Level of Beliefs, Knowledge and Performance for Evidence-Based Practice among Nurses Experienced in Preceptor Role

프리셉터 역할을 경험한 간호사의 근거기반실무에 대한 신념, 지식 및 수행 수준

  • Yoo, Jae-Yong (Graduate School, College of Nursing, Yonsei University) ;
  • Oh, Eui-Geum (Nursing Policy Research Institute, College of Nursing, Yonsei University)
  • 유재용 (연세대학교 간호대학) ;
  • 오의금 (연세대학교 간호대학 간호정책연구소)
  • Received : 2012.05.21
  • Accepted : 2012.06.13
  • Published : 2012.06.30

Abstract

Purpose: As Evidence-Based Practice (EBP) has increasingly been proven as a means of cost-effective and higher-quality healthcare, its successful implementing are challenging. This study done to identify EBP beliefs, knowledge and performance among nurses experienced as a preceptor. Method: A descriptive cross-sectional survey was conducted with a convenience sample of 249 preceptor nurses working in 9 general hospitals in Korea. Reliable and valid questionnaires (EBP beliefs scale, Evidence Based Practice Questionnaire, Research-related activities) were used and the data were analyzed using SPSS win 17.0. Result: Perceived beliefs on EBP were relatively positive (mean score 3.57 out of 5), and the level of knowledge was moderate (4.21 out of 7). However, performance of EBP was low (3.82 out of 7). Regularity in reading research journals and searching evidences using core web-database were rarely conducted. Statistically significant correlations were found between beliefs, knowledge and performance of EBP (all p<.05). Conclusions: This result indicates that education and training programs to facilitate EBP performance are needed among preceptor nurses.

