1
|
Zeng J, Zhang J, Li R, Guo ZH, Wu F, Wang SM, Zhang HY, Qian FH. Factors influencing the continuity of evidence-based practice in perioperative airway management for elderly patients with fractures: A qualitative study. World J Clin Cases 2024; 12:5032-5041. [DOI: 10.12998/wjcc.v12.i22.5032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/19/2024] [Revised: 05/11/2024] [Accepted: 06/04/2024] [Indexed: 06/30/2024] Open
Abstract
BACKGROUND More and more evidence-based practices are emerging, but researchers mostly focus on short-term effects, resulting in evidence-based practices not being applied in the clinic in the long term. In this study, we took the evidence-based practice of perioperative airway management in elderly fracture patients as an example and adopted a descriptive phenomenological approach to understand the influencing factors of its sustainability to provide a reference basis for promoting the continuity of evidence-based practice in the clinic.
AIM To explore factors influencing the persistence of evidence-based practice in perioperative airway management in elderly patients with fractures.
METHODS This study was qualitative research. Nine nurses who implemented evidence-based practice in the orthopedic ward of a tertiary comprehensive hospital in Shanghai from September 2023 to October 2023 were selected using purposive sampling as research subjects. Semi-structured interviews were conducted with them, and the data were analyzed using the Colaizzi phenomenological analysis method based on the three dimensions and ten factors of the NHS sustainability model.
RESULTS Three main themes and ten subthemes were identified: Process aspects (benefits to patients, benefits to nurses, lack of follow-up, complex processes); staff aspects (insufficient human resources, inadequate training and education, lack of leadership support); and organizational environment aspects (inadequate infrastructure, poor patient compliance, poor doctor cooperation).
CONCLUSION Human resources, training and education, leadership support, infrastructure, and patient-physician collaboration are important factors influencing the sustainability of evidence-based practice for perioperative airway management in older patients with fractures.
Collapse
Affiliation(s)
- Jia Zeng
- Wuxi School of Medicine, Jiangnan University, Wuxi 214122, Jiangsu Province, China
| | - Jia Zhang
- Department of Nursing, Shanghai Tongren Hospital, Shanghai 200335, China
| | - Rui Li
- Department of Nursing, Shanghai Tongren Hospital, Shanghai 200335, China
| | - Zhi-Heng Guo
- Department of Emergency, Shanghai Tongren Hospital, Shanghai 200335, China
| | - Fang Wu
- Department of Orthopedics, Shanghai Tongren Hospital, Shanghai 200335, China
| | - Si-Meng Wang
- Wuxi School of Medicine, Jiangnan University, Wuxi 214122, Jiangsu Province, China
| | - Hai-Yue Zhang
- Wuxi School of Medicine, Jiangnan University, Wuxi 214122, Jiangsu Province, China
| | - Fei-Hu Qian
- Department of Emergency, Shanghai Tongren Hospital, Shanghai 200335, China
| |
Collapse
|
2
|
Gassas RS, Ahmed ME. How nurses perceive the gap between knowledge and practice. ENFERMERIA CLINICA (ENGLISH EDITION) 2024; 34:120-129. [PMID: 38467327 DOI: 10.1016/j.enfcle.2024.02.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Revised: 12/30/2023] [Accepted: 01/05/2024] [Indexed: 03/13/2024]
Abstract
BACKGROUND Identifying nurses' perceptions of the knowledge-practice gap is a critical step toward developing evidence-based practice. Currently, multiple factors contribute to the gap between nursing education and actual practice. Addressing this gap requires a new perspective, not yet adequately represented in the literature, that includes nurses' perceptions. AIM This study aims to describe nurses' perceptions of the knowledge-practice gap in the domains of knowledge, practice, environment, and learning. And it analyzes how nurses' professional characteristics are associated with their perceptions of the gap in each of these domains as well as the relationships between the domains themselves. METHODS The study used a cross-sectional descriptive correlational design. A sample of 513 staff nurses recruited through a convenience sampling technique provided information on professional variables such as education and experience and completed a Likert-scale survey about their perceptions of the knowledge-practice gap. RESULTS Their answers were found to vary with educational level and history of workshop attendance. Items from the knowledge domain were positively and significantly correlated with items from the environment and learning domains, which were also positively and significantly correlated with each other. However, the knowledge and practice domains were not significantly correlated. In addition to showing correlations among the major domains (or aspects) of the knowledge-practice gap, the study highlights how nurses' professional characteristics contribute to differences in their perceptions of this gap. CONCLUSION These findings can guide hospital-specific measures for bridging the gap. In addition, the scale can be employed by leaders as a tool for the purpose of conducting assessments.
