; 54:103122. [PMID: 34174719 DOI: 10.1016/j.nepr.2021.103122] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2020] [Revised: 05/18/2021] [Accepted: 06/15/2021] [Indexed: 01/21/2023]
Abstract
AIMS To describe the undergraduate nursing students' and nursing educators' evidence-based practice beliefs, their extent of evidence-based practice implementation and their perspectives regarding organizational culture for evidence-based practice. To identify any relationship between the mentioned variables. BACKGROUND The integration of evidence-based practice in nursing curricula is crucial to educate nursing students to incorporate evidence-based practice in their future clinical practice. Therefore, to promote its integration within nursing education, it is important to deeply understand how prepared academic institutions are for teaching about and supporting evidence-based practice integration. DESIGN Cross-sectional study. METHODS Nursing educators and undergraduate nursing students from nine Portuguese nursing schools were invited to participate in this study through an electronic survey comprising socio-demographic questions and the scales. RESULTS Sixty-eight nursing educators replied to the survey. Most were female, have PhD and have evidence-based practice training. They showed mean scores of 88.92 ± 8.18 for evidence-based practice beliefs, 40.20 ± 18.93 for evidence-based practice implementation and 80.59 ± 17.52 for evidence-based practice organizational culture and readiness. Concerning nursing educator sample, there were moderate and statistically significant relationship between: evidence-based practice beliefs and implementation; and evidence-based practice beliefs and organizational culture and readiness for school-wide integration of evidence-based practice. Between evidence-based practice implementation and organizational culture and readiness for school-wide integration of evidence-based practice, there was a small relationship. One hundred and sixty-seven undergraduate nursing students answered the survey. Mostly, they were female and were in third or fourth year of their nursing degree. Similarly, to educators, students showed mean scores of 58.69 ± 6.92 for evidence-based practice beliefs, 32.37 ± 16.97 for evidence-based practice implementation and 84.20 ± 23.48 for evidence-based practice organizational culture and readiness. Regarding undergraduate nursing student sample, there were moderate and statistically significant relationship between the different variables. CONCLUSIONS Both nursing educators and undergraduate nursing students had strong evidence-based practice beliefs, but low levels of evidence-based practice implementation. In nursing educators' and undergraduate nursing students' perspectives, there were opportunities in their schools for the development of an evidence-based practice culture. Based on results, support for development and testing of interventions, specifically tailored for promoting evidence-based practice implementation in nursing educational contexts, is recommended.
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Ronquillo CE, Peltonen LM, Pruinelli L, Chu CH, Bakken S, Beduschi A, Cato K, Hardiker N, Junger A, Michalowski M, Nyrup R, Rahimi S, Reed DN, Salakoski T, Salanterä S, Walton N, Weber P, Wiegand T, Topaz M. Artificial intelligence in nursing: Priorities and opportunities from an international invitational think-tank of the Nursing and Artificial Intelligence Leadership Collaborative. J Adv Nurs 2021; 77:3707-3717. [PMID: 34003504 PMCID: PMC7612744 DOI: 10.1111/jan.14855] [Citation(s) in RCA: 50] [Impact Index Per Article: 16.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2021] [Accepted: 03/21/2021] [Indexed: 01/23/2023]
Abstract
Aim To develop a consensus paper on the central points of an international invitational think‐tank on nursing and artificial intelligence (AI). Methods We established the Nursing and Artificial Intelligence Leadership (NAIL) Collaborative, comprising interdisciplinary experts in AI development, biomedical ethics, AI in primary care, AI legal aspects, philosophy of AI in health, nursing practice, implementation science, leaders in health informatics practice and international health informatics groups, a representative of patients and the public, and the Chair of the ITU/WHO Focus Group on Artificial Intelligence for Health. The NAIL Collaborative convened at a 3‐day invitational think tank in autumn 2019. Activities included a pre‐event survey, expert presentations and working sessions to identify priority areas for action, opportunities and recommendations to address these. In this paper, we summarize the key discussion points and notes from the aforementioned activities. Implications for nursing Nursing's limited current engagement with discourses on AI and health posts a risk that the profession is not part of the conversations that have potentially significant impacts on nursing practice. Conclusion There are numerous gaps and a timely need for the nursing profession to be among the leaders and drivers of conversations around AI in health systems. Impact We outline crucial gaps where focused effort is required for nursing to take a leadership role in shaping AI use in health systems. Three priorities were identified that need to be addressed in the near future: (a) Nurses must understand the relationship between the data they collect and AI technologies they use; (b) Nurses need to be meaningfully involved in all stages of AI: from development to implementation; and (c) There is a substantial untapped and an unexplored potential for nursing to contribute to the development of AI technologies for global health and humanitarian efforts.
