Korean Journal of Adult Nursing (성인간호학회지)

Korean Society of Adult Nursing (한국성인간호학회)
권호 표지
DOI QR코드

DOI QR Code

Development of a Program to Facilitate Evidence-Based Practice Based on the Transtheoretical Model

범이론적 모형에 기반한 근거기반실무 활성화 프로그램의 개발

  • Cho, Myung Sook (Graduate School of Clinical Nursing Science, Sungkyunkwan University School of Medicine) ;
  • Cho, Yong Ae (Graduate School of Clinical Nursing Science, Sungkyunkwan University School of Medicine) ;
  • Song, Mi Ra (Nursing Professional Development, Samsung Medical Center) ;
  • Kim, Mi Kyung (Nursing Staff Development, Samsung Medical Center) ;
  • Cha, Sun Kyung (Department of Nursing, Cheongju University)
  • 조명숙 (성균관대학교 의과대학 임상간호대학원) ;
  • 조용애 (성균관대학교 의과대학 임상간호대학원) ;
  • 송미라 (삼성서울병원 간호업무개발팀) ;
  • 김미경 (삼성서울병원 간호교육팀) ;
  • 차선경 (청주대학교 간호학과)
  • Received : 2013.01.24
  • Accepted : 2013.04.20
  • Published : 2013.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study developed a program to facilitate evidence-based practice (EBP) in one nursing organization, and identifies the effects of the program on the nurses' EBP facilitators. Methods: The program was based on the Transtheoretical Model of stages of organizational change, a literature review, the cases of hospitals overseas, and a prior study. To identify the effects of the program, a one-group pretest-posttest study was conducted with 45 nurses who participated in the EBP implementation. Results: The program consisted of EBP educational sessions, consultations with academic nursing faculty and clinical EBP mentors, and support from the administration and relevant departments. After the EBP program, there was a statistically significant difference in belief in the value of EBP between the pretest and the posttest (t=2.31, p=.026). However, no significant differences were found between the pretest and the posttest for organizational support to develop EBP (t=0.62, p=.537), skills in locating and evaluating research reports (s=-1.00, p=.987), knowledge of research language and skills (s=-1.00, p=.986), and time to devote to EBP (s=-23.00, p=.711). Conclusion: The findings provide important data that can be used to develop and implement strategies for enhancing EBP in clinical settings in Korea.