Collapse
Affiliation(s)
- Roai S Gassas
- Nursing Department Faculty of Applied Medical Sciences Rabigh, King Abdulaziz University, Saudi Arabia.
| | - Mohamed E Ahmed
- King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
| |
Collapse
|
3
|
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).
Collapse
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
| |
Collapse
|
4
|
Ezo E, Zekiwos A, Mezgebu T, Admasu S, Birhanu B, Ossabo G, Nigusu E, Girma A, Wondala S, Abdella J, Lamesa D, Teketel M, Gezimu W, Sahle T, Awgchew S. Prevalence and Associated Factors of Stress and Coping Strategies of Nursing Students During Clinical Practice in School of Nursing, Wachemo University, Ethiopia. SAGE Open Nurs 2024; 10:23779608241272528. [PMID: 39139191 PMCID: PMC11320391 DOI: 10.1177/23779608241272528] [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: 03/06/2024] [Revised: 07/06/2024] [Accepted: 07/13/2024] [Indexed: 08/15/2024] Open
Abstract
Background The current professional nursing education program adopts various great attention for clinical practice to supply nursing students. Objective To assess the prevalence and associated factors of stress and coping strategies of nursing students during clinical practice in the school of nursing, Wachemo University, Ethiopia, 2024. Methods A facility-based cross-sectional design study was conducted between January 1 and 12/2024. The total number of students was 421. Data were collected using the validated tool and entered using Epi-data Version 3.1 and exported to SPSS Version 25 for analysis. Binary logistic regression was done, and variables with a p-value of <.05 were taken into the multivariable analysis. Statistically significant was declared at a p-value of <.05 with AOR and 95% CI. Result The prevalence of stress and coping strategies was 58.4% with 95% CI [53.6-62.8] and 52.0% with 95% CI [47.3-56.5] respectively. Male gender, private regular, and instructor guide were significantly associated with stress. Age group 19-24 years, having low grades, living in a university dorm, clinical staff guiding, instructor guiding, and asking unclear issues were significantly associated with coping strategies. Conclusion About six in ten nursing students have stress. Being male gender, being a private, living with families, and instructor guide are significantly associated with stress. Therefore, managing gender-related issues, attending regular programs, living in a university dorm, and guiding the students might reduce the burden of stress during clinical practice. About five in ten nursing students have good coping strategies. Being age group of lower years old, having low grades, living in a university dorm, clinical staff guiding, instructor guiding, and asking the instructor about unclear issues were significantly associated with coping strategies. Therefore, improving grades, living in a university dorm, clinical staff and instructor guidance, and asking about unclear issues might enhance coping strategies.
Collapse
Affiliation(s)
- Elias Ezo
- Department of Comprehensive Nursing, College of Medicine and Health Sciences, Wachemo University, Hosanna, Ethiopia
| | - Asnakech Zekiwos
- Department of Comprehensive Nursing, College of Medicine and Health Sciences, Wachemo University, Hosanna, Ethiopia
| | - Taye Mezgebu
- Department of Comprehensive Nursing, College of Medicine and Health Sciences, Wachemo University, Hosanna, Ethiopia
| | - Senteyehu Admasu
- Department of Comprehensive Nursing, College of Medicine and Health Sciences, Wachemo University, Hosanna, Ethiopia
| | - Bethelhem Birhanu
- Department of Pediatrics and Child Health Nursing, College of Medicine and Health Sciences, Wachemo University, Hosanna, Ethiopia
| | - Getachew Ossabo
- Department of Comprehensive Nursing, College of Medicine and Health Sciences, Wachemo University, Hosanna, Ethiopia
| | - Elias Nigusu
- Department of Comprehensive Nursing, College of Medicine and Health Sciences, Wachemo University, Hosanna, Ethiopia
| | - Awoke Girma
- Department of Comprehensive Nursing, College of Medicine and Health Sciences, Wachemo University, Hosanna, Ethiopia
| | - Selamawit Wondala
- Department of Comprehensive Nursing, College of Medicine and Health Sciences, Wachemo University, Hosanna, Ethiopia