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Affiliation(s)
- Charlene Esteban Ronquillo
- Daphne Cockwell School of Nursing, Faculty of Community Services, Ryerson University, Toronto, ON, Canada.,School of Nursing, Faculty of Health and Social Development, University of British Columbia Okanagan, Kelowna, BC, Canada.,International Medical Informatics Association, Student and Emerging Professionals Special Interest Group
| | - Laura-Maria Peltonen
- International Medical Informatics Association, Student and Emerging Professionals Special Interest Group.,Department of Nursing Science, University of Turku, Turku, Finland
| | | | - Charlene H Chu
- Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada
| | - Suzanne Bakken
- School of Nursing, Department of Biomedical Informatics, Data Science Institute, Columbia University, New York, NY, USA.,Precision in Symptom Self-Management (PriSSM) Center, Reducing Health Disparities Through Informatics Training Program (RHeaDI), Columbia University, New York, NY, USA
| | | | - Kenrick Cato
- School of Nursing, Department of Biomedical Informatics, Data Science Institute, Columbia University, New York, NY, USA
| | - Nicholas Hardiker
- School of Human & Health Sciences, University of Huddersfield, Huddersfield, UK
| | - Alain Junger
- Nursing Direction, Nursing Information System Unit, Centre Hospitalier Universitaire Vaudois (CHUV) Lausanne, Lausanne, Switzerland
| | | | - Rune Nyrup
- Leverhulme Centre for the Future of Intelligence, University of Cambridge, Cambridge, UK
| | - Samira Rahimi
- Department of Family Medicine, McGill University, Lady Davis Institute for Medical Research of Jewish General Hospital, Mila Quebec Artificial Intelligence Institute, Montreal, QC, Canada
| | | | - Tapio Salakoski
- Department of Mathematics and Statistics, University of Turku, Turku, Finland
| | - Sanna Salanterä
- Department of Nursing Science, University of Turku and Turku University Hospital, Turku, Finland
| | - Nancy Walton
- Daphne Cockwell School of Nursing, Faculty of Community Services, Ryerson University, Toronto, ON, Canada.,Research Ethics Board, Women's College Hospital, Toronto, ON, Canada.,Health Canada and Public Health Agency of Canada's Research Ethics Board, Toronto, ON, Canada
| | - Patrick Weber
- NICE Computing SA, Lausanne, Switzerland.,European Federation for Medical Informatics (EFMI)
| | - Thomas Wiegand
- ITU/WHO Focus Group on Artificial Intelligence for Health (FG-AI4H).,Fraunhofer Heinrich Hertz Institute, Berlin, Germany.,Berlin Institute of Technology, Berlin, Germany
| | - Maxim Topaz
- International Medical Informatics Association, Student and Emerging Professionals Special Interest Group.,School of Nursing, Department of Biomedical Informatics, Data Science Institute, Columbia University, New York, NY, USA
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Ferreira MBG, Dos Santos Felix MM, de Souza Lopes RA, Haas VJ, Galvão CM, Barbosa MH. Barriers to research utilization influencing patient safety climate: A cross-sectional study. Int J Nurs Pract 2021; 27:e12959. [PMID: 33977599 DOI: 10.1111/ijn.12959] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2020] [Revised: 03/22/2021] [Accepted: 04/22/2021] [Indexed: 11/26/2022]
Abstract
AIMS This study aimed to investigate the influence of barriers to the use of research results in the practice of nurses on patient safety perception. BACKGROUND The use of research results in clinical practice promotes safe care, increases quality and reduces the possibility of adverse events. DESIGN This is a cross-sectional study. METHODS The sample consisted of 207 nurses from three public university hospitals in the state of Minas Gerais, Brazil from March 2017 to November 2018. They answered a questionnaire with professional characteristics, The Barriers Scale and Safety Attitudes Questionnaire. Descriptive analysis, Student's t test, Pearson correlation and multiple linear regression were used for data analysis. RESULTS The findings showed most nurses had unfavourable competencies for implementing research results in practice. As barrier scores for the use of research results in practice increase, safety climate scores decrease. Taking a training course on the use of research results in clinical practice and organization characteristics, limitations of the setting were statistically significant, constituting factors that influence the perception of the safety climate. CONCLUSION Investments in education are needed for health professionals to be aware of evidence-based practice and how to use evidence to impact decision-making outcomes, strengthening safety outcomes in health services.