Keywords

References

  1. Almada, P., Carafoli, K., Flattery, J. B., French, D. A., & McNamara, M. (2004). Improving the retention rate of newly graduated nurses. Journal for Nurses in Staff Development, 20(6), 268-273.
  2. Brown, C. E., Ecoff, L., Kim, S. C., Wickline, M. A., Rose, B., Klimpel, K., et al. (2010). Multi-institutional study of barriers to research utilisation and evidence-based practice among hospital nurses. Journal of Clinical Nursing, 19(13-14), 1944-1951. DOI: 10.1111/j.1365-2702.2009.03184.x
  3. Brown, C. E., Wickline, M. A., Ecoff, L., & Glaser, D. (2009). Nursing practice, knowledge, attitudes and perceived barriers to evidence-based practice at an academic medical center. Journal of Advanced Nursing, 65(2), 371-381. DOI: 10.1111/ j.1365-2648.2008.04878.x
  4. Casey, K., Fink, R., Krugman, A. M., & Propst, F. J. (2004). The graduate nurse experience. Journal of Nursing Administration, 34(6), 303-311.
  5. Cho, D. S., Song, M. R., & Cha, S. K. (2011). Nurses' perceptions regarding evidence-based practice facilitators in a tertiary hospital. Journal of Korean Academy Fundamentals of Nursing, 18(3), 300-309.
  6. Ferguson, L. M., & Day, R. A. (2004). Supporting new nurses in evidence-based practice. Journal of Nursing Administration, 34(11), 490-492.
  7. Fineout-Overholt, E., Levin, R. F., & Melnyk, B. M. (2004). Strategies for advancing evidence-based practice in clinical settings. The Journal of the New York State Nurses Association, 35(2), 28-32.
  8. Halfer, D. (2007). A magnetic strategy for new graduate nurses. Nursing Economics, 25(1), 6-11.
  9. Hart, P., Eaton, L., Buckner, M., Morrow, B. N., Barrett, D. T., Fraser, D. D., et al. (2008). Effectiveness of a computer-based educational program on nurses' knowledge, attitude, and skill level related to evidence-based practice. Worldviews on Evidence-Based Nursing, 5(2), 75-84. DOI: 10.1111/j.1741-6787.2008.00123.x
  10. International Council of Nurses. (2007). ICN Position Statement on Nursing Research. Retrieved January 11, 2012, from http://www.icn.ch/publications/position-statements/
  11. Kim, C. H., Kim, H. S., Cho, H. S., Lee, S. O., Ham, H. M., & Park, M. M. (2000). The effect of preceptorship on the job training of new nurses. Journal of Korean Academy of Adult Nursing, 12(4), 546-559.
  12. Kim, S. Y., Kim, J. K., & Park, K. O. (2012). The role experience of preceptor nurses in hospitals. Journal of Korean Academy of Nursing Administration. 18(1), 33-45.
  13. Lee, T. Y., Tzeng, W. C., Lin, C. H., & Yeh, M. L. (2009). Effects of a preceptorship programme on turnover rate, cost, quality and professional development. Journal of Clinical Nursing, 18(8), 1217-1225. DOI: 10.1111/j.1365-2702.2008.02662.x
  14. Leufer, T., & Cleary-Holdforth, J. (2009). Evidence-based practice: improving patient outcomes. Nursing Standard, 23(32), 35-39.
  15. Melnyk, B. M., & Fineout-Overholt, E. (2010). Evidence-based practice in nursing and healthcare: A guide to best practice. Philadelphia: Lippincott William & Wilkins.
  16. Melnyk, B. M., Fineout-Overholt, E., Feinstein, N. F., Li, H., Small, L., Wilcox, L., et al. (2004). Nurses' perceived knowledge, beliefs, skills, and needs regarding evidence-based practice: Implications for accelerating the paradigm shift. Worldviews on Evidence-Based Nursing, 1(3), 185-193. DOI: 10.1111/j.1524-475X.2004.04024.x
  17. Melnyk, B. M., Fineout-Overholt, E., Feinstein, N. F., Sadler, L. S., & Green-Hernandez, C. (2008). Nurse practitioner educators' perceived knowledge, beliefs, and teaching strategies regarding evidence-based practice: implications for accelerating the integration of evidence-based practice into graduate programs. Journal of Professional Nursing, 24(1), 7-13.
  18. Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2009). Evidence-based practice: Step by step: Igniting a spirit of inquiry: An essential foundation for evidence-based practice. American Journal of Nursing, 109(11), 49-52. DOI: 10.1097/01. NAJ.0000363354.53883.58
  19. Moon, K. S., & Park, K. S. (2004). The effects of preceptor preparation education on the preceptor's role recognition and job satisfaction. Journal of Korean Academy of Nursing Administration. 10(4), 401-415.
  20. Myrick, F., & Yonge, O. (2004). Nursing preceptorship: connecting practice and education. Philadelphia: Lippincott Williams & Wilkins.
  21. Nagy, S., Lumby, J., McKinley, S., & Macfarlane, C. (2001). Nurses' beliefs about the conditions that hinder or support evidence-based nursing. International Journal of Nursing Practice, 7(5), 314-321. DOI: 10.1046/j.1440-172X.2001.00284.x
  22. Newhouse, R. P., Hoffman, J. J., Suflita, J., & Hairston, D. P. (2007). Evaluating an innovative program to improve new nurse graduate socialization into the acute healthcare setting. Nursing Administration Quarterly, 31(1), 50-60.
  23. Oh, E. G., Oh, H. J., & Lee, Y. J. (2004). Nurses's research activities and barriers of research utilization. Journal of Korean Academy of Nursing, 34(5), 838-848.
  24. Oh, E. G. (2008). Research activities and perceptions of barriers to research utilization among critical care nurses in Korea. Intensive & Critical Care Nursing, 24(5), 314-322.
  25. Sackett, D., Gray, J., Haynes, R., Richardson, W., & Rosenberg, W. (1996). Evidence based medicine: What it is and what it isn't - It's about integrating individual clinical expertise and the best external evidence. British Medical Journal, 312(7023), 71-72.
  26. Sherriff, K. L., Wallis, M., & Chaboyer, W. (2007). Nurses' attitudes to and perceptions o knowledge and skills regarding evidence-based practice. International Journal of Nursing Practice, 13(6), 363-369. DOI: 10.1111/j.1440-172X.2007.00651.x
  27. Thiel, L., & Ghosh, Y. (2008). Determining registered nurses' readiness for evidence-based practice. Worldviews on Evidence-Based Nursing, 5(4), 182-192. DOI: 10.1111/j.1741-6787.2008.00137.x
  28. Upton, D., & Upton, P. (2006). Development of an evidence-based practice questionnaire for nurses. Journal of Advanced Nursing, 53(4), 454-458. DOI: 10.1111/j.1365-2648.2006.03739.x