| | - Jabir Abdella
- Department of Surgical Nursing, College of Medicine and Health Sciences, Wachemo University, Hosanna, Ethiopia
| | - Dinka Lamesa
- Department of Comprehensive Nursing, College of Medicine and Health Sciences, Wachemo University, Hosanna, Ethiopia
| | - Meskerem Teketel
- Department of Comprehensive Nursing, College of Medicine and Health Sciences, Wachemo University, Hosanna, Ethiopia
| | | | - Tadesse Sahle
- Department of Nursing College of Medicine and Health Science, Wolkite University, Wolkite, Ethiopia
| | - Seife Awgchew
- Department of Pediatrics and Child Health Nursing, College of Medicine and Health Sciences, Wachemo University, Hosanna, Ethiopia
| |
Collapse
|
5
|
Fossum M, Opsal A, Ehrenberg A. Nurses' sources of information to inform clinical practice: An integrative review to guide evidence-based practice. Worldviews Evid Based Nurs 2022; 19:372-379. [PMID: 35244324 PMCID: PMC9790517 DOI: 10.1111/wvn.12569] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2021] [Revised: 11/11/2021] [Accepted: 11/21/2021] [Indexed: 12/30/2022]
Abstract
BACKGROUND Evidence-based practice in nursing is challenging and relies on the sources of information used by nurses to inform clinical practice. An integrative review from 2008 revealed that nurses more frequently relied on information from colleagues than information from high-level sources such as systematic reviews and evidence-based clinical practice guidelines. AIMS To describe the information sources used by registered nurses to inform their clinical practice. METHODS An integrative review was conducted according to the PRISMA guidelines, based on empirical research studies published from January 2007 until June 2021. The included studies were appraised, following which the identified sources of information from quantitative studies were compiled and ranked. Finally, the qualitative text data were summarized into categories. RESULTS Fifty-two studies from various countries were included. The majority of studies employed a quantitative design and used original instruments. Peers were ranked as the number one source of information to inform nurses' clinical practice. However, computers and reference materials are now ranked among the top four most used information sources. LINKING EVIDENCE TO ACTION Improvement in computer and information searching skills, as well as the availability of computerized decision support tools, may contribute to nurses' frequent use of digital sources and reference material to inform clinical practice. This review shows that nurses' most frequently reported peer nurses as their source of information in clinical practice. Information sources such as computers and reference materials were ranked higher, and information from patients was ranked lower than in the 2008 review. Developing and standardizing instruments and ensuring high-quality study design is critical for further research on nurses' sources of information for clinical practice.
Collapse
Affiliation(s)
- Mariann Fossum
- Centre for Caring ResearchSouthern NorwayFaculty of Health and Sport SciencesUniversity of AgderGrimstadNorway
| | - Anne Opsal
- Department of Health and Nursing ScienceFaculty of Health and Sport SciencesUniversity of AgderKristiansandNorway
| | - Anna Ehrenberg
- School of Health and WelfareDalarna UniversityFalunSweden
| |
Collapse
|
6
|
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.
Collapse
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.
| |
Collapse
|
7
|
Li C, Li L, Wang Z. Knowledge, attitude and behaviour to evidence-based practice among psychiatric nurses: A cross-sectional survey. Int J Nurs Sci 2022; 9:343-349. [PMID: 35891916 PMCID: PMC9305010 DOI: 10.1016/j.ijnss.2022.06.016] [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: 09/10/2021] [Revised: 06/04/2022] [Accepted: 06/14/2022] [Indexed: 11/16/2022] Open
Abstract
Objective Methods Results Conclusion
Collapse
Affiliation(s)
- Ce Li
- School of Nursing, Peking University, Beijing, China
| | - Liyu Li
- Peking University First Hospital, Peking University, Beijing, China
| | - Zhiwen Wang
- School of Nursing, Peking University, Beijing, China
- Corresponding author.