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Affiliation(s)
- Maria Beatriz Guimarães Ferreira
- Institute of Health Sciences (ICS), Federal University of Triângulo Mineiro, Uberaba, Brazil.,School of Medicine, Federal University of Uberlândia, Uberlândia, Brazil
| | | | | | - Vanderlei José Haas
- Institute of Health Sciences (ICS), Federal University of Triângulo Mineiro, Uberaba, Brazil
| | | | - Maria Helena Barbosa
- Institute of Health Sciences (ICS), Federal University of Triângulo Mineiro, Uberaba, Brazil
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Cardoso D, Couto F, Cardoso AF, Louçano C, Rodrigues M, Pereira R, Parola V, Coelho A, Ferraz L, Pinto D, Ramis MA, Apóstolo J. Fresno test to measure evidence-based practice knowledge and skills for Portuguese undergraduate nursing students: A translation and adaptation study. NURSE EDUCATION TODAY 2021; 97:104671. [PMID: 33264737 DOI: 10.1016/j.nedt.2020.104671] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/01/2020] [Revised: 10/25/2020] [Accepted: 11/12/2020] [Indexed: 06/12/2023]
Abstract
BACKGROUND The Fresno Test was originally identified as an instrument to assess evidence-based practice knowledge and skills through cognitive testing and performance assessment in medical students. Further studies have been recommended to establish the measurement properties of the Fresno Test in different learner populations. OBJECTIVES To perform a cross-cultural adaptation of the Fresno Test for Portuguese undergraduate nursing students and to analyze the interrater reliability. DESIGN Cross-cultural adaptation study with interrater reliability assessment carried out in two phases during 2017-2018. SETTINGS One of the main nursing schools, Portugal. PARTICIPANTS Fourth year undergraduate nursing students. METHODS The study was performed in two phases, firstly the cross-cultural adaptation (performed in five stages) and secondly the analysis of interrater reliability. RESULTS Stages I, II, III and IV of the cross-cultural adaptation proceeded smoothly and the expert panel produced and agreed upon the pre-final version of Adapted Fresno Test. In stage V (the pre-test stage), students reported a general understanding of the items, but they reported a lack of knowledge to answer the test. An expert panel subsequently agreed that modifications were needed to ensure the test was within the student's competency level and to decrease risk of assessment bias. For phase II, 50 complete questionnaires were randomly selected to be rated by three independent nurses using the modified rubric to score the test. The overall interrater reliability was 0.826 with a range from 0.271 to 1.000 for each item. CONCLUSIONS The Adapted Fresno Test presented in this paper is the first instrument translated for European Portuguese and adapted specially for undergraduate nursing students. Despite good interrater reliability, further validation studies with more robust samples are suggested to definitively establish psychometric properties beyond the interrater reliability.
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Affiliation(s)
- Daniela Cardoso
- Health Sciences Research Unit: Nursing, Nursing School of Coimbra, P.O. Box 7001, 3046-851 Coimbra, Portugal; Nursing School of Coimbra, P.O. Box 7001, 3046-851 Coimbra, Portugal; Portugal Centre for Evidence-Based Practice: A Joanna Briggs Institute Centre of Excellence, Health Sciences Research Unit: Nursing, Nursing School of Coimbra, P.O. Box 7001, 3046-851 Coimbra, Portugal; FMUC - Faculty of Medicine, University of Coimbra, Azinhaga de Santa Comba, Celas, 3000-548 Coimbra, Portugal.
| | - Filipa Couto
- Health Sciences Research Unit: Nursing, Nursing School of Coimbra, P.O. Box 7001, 3046-851 Coimbra, Portugal; Alfena Hospital - Trofa Health Group, Rua Manuel Bento Júnior 201, 4445-268 Alfena, Porto, Portugal
| | - Ana Filipa Cardoso
- Health Sciences Research Unit: Nursing, Nursing School of Coimbra, P.O. Box 7001, 3046-851 Coimbra, Portugal; Nursing School of Coimbra, P.O. Box 7001, 3046-851 Coimbra, Portugal; Portugal Centre for Evidence-Based Practice: A Joanna Briggs Institute Centre of Excellence, Health Sciences Research Unit: Nursing, Nursing School of Coimbra, P.O. Box 7001, 3046-851 Coimbra, Portugal.
| | - Cristina Louçano
- Health Sciences Research Unit: Nursing, Nursing School of Coimbra, P.O. Box 7001, 3046-851 Coimbra, Portugal; Nursing School of Coimbra, P.O. Box 7001, 3046-851 Coimbra, Portugal.
| | - Manuel Rodrigues
- Health Sciences Research Unit: Nursing, Nursing School of Coimbra, P.O. Box 7001, 3046-851 Coimbra, Portugal; Nursing School of Coimbra, P.O. Box 7001, 3046-851 Coimbra, Portugal; Portugal Centre for Evidence-Based Practice: A Joanna Briggs Institute Centre of Excellence, Health Sciences Research Unit: Nursing, Nursing School of Coimbra, P.O. Box 7001, 3046-851 Coimbra, Portugal
| | - Rui Pereira
- Health Sciences Research Unit: Nursing, Nursing School of Coimbra, P.O. Box 7001, 3046-851 Coimbra, Portugal; School of Nursing, University of Minho, Edifício 4 Campus de Gualtar, 4710-057 Braga, Portugal.
| | - Vítor Parola
- Health Sciences Research Unit: Nursing, Nursing School of Coimbra, P.O. Box 7001, 3046-851 Coimbra, Portugal; Nursing School of Coimbra, P.O. Box 7001, 3046-851 Coimbra, Portugal; Portugal Centre for Evidence-Based Practice: A Joanna Briggs Institute Centre of Excellence, Health Sciences Research Unit: Nursing, Nursing School of Coimbra, P.O. Box 7001, 3046-851 Coimbra, Portugal
| | - Adriana Coelho
- Health Sciences Research Unit: Nursing, Nursing School of Coimbra, P.O. Box 7001, 3046-851 Coimbra, Portugal; Nursing School of Coimbra, P.O. Box 7001, 3046-851 Coimbra, Portugal; Portugal Centre for Evidence-Based Practice: A Joanna Briggs Institute Centre of Excellence, Health Sciences Research Unit: Nursing, Nursing School of Coimbra, P.O. Box 7001, 3046-851 Coimbra, Portugal
| | - Lucimare Ferraz
- Universidade do Estado de Santa Catarina, Av. Madre Benvenuta, 2007 Itacorubi, Florianópolis, Brazil.