Keywords

References

  1. Cho, M. S., Song, M. R., & Cha, S. K. (2011). Nurses' perceptions regarding evidence-based practice facilitators in a tertiary hospital. Journal of Korean Academy of Fundamentals of Nursing, 18 (3), 300-309.
  2. Cullen, L. (2009, November). Creating a learning environment supporting evidence-based nursing practice. Paper presented at the 16th International Conference of Institute for Nursing Science of Keimyung University, Daegu.
  3. Estrada, N. (2009). Exploring perceptions of a learning organization by RNs and relationship to EBP beliefs and implementation in the acute care setting. Worldviews on Evidence- Based Nursing, 6 (4), 200-209. http://dx.doi.org/10.1111/j.1741-6787.2009.00161.x
  4. Gerrish, K., Ashworth, P., Lacey, A., & Bailey, J. (2008). Developing evidence-based practice: experiences of senior and junior clinical nurses. Journal of Advanced Nursing, 62 (1), 62-73. http://dx.doi.org/10.1111/j.1365-2648.2007.04579.x
  5. Gu, M. O., Cho, M. S., Cho, Y. A., Jeong, J. S., Jeong, I. S., & Park, J. S. et al. (2011). Topics for evidence-based clinical nursing practice guidelines in Korea. Journal of Korean Clinical Nursing Research, 17 (3), 307-318.
  6. Ha, M. S., & Park, M. H. (2006). Nurses' usage of clinical practice guideline and demand of evidence based clinical practice guideline. Korean Journal of Adult Nursing, 18 (4), 582-592.
  7. Jeffers, B. R., Robinson, S., Luxner, K., & Redding, D. (2008). Nursing faculty mentors as facilitators for evidence-based nursing practice. Journal for Nurses Staff Development, 24 (5), E8-E12. http://dx.doi.org/10.1097/01.NND.0000320 688.57308.f9.
  8. Kim, M. Y., Kim, S. Y., Kim, Y. Y., Byun, J. H., & Jung, Y. Y. (2003). A study of relating factors to the research activity in an university hospital. Journal of Korean Clinical Nursing Research, 8 (1), 117-128.
  9. Kim, S. M. (2010). Development, application and evaluation of the evidence-based nursing practice guideline for hemodialysis in the patients with risk of bleeding. The Journal of Korean Academic Society of Nursing Education, 16 (1), 150-155. http://dx.doi.org/10.5977/JKASNE.2010.16.1.150
  10. Lee, E. H., & Kim, H. S. (2000). Nurses' perception of barriers to research utilization. Journal of Korean Academy of Nursing, 30 (5), 1347-1356. https://doi.org/10.4040/jkan.2000.30.5.1347
  11. McKinbbon, K. A. (1998). Evidence-based practice. Bulletin of the Medical Library Association, 86 (3), 396-401.
  12. Melnyk, B. M., & Fineout-Overholt, E. (2005). Evidence-based practice in nursing and healthcare: A guide to best practice. Philadelphia: Lippincott, Williams, & Wilkins.
  13. 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: Implication for accelerating the paradigm shift. Worldviews on Evidence Based Nursing, 1 (3), 185-192. http://dx.doi. org/10.1111/j.1524-475X.2004.04024.x
  14. Nagy, S., Lumby, J., McKinley, C., & MacFarlane, C. (2001). Nurses' beliefs about the conditions that hinder or support evidence- based nursing. International Journal of Nursing Practice, 7 (5), 314-321. http://dx.doi.org/10.1046/j.1440-172X. 2001.00284.x
  15. Nolan, P., & Bradley, E. (2008). Evidence-based practice: implications and concerns. Journal of Nursing Management, 16 (4), 388-393. http://dx.doi.org/10.1111/j.1365-2834.2008. 00857.x
  16. Oh, E. G., Oh, H. J., & Lee, Y. J. (2004). Nurses' research activities and barriers of research utilization. Journal of Korean Academy of Nursing, 34 (5), 838-848. https://doi.org/10.4040/jkan.2004.34.5.838
  17. Olade, R. A. (2004). Evidence-based practice and research utilization activities among rural nurse. Journal of Scholarship, 36 (3), 220-225. http://dx.doi.org/10.1111/j.1547-5069.2004. 04041.x
  18. Park, H. S. (2005). A study on accessibility, usefulness, barriers of evidence based nursing of clinical nurse. Unpublished master's thesis, Keimyung University, Daegu.
  19. Prochaska, J. M., Prochaska, J. O., & Levesque, D. A. (2001). A transtheoretical approach to changing organizations. Administration and Policy in Mental Health, 28 (4), 247-261. https://doi.org/10.1023/A:1011155212811
  20. Robin, P. N., Sandra, L. D., Stephanie, S. P., Linda, C. P., & Kathleen, M. W. (2007). Johns hopkins nursing evidencebased practice model and guidelines. Indianapolis: Sigma Theta Tau International.
  21. Sackett, D. L., Rosenberg, W. M., Gray, J. A., Haynes, R. B., & Richardson, W. S. (1996). Evidence-based medicine: What it is and what it isn't. British Medicine Journal, 312 (7023), 71-72. http://dx.doi.org/10.1136/bmj.312.7023.71
  22. Scott, K., & McSherry, R. (2008). Evidence-based nursing: clarifying the concepts for nurses in practice. Journal of Clinical Nursing, 18 (8), 1085-1095. http://dx.doi.org/10.1111/ j.1365- 2702.2008.02588.x
  23. Sherriff, K. L., Wallis, M., & Chaboyer, W. (2007). Nurses' attitudes to and perceptions of knowledge and skills regarding evidence-based practice. International Journal of Nursing Practice, 13 (6), 363-369. http://dx.doi.org/10.1111/j.1440- 172X.2007.00651.x
  24. Thiel, L., & Ghosh, Y. (2008). Determining registered nurses' readiness for evidence-based practice. Worldviews on Evidence- Based Nursing, 5 (4), 182-192. http://dx.doi.org/10.1111/j.1741-6787.2008.00137.x
  25. van Achterberg, T., Schoonhoven, L., & Grol, R. (2008). Nursing implementation science: How evidence-based nursing requires evidence-based implementation. Journal of Nursing Scholarship, 40 (4), 302-310. http://dx.doi.org/10.1111/j.1547-5069.2008.00243.x
  26. Vranell, G., Haas, B., Duke, G., & Hudson, K. (2008). Effect of an educational intervention on attitudes toward and implementation of evidence-based practice. Worldviews on Evidence- Based Nursing, 5 (4), 172-181. http://dx.doi.org/10.1111/j.1741-6787.2008.00124.x
  27. Wood, G. L. (2008, May). Evidence-based practice: Applying knowledge. Paper presented at International Nursing Conference in Commemoration of Samsung Comprehensive Cancer Center Opening, Seoul.
  28. Yang, Y. H., & Gu, M. O. (2005). Research related activities and its related factors in clinical nurses. Journal of Korean Academy of Fundamental Nursing, 12 (3), 421-429.

Cited by

  1. Knowledge Management, Beliefs, and Competence on Evidence-Based Practice, Evidence-Based Decision Making of Nurses in General Hospitals vol.28, pp.1, 2016, https://doi.org/10.7475/kjan.2016.28.1.83
  2. Effects of Education Programs on Evidence-Based Practice Implementation for Clinical Nurses vol.47, pp.8, 2016, https://doi.org/10.3928/00220124-20160715-08
  3. Effects of an Evidence-Based Practice (EBP) Education Program on EBP Practice Readiness and EBP Decision Making in Clinical Nurses vol.23, pp.3, 2017, https://doi.org/10.11111/jkana.2017.23.3.239
  4. 종합병원 간호사의 근거기반실무 준비도와 근거기반실무 역량의 영향 요인 vol.22, pp.5, 2016, https://doi.org/10.11111/jkana.2016.22.5.448
  5. Clinical nurses’ beliefs, knowledge, organizational readiness and level of implementation of evidence-based practice: The first step to creating an evidence-based practice culture vol.14, pp.12, 2019, https://doi.org/10.1371/journal.pone.0226742