| |
Collapse
|
8
|
Barriers to Implementing Evidence-Based Practice among Primary Healthcare Nurses in Saudi Arabia: A Cross-Sectional Study. NURSING REPORTS 2022; 12:313-323. [PMID: 35645357 PMCID: PMC9149906 DOI: 10.3390/nursrep12020031] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Revised: 04/18/2022] [Accepted: 04/26/2022] [Indexed: 11/27/2022] Open
Abstract
Several studies have been conducted to investigate the barriers to implementing evidence-based practice (EBP) worldwide. In Saudi Arabia, a few studies were conducted in hospital and mental health settings, and no study has explored the topic in primary healthcare settings. This study aimed to examine the barriers perceived by primary healthcare nurses in implementing EBP. This study employed a correlational and cross-sectional design. A total of 284 nurses were surveyed using the BARRIERS scale. Regression analysis was performed to identify the effects of predictor variables on the four subscales. The overall raw score on the BARRIERS scale was 86.21 (standard deviation = 16.15). The highest mean score was reported in the organizational subscale, followed by the innovation and communication subscales, whereas the lowest mean score was reported in the adopter subscale. The findings showed that the three top-ranked barriers were: (1) results of the studies are not generalizable to nurses’ setting, (2) facilities are inadequate, and (3) physicians do not cooperate with the implementation. Findings showed that nurses encounter organizational-related barriers to a moderate extent and EBP implementation varies depending on gender, level of education, and job position. There is a need to create and implement educational interventions and programs to overcome the barriers to effective EBP implementation among primary healthcare nurses.
Collapse
|
9
|
Hamadi HY, Zakari NMA, Jibreel E, AL Nami FN, Smida JAS, Ben Haddad HH. Stress and Coping Strategies among Nursing Students in Clinical Practice during COVID-19. NURSING REPORTS 2021; 11:629-639. [PMID: 34968338 PMCID: PMC8608122 DOI: 10.3390/nursrep11030060] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2021] [Revised: 08/03/2021] [Accepted: 08/07/2021] [Indexed: 11/25/2022] Open
Abstract
Stress is common among nursing students and it has been exacerbated during the COVID-19 pandemic. This study examined nursing students' stress levels and their coping strategies in clinical practice before and during the COVID-19 pandemic. A repeated-measures study design was used to examine the relationship between nursing students' stress levels and coping strategies before and during the pandemic. Confirmatory factor analyses were conducted to validate the survey and a student T-test was used to compare the level of stress and coping strategies among 131 nursing students. The STROBE checklist was used. During COVID-19, there was a reliable and accurate relationship between stress and coping strategies. Furthermore, both stress and coping strategy scores were lower before COVID-19 and higher during COVID-19. Nursing students are struggling to achieve a healthy stress-coping strategy during the pandemic. There is a need for the introduction of stress management programs to help foster healthy coping skills. Students are important resources for our health system and society and will continue to be vital long term. It is now up to both nursing educators and health administrators to identify and implement the needed improvements in training and safety measures because they are essential for the health of the patient as well as future pandemics.
Collapse
Affiliation(s)
- Hanadi Y Hamadi
- Brooks College of Health, University of North Florida, Jacksonville, FL 32224, USA
| | - Nazik M. A. Zakari
- College of Applied Sciences, Al Maarefa University, Riyadh 11597, Saudi Arabia; (N.M.A.Z.); (F.N.A.N.); (J.A.S.S.)
| | - Ebtesam Jibreel
- College of Applied Sciences, Al Maarefa University, Riyadh 11597, Saudi Arabia; (N.M.A.Z.); (F.N.A.N.); (J.A.S.S.)
| | - Faisal N. AL Nami
- College of Applied Sciences, Al Maarefa University, Riyadh 11597, Saudi Arabia; (N.M.A.Z.); (F.N.A.N.); (J.A.S.S.)
| | - Jamel A. S. Smida
- College of Applied Sciences, Al Maarefa University, Riyadh 11597, Saudi Arabia; (N.M.A.Z.); (F.N.A.N.); (J.A.S.S.)