| | - Daniela Pinto
- Health Sciences Research Unit: Nursing, Nursing School of Coimbra, P.O. Box 7001, 3046-851 Coimbra, Portugal; Nursing School of Coimbra, P.O. Box 7001, 3046-851 Coimbra, Portugal.
| | - Mary-Anne Ramis
- Evidence in Practice Unit & Queensland Centre for Evidence Based Nursing and Midwifery: A Joanna Briggs Institute Centre of Excellence, Level 2 Aubigny Place, Raymond Terrace, South Brisbane, Australia.
| | - João Apóstolo
- Health Sciences Research Unit: Nursing, Nursing School of Coimbra, P.O. Box 7001, 3046-851 Coimbra, Portugal; Nursing School of Coimbra, P.O. Box 7001, 3046-851 Coimbra, Portugal; Portugal Centre for Evidence-Based Practice: A Joanna Briggs Institute Centre of Excellence, Health Sciences Research Unit: Nursing, Nursing School of Coimbra, P.O. Box 7001, 3046-851 Coimbra, Portugal.
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The Effectiveness of an Evidence-Based Practice (EBP) Educational Program on Undergraduate Nursing Students' EBP Knowledge and Skills: A Cluster Randomized Control Trial. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18010293. [PMID: 33401523 PMCID: PMC7795378 DOI: 10.3390/ijerph18010293] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/30/2020] [Revised: 12/28/2020] [Accepted: 12/29/2020] [Indexed: 11/16/2022]
Abstract
Evidence-based practice (EBP) prevents unsafe/inefficient practices and improves healthcare quality, but its implementation is challenging due to research and practice gaps. A focused educational program can assist future nurses to minimize these gaps. This study aims to assess the effectiveness of an EBP educational program on undergraduate nursing students’ EBP knowledge and skills. A cluster randomized controlled trial was undertaken. Six optional courses in the Bachelor of Nursing final year were randomly assigned to the experimental (EBP educational program) or control group. Nursing students’ EBP knowledge and skills were measured at baseline and post-intervention. A qualitative analysis of 18 students’ final written work was also performed. Results show a statistically significant interaction between the intervention and time on EBP knowledge and skills (p = 0.002). From pre- to post-intervention, students’ knowledge and skills on EBP improved in both groups (intervention group: p < 0.001; control group: p < 0.001). At the post-intervention, there was a statistically significant difference in EBP knowledge and skills between intervention and control groups (p = 0.011). Students in the intervention group presented monographs with clearer review questions, inclusion/exclusion criteria, and methodology compared to students in the control group. The EBP educational program showed a potential to promote the EBP knowledge and skills of future nurses.
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Mulhall P, Taggart L, McAloon T, Coates V. Challenges to conducting randomised controlled trials with adults with intellectual disabilities: Experiences of international experts. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2020; 34:891-904. [PMID: 33277777 DOI: 10.1111/jar.12838] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2018] [Revised: 11/09/2020] [Accepted: 11/12/2020] [Indexed: 01/24/2023]
Abstract
BACKGROUND Globally, conducting randomised controlled trials can be a complex endeavour. The complexity increases when including participants with cognitive or intellectual disabilities. A fuller understanding of the barriers and challenges that can be expected in such trials may help researchers to make their trials more inclusive for people with disabilities. METHOD Semi-structured interviews were conducted with twelve international trial experts. RESULTS Eight themes emerged relating to challenges linked to: 1) participant co-morbidities, 2) participant ability levels, 3) ethics and consent, 4) the RCT methodology, 5) gatekeeping, 6) staff turnover, 7) lack of technical understanding and 8) attitudes and perceptions. CONCLUSION Conducting trials with cognitively disabled participants can pose unique challenges although many can be overcome with 'reasonable adjustments'. Challenges that are harder to overcome are attitudes and perceptions that people (professional staff, funding bodies, carers or fellow researchers) hold towards the utility of conducting trials with cognitively disabled populations.
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Affiliation(s)
- Peter Mulhall
- School of Nursing, Ulster University, Newtownabbey, Northern Ireland
| | - Laurence Taggart
- School of Nursing, Ulster University, Newtownabbey, Northern Ireland
| | - Toni McAloon
- School of Nursing, Ulster University, Newtownabbey, Northern Ireland
| | - Vivien Coates
- School of Nursing, Ulster University, Newtownabbey, Northern Ireland
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Fu Y, Wang C, Hu Y, Muir‐Cochrane E. The barriers to evidence‐based nursing implementation in mainland China: A qualitative content analysis. Nurs Health Sci 2020; 22:1038-1046. [DOI: 10.1111/nhs.12763] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2019] [Revised: 07/15/2020] [Accepted: 07/22/2020] [Indexed: 11/30/2022]
Affiliation(s)
- Yanfen Fu
- School of Nursing, Fudan University Shanghai China
- School of Nursing, Dali University Dali China
- College of Nursing and Health Sciences, Flinders University Adelaide South Australia Australia
| | | | - Yan Hu
- School of Nursing, Fudan University Shanghai China
| | - Eimear Muir‐Cochrane
- College of Nursing and Health Sciences, Flinders University Adelaide South Australia Australia
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Kerwien-Jacquier E, Verloo H, Pereira F, Peter KA. Adaptation and validation of the evidence-based practice beliefs and implementation scales into German. Nurs Open 2020; 7:1997-2008. [PMID: 33072385 PMCID: PMC7544869 DOI: 10.1002/nop2.593] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2020] [Revised: 07/15/2020] [Accepted: 07/23/2020] [Indexed: 01/10/2023] Open
Abstract
Aims To culturally adapt and translate the Evidence-Based Practice Belief Scale (EBP-B) and the Evidence-Based Practice Implementation Scale (EBP-I), explore the psychometric properties of their validated German versions and compare results with those of the original scales. Design Cross-sectional descriptive study. Method The study was conducted on a sample of 131 Registered Nurses in a Swiss German hospital. Internal consistency was rated using Cronbach's alpha. Principal component analysis using varimax rotation was used to determine construct validity. The study was undertaken in accordance with the STROBE-checklist in Appendix S1. Results German versions of the EBP-B and EBP-I showed good reliability. Their Cronbach alphas showed lower values than those of the original scales. Principal component analysis showed medium-to-high factor loading. Principal component analyses using varimax rotations of the EBP-B's 16 items and the EBP-I's 17 items resulted in four-factor and five-factor solutions, respectively.
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Affiliation(s)
- Emmanuelle Kerwien-Jacquier
- School of Health Sciences HES-SO Valais/Wallis University of Applied Sciences and Arts of Western Switzerland Visp Switzerland
| | - Henk Verloo
- School of Health Sciences HES-SO Valais/Wallis University of Applied Sciences and Arts of Western Switzerland Visp Switzerland
| | - Filipa Pereira
- School of Health Sciences HES-SO Valais/Wallis University of Applied Sciences and Arts of Western Switzerland Visp Switzerland
| | - Karin Anne Peter
- Division of Applied Research & Development in Nursing Bern University of Applied Sciences Bern Switzerland
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Abstract
PURPOSE To define research utilization (RU) and identify barriers and facilitators to RU in nursing practice. METHODS An international integrative review of 42 studies was conducted related to barriers and facilitators of RU. RESULTS Following a review of the research that met the inclusion criteria, the author identifies common themes related to the implementation of research into clinical practice and the challenges surrounding RU. CONCLUSION Despite consistently perceived barriers to research among nurses from different geographic, cultural, and clinical backgrounds, practice changes are typically out of their hands. Further research is necessary to gauge perception among the nursing associations, regulatory bodies, healthcare organizations, policy makers, and managers responsible for implementing these changes.
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Affiliation(s)
- Ahtisham Younas
- Ahtisham Younas is a doctoral student at the Memorial University of Newfoundland School of Nursing in Newfoundland, Canada
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Auty SG, Stein MD, Walley AY, Drainoni ML. Buprenorphine waiver uptake among nurse practitioners and physician assistants: The role of existing waivered prescriber supply. J Subst Abuse Treat 2020; 115:108032. [PMID: 32600629 DOI: 10.1016/j.jsat.2020.108032] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2019] [Revised: 04/27/2020] [Accepted: 05/09/2020] [Indexed: 12/24/2022]
Abstract
BACKGROUND Buprenorphine is an effective pharmacotherapy for the treatment of opioid use disorder (OUD), but recent increases in the rate of OUD in the U.S. have outpaced the supply of clinicians waivered to prescribe buprenorphine. To increase the supply of buprenorphine prescribers, the Comprehensive Addiction and Recovery Act expanded buprenorphine prescribing waiver eligibility beyond physicians to nurse practitioners (NP) and physician assistants (PA) in 2017. Little is known about patterns of waiver uptake among NPs and PAs. This study examined associations between the existing supply of waivered prescribers and waiver uptake among NPs and PAs in U.S. states. METHODS NP and PA waiver uptake was evaluated as the number of NPs or PAs obtaining an initial buprenorphine prescribing waiver per 10,000 state residents from January 2017 to December 2018 using data from the Buprenorphine Waiver Notification System. NP and PA waiver uptake was estimated as a function of existing waivered prescriber supply, OUD treatment capacity, and other state characteristics using generalized least squares (GLS) regression. RESULTS 28,010 NPs and PAs have become waivered to prescribe buprenorphine since January 2017. GLS regressions indicated that waivered prescriber supply was significantly, positively associated with both NP (b = 0.101 p < 0.001) and PA (b = 0.030, p < 0.001) waiver uptake. Results suggest an addition of ten waivered prescribers to existing supply was associated with an increase of one waivered NP, and an addition of thirty-three waivered prescribers to existing supply was associated with an increase of one waivered PA. CONCLUSIONS NP and PA waiver uptake is strongly associated with the existing supply of waivered prescribers in a state, suggesting NPs and PAs may be more likely to acquire waivers in states with a high existing supply of buprenorphine prescribers. Additional policy solutions are needed to scale up the supply of buprenorphine prescribers in underserved states.