| | - Hedi H. Ben Haddad
- Department of Finance and Investment, College of Economics and Administrative Sciences, Imam Mohammad Ibn Saud Islamic University, Riyadh 13318, Saudi Arabia;
| |
Collapse
|
10
|
Perceived Knowledge, Attitudes, and Implementation of Evidence-Based Practice Among Jordanian Nurses in Critical Care Units. Dimens Crit Care Nurs 2021; 39:278-286. [PMID: 32740199 DOI: 10.1097/dcc.0000000000000431] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
BACKGROUND Evidence-based practice (EBP) has become of great interest to policymakers, health care practitioners, and researchers. OBJECTIVE This study aimed at assessing knowledge associated with, attitudes toward, and implementation of EBP among Jordanian registered nurses (RNs) in critical care units. METHOD A descriptive, correlational, and cross-sectional study was conducted in 5 hospitals: 3 public and 2 private. A convenience sample of 200 RNs was invited. Data were collected using a paper-based and self-administered questionnaire, in 2 sections; the first section was the demographic and contextual characteristics and the second was the Evidence-Based Practice Questionnaire (J Adv Nurs. 2006;53(4):454-458) to measure RNs' knowledge, attitudes, and EBP. RESULTS A total of 187 RNs were included in this study. Findings revealed that Jordanian RNs in critical care units perceived themselves as having a satisfactory level of knowledge and practice of evidence-based interventions. In addition, RNs strongly recognized the value of EBP. There were significant positive associations between EBP and knowledge associated with EBP (r = 0.708, P < .001) and attitude toward EBP (r = 0.490, P < .001). CONCLUSION Knowledge associated with EBP, a positive attitude toward EBP, higher educational qualifications, and training in EBP all increased the implementation of EBP. It is recommended that continuing education programs on EBP for nurses be conducted. Nursing educators in clinical settings have to consider a number of strategies to improve EBP. A qualitative research design and/or including open-ended questions are encouraged to gain more in-depth views about EBP.
Collapse
|
11
|
Benfield A, Krueger RB. Making Decision-Making Visible-Teaching the Process of Evaluating Interventions. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:3635. [PMID: 33807379 PMCID: PMC8036716 DOI: 10.3390/ijerph18073635] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/06/2021] [Revised: 03/06/2021] [Accepted: 03/23/2021] [Indexed: 11/16/2022]
Abstract
Significant efforts in the past decades to teach evidence-based practice (EBP) implementation has emphasized increasing knowledge of EBP and developing interventions to support adoption to practice. These efforts have resulted in only limited sustained improvements in the daily use of evidence-based interventions in clinical practice in most health professions. Many new interventions with limited evidence of effectiveness are readily adopted each year-indicating openness to change is not the problem. The selection of an intervention is the outcome of an elaborate and complex cognitive process, which is shaped by how they represent the problem in their mind and is mostly invisible processes to others. Therefore, the complex thinking process that support appropriate adoption of interventions should be taught more explicitly. Making the process visible to clinicians increases the acquisition of the skills required to judiciously select one intervention over others. The purpose of this paper is to provide a review of the selection process and the critical analysis that is required to appropriately decide to trial or not trial new intervention strategies with patients.
Collapse
Affiliation(s)
- Angela Benfield
- Occupational Therapy Program, Department of Health Professions, University of Wisconsin-La Crosse, La Crosse, WI 54601, USA
| | - Robert B. Krueger
- Entry-Level Doctor of Occupational Therapy, Whitworth University, Spokane, WA 97149, USA;
| |
Collapse
|
12
|
Moreno-Poyato AR, Rodríguez-Nogueira Ó, Casanova-Garrigos G, El Abidi K, Roldán-Merino JF. The impact of a participatory intervention on the therapeutic relationship in mental health nurses: A multicentre study. J Adv Nurs 2021; 77:3104-3115. [PMID: 33748977 DOI: 10.1111/jan.14835] [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: 12/05/2020] [Revised: 02/25/2021] [Accepted: 03/05/2021] [Indexed: 12/01/2022]
Abstract
AIMS To evaluate the effects of an intervention aimed at improving the therapeutic relationship, using the participatory-action research method, in terms of improving the quality of the nurse-patient therapeutic relationship. DESIGN A single-group pre-post research design. METHODS Quantitative data were collected between January 2018 and June 2019 using an online form completed by nurses from 18 mental health units (N = 95). Data were collected before and after the intervention, which consisted of the design, implementation and evaluation of strategies to improve the therapeutic relationship through participatory-action research involving nurses. The Working Alliance Inventory-Short, Interpersonal Reactivity Index, Evidence-Based Practice Questionnaire and Practice Environment Scale of the Nursing Work Index were used. The Wilcoxon rank-sum test was used together with the Spearman's correlation coefficient. Two multiple linear regressions models were constructed. RESULTS Overall, the intervention improved the nurse-patient therapeutic relationship. In addition, the results revealed that, above all, the improvement in evidence-based practice along with a decrease in nurses' personal distress were the factors associated with the improvement of the nurse-patient therapeutic relationship. CONCLUSION In mental health units, the therapeutic nurse-patient relationship can be improved through participatory interventions that include the implementation of evidence-based practices. IMPACT This research examined the effects of an intervention aimed at improving the therapeutic relationship among nurses working at mental health units using participatory action research. The results show that the therapeutic relationship can be improved through participatory methods where evidence-based practice is implemented and enhanced among nurses, since a better therapeutic relationship along with reduced staff discomfort are determining factors that influence the quality of the therapeutic relationship. Institutional managers should promote participatory group interventions to enable nurses to develop evidence-based aspects of the therapeutic relationship together with expanding personal aspects and self-knowledge.