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Affiliation(s)
- Samantha G Auty
- Department of Health Law, Policy and Management, Boston University School of Public Health, 715 Albany Street, Boston, MA, 02118, USA.
| | - Michael D Stein
- Department of Health Law, Policy and Management, Boston University School of Public Health, 715 Albany Street, Boston, MA, 02118, USA.
| | - Alexander Y Walley
- Grayken Center for Addiction, Clinical Addiction Research and Education Unit, Section of General Internal Medicine, Department of Medicine, Boston Medical Center, 1 Medical Center Place, Boston, MA, 02118, USA.
| | - Mari-Lynn Drainoni
- Department of Health Law, Policy and Management, Boston University School of Public Health, 715 Albany Street, Boston, MA, 02118, USA; Department of Infectious Disease, Boston University School of Medicine, 801 Massachusetts Ave Crosstown Center, Boston, MA, 02118, USA.
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Santos DPMA, Queiroz ACDCM, Menezes RL, Bachion MM. Effectiveness of senior dance in the health of adults and elderly people: An integrative literature review. Geriatr Nurs 2020; 41:589-599. [PMID: 32354477 DOI: 10.1016/j.gerinurse.2020.03.013] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2019] [Revised: 03/09/2020] [Accepted: 03/11/2020] [Indexed: 11/16/2022]
Abstract
Senior dance has been used in different health contexts, but information on its effectiveness has not been yet compiled. The present review shows the results of a search carried out in the Cochrane, PubMed, Scopus, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Virtual Health Library (VHL) databases, including material published between 1974 and 2019, using the keyword "senior dance" in Portuguese, Spanish, and English. Twenty-one articles were retrieved, and seven met the selection criteria. Different intervention protocols were found, with the most common being therapy using two weekly sessions, with sessions lasting up to 60 min. The studies had small samples but indicated improvements in the cognitive or psychological component, especially in depression and anxiety; higher willingness to participate in other social activities; and improvements in self-care and family and social roles. The evidence also suggests gains in the biological dimensions, with improved body structure and function.
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Affiliation(s)
| | | | | | - Maria Márcia Bachion
- Federal University of Goiás, Rua 227 Qd 68, S/N - Setor Leste Universitário, Goiânia, Goiás, Brazil
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Ayoubian A, Nasiripour AA, Tabibi SJ, Bahadori M. Evaluation of Facilitators and Barriers to Implementing Evidence-Based Practice in the Health Services: A Systematic Review. Galen Med J 2020; 9:e1645. [PMID: 34466560 PMCID: PMC8343503 DOI: 10.31661/gmj.v9i0.1645] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2019] [Revised: 08/26/2019] [Accepted: 09/02/2019] [Indexed: 11/28/2022] Open
Abstract
BACKGROUND Evidence-based practice (EBP) is an ambition for health service administrators. We aimed to systematically review the major relevant articles in case of barriers and facilitators to implementing evidence-based practice in health services. MATERIALS AND METHODS The type of study was a systematic review. We searched the libraries and online sources such as PubMed, MEDLINE, Wiley, EMBASE, ISI Web of Knowledge, Scopus, Science Direct, Cochrane Library, and Google scholar. We used keywords included "Evidence-Based Practice", "Evidence-Based Management", "Healthcare", "Care Management, Evidence-Based Healthcare Management", "Health Care", Health", "Barrier", "Facilitator", policy and "Evidence-Based Healthcare". RESULTS In total, 12 studies were included. Several barriers and facilitators were recognized through the included papers, the factors such as organization support and a helpful education system improved skills, knowledge, and confidence to EBP. The outcomes of studies were identified as the employ of the internet as a highest-rated skill for increasing EBP quality. CONCLUSION Generally, the results showed health service administrators should first identify barriers of EBP then transferred them to facilitators to the implementation of proper and efficient EBP.
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Affiliation(s)
- Ali Ayoubian
- Department of Health Services Management, Faculty of Medical Sciences and Technologies, Science and Research Branch, Islamic Azad University, Tehran, Iran
| | - Amir Ashkan Nasiripour
- Department of Health Services Management, Faculty of Medical Sciences and Technologies, Science and Research Branch, Islamic Azad University, Tehran, Iran
| | - Seyed Jamaledin Tabibi
- Department of Health Services Management, Faculty of Medical Sciences and Technologies, Science and Research Branch, Islamic Azad University, Tehran, Iran
| | - Mohammadkarim Bahadori
- Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
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Mullings J. Embedding National Institute for Health and Care Excellence guidance into a leg ulcer pathway. Br J Community Nurs 2020; 24:S6-S11. [PMID: 31479331 DOI: 10.12968/bjcn.2019.24.sup9.s6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Research has shown that leg ulcers represent the largest category of wound type treated within the UK. Venous leg ulcers are often classified as chronic wounds with increased protease levels causing the wound to become suspended in the inflammatory stage, which leads to delayed healing. If treatment choices are not evidence-based and appropriate regimens are not instigated early on in the wound care journey, the cost to both the patient and the healthcare service is substantial. Recent guidance from the National Institute of Health and Care Excellence (NICE) recommends UrgoStart (Urgo Medical) for treating venous leg ulcers as an adjunct therapy to the gold standard of compression therapy. Correct treatment choices must be made by clinicians using up-to-date relevant wound care knowledge. Evidence-based treatment algorithms and pathways can assist with correct product and therapy placement, assisting decision-making to improve patient outcomes. The present article describes a patient-centred leg ulcer pathway that embeds NICE guidance.
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Affiliation(s)
- Julie Mullings
- Community Matron, Tissue Viability and Infection Prevention Manchester University NHS Foundation Trust
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Bench S, Dowie-Baker JA, Fish P. Orthopaedic nurses' engagement in clinical research; an exploration of ideas, facilitators and challenges. Int J Orthop Trauma Nurs 2019; 35:100699. [PMID: 31542307 DOI: 10.1016/j.ijotn.2019.04.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2019] [Revised: 03/29/2019] [Accepted: 04/15/2019] [Indexed: 10/26/2022]
Abstract
BACKGROUND Previous international studies have identified individual and organisational barriers to nurses' research utilisation, but there is little data reporting on nurses' engagement in research design and/or delivery, particularly within the orthopaedic speciality. AIM To explore orthopaedic nurses' views regarding the research priorities for neuro-musculoskeletal care and the perceived barriers and facilitators associated with their engagement in the research process. METHODS A single centre mixed methods study (n = 75) employing a survey and 14 focus group discussions. FINDINGS The current sample of clinical orthopaedic nurses showed little evidence of research engagement. Research priorities focused on: 1) Understanding and improving patient and staff experiences; 2) Improving processes, systems and workload models; an 3) Interventions to improve clinical outcomes. Key themes arising from the focus group discussions were research activity, priorities and motivation, culture and leadership, and resources. CONCLUSION These findings suggest that significant work is still required to build sufficient research capacity and capability within the nursing workforce. Key to success will be developing effective leaders who can create a positive and supportive research culture across an organisation to strengthen the research voice of nursing and which will drive improvements in future care.
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Affiliation(s)
- Suzanne Bench
- Associate Professor and Deputy Director of Research (Nursing), London South Bank University, 103 Borough Road, London, SE1 0AA, UK; The Royal National Orthopaedic Hospital NHS Trust, London, UK.
| | | | - Paul Fish
- Director of Nursing, Royal National Orthopaedic Hospital, NHS Trust, London,UK
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Li S, Cao M, Zhu X. Evidence-based practice: Knowledge, attitudes, implementation, facilitators, and barriers among community nurses-systematic review. Medicine (Baltimore) 2019; 98:e17209. [PMID: 31574830 PMCID: PMC6775415 DOI: 10.1097/md.0000000000017209] [Citation(s) in RCA: 53] [Impact Index Per Article: 10.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND This study is to summarize the status of knowledge, attitudes, implementation, facilitators, and barriers of evidence-based practice (EBP) in community nurses (CNs). EBP has been widely adopted but the knowledge, attitudes, and implementation of EBP among CNs, and the facilitators and barriers they perceived have not been clearly confirmed. METHODS A literature search was conducted using combined keywords in 3 English databases and 3 Chinese databases of peer-reviewed publications covering the dates of publication from 1996 to July, 2018. Twenty articles were included. The information of the knowledge, attitudes, implementation, and the perceived facilitators and barriers of EBP in CNs was extracted and summarized. RESULTS CNs had positive attitudes toward EBP, but insufficient knowledge and unprepared implementation. The most cited facilitators were academic training, management functions, and younger age. Inadequate time and resources were recognized as main barriers hindering the transforming from knowledge and attitudes to implementation. Developed interventions mainly focused on knowledge facilitation rather than the elimination of objective barriers. CONCLUSIONS Findings demonstrate a compelling need for improvement in knowledge and implementation of EBP in CNs, compared with the better attitudes. Except education, knowledge translating into implementation needs more coordination with authorities to magnify the facilitators and overcome the barriers. Further studies need to concentrate on deficient knowledge and implementation of EBP among CNs. Policy makers can use the facilitators and barriers found by this review to modify nursing education, current scientific resources supplement, practice supports for care improving.