Collapse
Affiliation(s)
- Antonio R Moreno-Poyato
- Department of Public Health, Mental Health and Maternal and Child Health Nursing, Nursing School, Universitat de Barcelona, L´Hospitalet de Llobregat, Spain.,IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain
| | - Óscar Rodríguez-Nogueira
- SALBIS Research Group, Department of Nursing and Physiotherapy, Universidad de León, Ponferrada, Spain
| | | | - Khadija El Abidi
- Institut de Neuropsiquiatria i Addiccions, Hospital del Mar, Barcelona, Spain
| | - Juan F Roldán-Merino
- Campus Docent Sant Joan de Déu Fundació Privada, School of Nursing, University of Barcelona, Esplugues de llobregat, Spain
| | | |
Collapse
|
13
|
Moreno-Poyato AR, Casanova-Garrigos G, Roldán-Merino JF, Rodríguez-Nogueira Ó. Examining the association between evidence-based practice and the nurse-patient therapeutic relationship in mental health units: A cross-sectional study. J Adv Nurs 2020; 77:1762-1771. [PMID: 33336475 DOI: 10.1111/jan.14715] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2020] [Revised: 10/28/2020] [Accepted: 11/24/2020] [Indexed: 12/19/2022]
Abstract
AIMS To examine the relationship between the dimensions of evidence-based practice and the therapeutic relationship and to predict the quality of the therapeutic relationship from these dimensions among nurses working in mental health units. DESIGN A cross-sectional design. METHODS Data were collected between February-April 2018 via an online form completed by nurses working at 18 mental health units. Multiple linear regressions were used to examine the relationship between the dimensions of evidence-based practice and therapeutic relationship. Questionnaires were completed by 198 nurses. RESULTS Higher levels of evidence-based practice were a significant predictor of a higher-quality therapeutic relationship (β: 2.276; 95% CI: 1.30-3.25). The evidence-based practice factor which most influenced an improved therapeutic relationship was the nurses' attitude (β: 2.047; 95% CI: 0.88-3.21). The therapeutic relationship dimension which was most conditioned by evidence-based practice dimensions was agreement on tasks, which was most favourable with a better attitude (β: 0.625; 95% CI: 0.09-1.16) and greater knowledge and skills for evidence-based practice (β: 0.500; 95% CI: 0.08-0.93). CONCLUSION In mental health settings, the therapeutic nurse-patient relationship is positively enhanced by evidenced-based practice and the nurse's level of experience, with a great influence on shared decision-making. IMPACT This research sought to examine the relationship between the evidence-based practice and the therapeutic relationship in mental health nursing. This study demonstrates that an improved attitude and knowledge of evidence-based practices of mental health nurses increases shared decision-making with patients, which is a basic requirement for person-centred care. Because the therapeutic relationship is considered the backbone of nursing practice in mental health units, this research will have an impact on both mental health nurses and mental health unit managers.
Collapse
Affiliation(s)
- Antonio R Moreno-Poyato
- Department of Public Health, Mental Health and Maternal and Child Health Nursing, Nursing School, Universitat de Barcelona, L´Hospitalet de Llobregat, Barcelona, Spain.,IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain
| | | | - Juan F Roldán-Merino
- Campus Docent Sant Joan de Déu Fundació Privada. School of Nursing, University of Barcelona, Barcelona, Spain
| | - Óscar Rodríguez-Nogueira
- Nursing and Physical Therapy Department, SALBIS Research Group, Health Sciences School, Universidad de León, Ponferrada, León, Spain
| | | |
Collapse
|
14
|
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
| |
Collapse
|
15
|
Sweileh WM, Huijer HAS, Al-Jabi SW, Zyoud SH, Sawalha AF. Nursing and midwifery research activity in Arab countries from 1950 to 2017. BMC Health Serv Res 2019; 19:340. [PMID: 31138250 PMCID: PMC6537303 DOI: 10.1186/s12913-019-4178-y] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2018] [Accepted: 05/20/2019] [Indexed: 02/07/2023] Open
Abstract
BACKGROUND Nursing and midwifery research activity is an important indicator of the quality of healthcare services and the status of nursing profession. The main aim of this study was to assess the research activity in nursing and midwifery field in Arab countries. METHOD The current study implemented bibliometric method using Scopus database. The search strategy used country affiliation or journal name or keywords as a strategy to retrieve the required documents. The study period was from 1950 to2017. Analysis included a presentation of bibliometric indicators and VOSviewer mapping of the retrieved data. RESULT 2935 documents were retrieved making up less than 1% of global nursing and midwifery research output. Of the retrieved documents, 25% were published in high rank (first quartile = Q1) journals. The majority (56.7%) of the retrieved documents were published in the last five years of the study period. The retrieved documents received an average of 6.9 citations per document with an h-index of 47. The total number of authors who took part in publishing the retrieved documents was 10,572, giving an average of 3.6 authors per article. Jordan ranked first in research output. Researchers from Jordan took part in over than one third (1023; 34.9%) of the retrieved documents. Lebanon (35.5%) ranked first in the percentage of documents published in Q1 journals. The United Arab Emirates ranked first in the percentage (67.4%) of publications with international authors. The most active journal involved in publishing nursing research from Arab countries was Life Science Journal (158; 5.4%). The University of Jordan was the most productive institution while the American University of Beirut ranked first in the percentage (36.9%) of documents published in Q1 journals. Author keyword analysis and10 most cited articles showed that non-communicable diseases and nursing education were the focus of nursing research in Arab countries. CONCLUSIONS Nursing and midwifery research activity in Arab countries has dramatically increased especially over the past five years. Despite this, nursing research is still in its infancy, lagging in quantity and quality compared to developed countries.
Collapse
Affiliation(s)
- Waleed M. Sweileh
- 0000 0004 0631 5695grid.11942.3fDepartment of Biomedical Sciences, College of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine
| | - Huda Abu-Saad Huijer
- 0000 0004 1936 9801grid.22903.3aHariri School of Nursing, American University of Beirut, Beirut, Lebanon
| | - Samah W. Al-Jabi
- 0000 0004 0631 5695grid.11942.3fDepartment of Pharmacy, College of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine
| | - Sa’ed H. Zyoud
- 0000 0004 0631 5695grid.11942.3fDepartment of Pharmacy, College of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine
| | - Ansam F. Sawalha
- 0000 0004 0631 5695grid.11942.3fDepartment of Biomedical Sciences, College of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine
| |
Collapse
|
16
|
Developing Sustainable Healthcare Systems in Developing Countries: Examining the Role of Barriers, Enablers and Drivers on Knowledge Management Adoption. SUSTAINABILITY 2019. [DOI: 10.3390/su11040954] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Knowledge management (KM) adoption is crucial to integrating sustainable development within the healthcare sector. Different barriers, enablers, and drivers affect KM adoption. Identifying these barriers, enablers, and drivers and their role in KM adoption is the core of successful KM adoption. However, there is scarcity of studies applying quantitative models and combing barriers, enablers and drivers to check their effect on KM adoption, especially form a developing country’s perspective such as Pakistan. Therefore, this study explores the role of barriers, enablers and drivers on KM adoption in Pakistan. Healthcare professionals participated in the data collection process, and results were analyzed using structural equation modeling. The findings described that: (1) organizational and strategic barriers have significant negative association with KM adoption; (2) government related enablers have significant positive association with KM adoption; (3) healthcare related drivers, and performance-based drivers have significant positive association with KM adoption. This study concludes that government intervention to promote KM adoption is necessary especially in developing countries. These findings will be helpful for the healthcare professionals and policy makers to promote KM adoption in healthcare sector. Current study contributes to the healthcare literature and body of knowledge by providing the empirical evidence of checking the quantitative effect of barriers, enablers and drivers on KM adoption.