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Lin C, Li L, Lee SJ, Chen L, Pan Y, Guan J. Using Conjoint Analysis to Investigate Hospital Directors' Preference in Adoption of an Evidence-based Intervention. INTERNATIONAL JOURNAL OF HEALTHCARE MANAGEMENT 2019; 14:328-334. [PMID: 34239710 DOI: 10.1080/20479700.2019.1645925] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
This study used conjoint analysis, a marketing research technique, to investigate hospital stakeholders' decision-making in adoption of evidence-based interventions (EBI). An efficacious hospital-based stigma-reduction intervention was used as a "product" to study adoption of EBI. Sixty hospital directors in Fujian, China evaluated the likelihood of adopting the EBI in their hospitals by rating across eight hypothetical scenarios with preferred and non-preferred levels of seven attributes, including 1) administrative support, 2) cost, 3) personnel involvement, 4) format, 5) duration, 6) technical support, and 7) priority alignment with the hospital. A hierarchical generalized linear model was fit to the likelihood of intervention adoption for the eight scenarios, with the seven attributes served as independent variables. Monetary cost of intervention implementation (impact score=2.12) had the greatest impact on the directors' reported likelihood of adopting the EBI, followed by duration of the intervention (impact score=0.88), availability of technical support (impact score=0.69), and flexibility of format (impact score=0.36). The impact scores of other attributes were not statistically significant. Conjoint analysis was feasible in modeling hospital directors' decision-making in adoption of EBI. The findings suggested the importance of considering cost, duration, technical support, and flexibility of format in development and dissemination of interventions in healthcare settings.
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Affiliation(s)
- Chunqing Lin
- Semel Institute for Neuroscience and Human Behavior, Center for Community Health, University of California at Los Angeles, Los Angeles, CA, U.S.A
| | - Li Li
- Semel Institute for Neuroscience and Human Behavior, Center for Community Health, University of California at Los Angeles, Los Angeles, CA, U.S.A
| | - Sung-Jae Lee
- Semel Institute for Neuroscience and Human Behavior, Center for Community Health, University of California at Los Angeles, Los Angeles, CA, U.S.A
| | - Liang Chen
- Fujian Provincial Center for Disease Control and Prevention, Fuzhou, China
| | - Yunjiao Pan
- Fujian Provincial Center for Disease Control and Prevention, Fuzhou, China
| | - Jihui Guan
- Fujian Provincial Center for Disease Control and Prevention, Fuzhou, China
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Shayan SJ, Kiwanuka F, Nakaye Z. Barriers Associated With Evidence‐Based Practice Among Nurses in Low‐ and Middle‐Income Countries: A Systematic Review. Worldviews Evid Based Nurs 2019; 16:12-20. [DOI: 10.1111/wvn.12337] [Citation(s) in RCA: 52] [Impact Index Per Article: 10.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/11/2018] [Indexed: 11/28/2022]
Affiliation(s)
- Shah Jahan Shayan
- Tehran University of Medical SciencesDepartment of Community Health Nursing Tehran Iran
- Kabul University of Medical Sciences Kabul Afganistan
| | - Frank Kiwanuka
- Tehran University of Medical SciencesInternational Campus Tehran Iran
| | - Zainah Nakaye
- School of NursingClarke International University Kampala Uganda
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Boström AM, Sommerfeld DK, Stenhols AW, Kiessling A. Capability beliefs on, and use of evidence-based practice among four health professional and student groups in geriatric care: A cross sectional study. PLoS One 2018; 13:e0192017. [PMID: 29444179 PMCID: PMC5812600 DOI: 10.1371/journal.pone.0192017] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2016] [Accepted: 01/17/2018] [Indexed: 11/19/2022] Open
Abstract
Implementation of evidence-based practice (EBP) is a complex task. This study, conducted in an acute geriatric setting, aims to compare self-reported capability beliefs on EBP between health professionals and students, and to compare the use of EBP between health professional groups. Occupational therapists, physicians, physiotherapists and registered nurses with three or more months' employment, and all students from the occupational therapy, medical, physiotherapy and nursing programs, who had conducted workplace learning at the department, were invited. Data on capability beliefs and use of EBP were collected using the Evidence-based Practice Capabilities Beliefs Scale assessing six activities of EBP: formulate questions; search databases; search other sources; appraise research reports; participate in implementation in practice; and participate in evaluation. Descriptive and inferential statistics were used. Capability beliefs on EBP: The health professionals (n = 101; response rate 80%) reported high on search other sources but less on appraise research reports. The students (n = 124; response rate 73%) reported high on all EBP activities. The health professionals reported significantly higher on search other sources than the students. The students reported significantly higher on formulate questions and appraise research reports than the health professionals. No significant differences were identified between the health professional groups or between the student groups. Use of EBP: Health professionals reported wide-ranging use from several times each month to once every six months. The physicians reported significantly more frequent use than registered nurses and occupational therapists. Health professionals supervising students reported more frequent use of appraise research reports than the non-supervising group. There is a need for improving the use of EBP, particularly among registered nurses and occupational therapists. Supervision of students might enhance the motivation among staff to increase the use of EBP and students' high EBP capability beliefs might inspire staff in this matter.
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Affiliation(s)
- Anne-Marie Boström
- Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Huddinge, Sweden
- Theme Aging, Karolinska University Hospital, Huddinge, Sweden
- Department of Nursing, Western Norway University of Applied Sciences, Campus Haugesund, Norway
- * E-mail:
| | - Disa K. Sommerfeld
- University Department of Rehabilitation Medicine, Danderyd Hospital, Danderyd, Sweden
- Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Huddinge, Sweden
| | - Annika W. Stenhols
- Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Huddinge, Sweden
- Division of Orthopaedics, Danderyd Hospital, Danderyd, Sweden
| | - Anna Kiessling
- Department of Clinical Sciences Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden
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