Collapse
|
17
|
Karamat J, Shurong T, Ahmad N, Waheed A, Mahmood K. Enablers Supporting the Implementation of Knowledge Management in the Healthcare of Pakistan. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15122816. [PMID: 30544770 PMCID: PMC6313559 DOI: 10.3390/ijerph15122816] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/15/2018] [Revised: 12/03/2018] [Accepted: 12/06/2018] [Indexed: 11/16/2022]
Abstract
Knowledge is considered to be an important resource; it is the source of competitive advantage. However, if knowledge is managed well with Knowledge Management (KM), then it becomes a source for sustainable competitive advantage for organizations. If KM is implemented in an organization, it would improve the organizational competitiveness, performance, and productivity, and facilitate the efficient use of resources. Due to intense competition in the global market, many organizations are moving towards the adoption of KM. The healthcare sectors of many developed countries have moved towards the implementation of KM because it can improve the procuring of knowledge from ongoing activities by the effective use of data repositories. Developing countries have now realized the potential and benefits of KM adoption. Pakistan is one of the developing countries that have recently shown an inclination towards the adoption of KM in its healthcare sector to improve performance of its healthcare. This study was composed of two main research phases. Firstly, the enablers of KM were reviewed from earlier studies. Secondly, interpretive structural modeling (ISM) and MICMAC (Cross-Impact Matrix Multiplication Applied to Classification) techniques were used to show the interrelationships between KM enablers and driving and dependence power of each enabler. The application of ISM and MICMAC technique shows that policy incentive, long-term strategic planning, Information Technology (IT), and alignment of KM efforts with business strategy are the main enablers of KM adoption in the healthcare of Pakistan. Focusing on the identified enablers will help in the implementation of KM. Policy incentives can work as a catalyst to promote KM adoption in the healthcare of Pakistan.
Collapse
Affiliation(s)
- Jawad Karamat
- School of Management, Northwestern Polytechnical University, Xi'an 710072, Shannxi, China.
| | - Tong Shurong
- School of Management, Northwestern Polytechnical University, Xi'an 710072, Shannxi, China.
| | - Naveed Ahmad
- School of Management, Northwestern Polytechnical University, Xi'an 710072, Shannxi, China.
| | - Abdul Waheed
- School of Management, Northwestern Polytechnical University, Xi'an 710072, Shannxi, China.
| | - Kashif Mahmood
- Department of Management Science, Bahria University, Islamabad 44220, Pakistan.
| |
Collapse
|
18
|
Abstract
Knowledge management (KM) is the source for creating a sustainable competitive advantage, and it helps the organizations to retain, develop, organize and utilize their knowledge. Due to globalization, the organizations must maintain their knowledge assets to survive. Many organizations have realized the potential of KM and are applying it. Since the healthcare industry is growing significantly, it is continuously generating a wealth of knowledge. This knowledge can be recorded, communicated and used by many health care professionals with the help of KM. There is a wealth of research on KM in healthcare of developed countries, but very few studies regarding KM implementation can be found in developing countries i.e., Pakistan. Pakistan is now looking towards the implementation of KM; it is in its initial stages. The implementation of KM in the healthcare of Pakistan is affected by different barriers. In this study, the barriers will be identified and analyzed. An interrelationship between the barriers will be determined, and how the different barriers support each other (driving power), and how they influence each other (dependence power). The results of interpretive structural modeling (ISM) and MICMAC (Matrice d’Impacts croises-multipication appliqué an classment i.e., cross-impact matrix multiplication applied to classification) approach show that lack of support from top management, insufficient strategic planning and lack of support from organizational structure are the main barriers to KM adoption in the healthcare of Pakistan. This study provides a solution in determining the main barriers that need to be solved first, and to ensure effective implementation of KM in the healthcare of Pakistan.
Collapse
|
19
|
Stone T, Conway J. An Exploration of Nurses’ health beliefs: Ways of Knowing and Implications for Learning and Teaching. JOURNAL OF PROBLEM-BASED LEARNING 2018. [DOI: 10.24313/jpbl.2018.5.2.43] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
|