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Factors Influencing of Evidence based Practice Competency and Evidence based Practice Readiness in General Hospital Nurses

종합병원 간호사의 근거기반실무 준비도와 근거기반실무 역량의 영향 요인

  • Received : 2016.05.31
  • Accepted : 2016.11.07
  • Published : 2016.12.31

Abstract

Purpose: The study was done to verify evidence-based practice (EBP) readiness and factors contributing to EBP competency in general hospital nurses. Methods: Participants were 219 nurses working in 7 general hospitals in G-city and J Province. Data were collected from May 12 to May 28, 2015 and analyzed using one-way ANOVA, Pearson's correlation and stepwise multiple regression. Results: Mean score for EBP competency was $3.89{\pm}0.83$, for critical thinking disposition, $3.35{\pm}0.36$, for EBP attitude, $3.53{\pm}0.66$, for beliefs about value of EBP, $3.42{\pm}0.56$, for ability in research performance, $2.86{\pm}0.57$, for time to devote to EBP, $2.57{\pm}0.69$ and for organization support for EBP, $3.36{\pm}0.46$. EBP competency was significantly correlated with critical thinking disposition (r=.37, p<.001), beliefs about value of EBP (r=.43, p<.001), ability in research performance (r=.44, p<.001), and time to devote to EBP(r=.33, p<.001). Factors influencing EBP competency in general hospital nurses were research performance (${\beta}=.29$, p<.001), beliefs about value of EBP (${\beta}=.24$, p<.001), critical thinking disposition (${\beta}=.15$, p=.014), recognition of EBP (${\beta}=-.18$, p=.002), which together explained 35% of total variance. Conclusion: Findings indicate that introduction and activation of EBP in general hospitals is essential and development of systematic training programs to strengthen critical thinking disposition and EBP competency are needed.

Keywords

References

  1. Sackett DL, Straus SE, Richardson WS, Rosenberg W, Haynes RB. (2001). Evidence based medicine: How to practice and teach EBM, Churchill Livingstone, London. p. 1.
  2. Cho MS, Song MR, Cha SK. Nurses' perceptions regarding evidence-based practice facilitators in a tertiary hospital. Journal of Fundamentals of Nursing. 2011;18(3):300-309.
  3. Thiel L, Ghosh Y. Determining registered nurses' readiness for evidence-based practice. Worldviews on Evidence-Based Nursing. 2008;5(4):182-192. https://doi.org/10.1111/j.1741-6787.2008.00137.x
  4. Kim JS, Gu MO, Jo SY. Factors influencing evidence-based practice readiness for tertiary general hospital nurses. Journal of the Korea Academia-Industrial cooperation Society. 2013;14(6):2945-2957. http://dx.doi.org/10.5762/KAIS.2013.14.6.2945
  5. Nagy SN, Lumby J, McKinley S, Macfarlane C. Nurses' beliefs about the conditions that hinder or support evidence-based nursing. International Journal of Nursing Practice. 2001;7:314-321. https://doi.org/10.1046/j.1440-172X.2001.00284.x
  6. Thorsteinsson HS, Sveinsdottir H. Readiness for and predictors of evidence-based practice of acute-care nurses: A crosssectional postal survey. Scandinavian Journal of Caring Sciences. 2014;28:572-581. http://dx.doi.org/10.1111/scs.12083
  7. Ilic D. Teaching evidence-based practice: Perspectives from undergraduate and post-graduate viewpoint. 2009;38(6):559-563.
  8. Squires JE, Estabrooks CA, Gustavsson P, Wallin L. Individual determinants of research utilization by nurses: A systematic review update. 2011;6:1-20. http://dx.doi.org/10.1186/1748-5908-6-1
  9. Kim NY, Kim EA. Factors influencing of evidence-based practice competency in nursing students. Journal of the Korean Data Analysis Society. 2014;16(5):2855-2868.
  10. Kim YS, Kim JM, Park MM. Factors influencing competency in evidence-based practice among clinical nurses. Journal of Korean Academy of Nursing Administration. 2015;21(2):143-153. http://dx.doi.org/10.11111/jkana.2015.21.2.143
  11. Health Insurance Review & Assessment Service. [Internet]. Wonju: Health Insurance Review & Assessment Service. 2016 [cited 2016 September 22]Available from: http://www.hira.or.kr/rd/hosp/getHospList.do?pgmid=HIRAA030002000000
  12. Yi JE, Park MH. Nurses' access & use of information resources and barriers & competency of evidence based practice. Korean Journal of Adult Nursing. 2011:23(3):255-266. https://doi.org/10.11111/jkana.2013.19.1.39
  13. Ministry for Health and Welfare. (KR). Medical service act. Act No. 14183, November 30, 2016.
  14. Upton D, Upton P. Development of an evidence-based questionnaire for nurses. Journal of Advanced Nursing. 2006;53(4):454-458. https://doi.org/10.1111/j.1365-2648.2006.03739.x
  15. Melnky BM, Fineout-Overholt E, Mays MZ. The evidence-based practice beliefs and implementation scales: Psychometric properties of two new instruments. Worldviews on Evidence-Based Nursing. 2008;5:113-121. http://dx.doi.org/10.1111/j.1741-6787.2008.00126.x
  16. Lim KC, Park KO, Kwon JS, Jeong JS, Choe MA, Kim JH, et al. Registered nurses' knowledge, attitudes and practice about evidence-based practice at general hospitals in Korea. Journal of Korean Clinical Nursing Research. 2011;17(3):375-387.
  17. Kwon IS, Lee GE, Kim GD, Kim YH, Park KM, Park HS, et al. Development of a critical thinking disposition scale for nursing students. Journal of Korean Academy of Nursing. 2006;36(6):950-958. https://doi.org/10.4040/jkan.2006.36.6.950
  18. Lee HN, Byeon YS, Lim NY, Lee MS, Kim IS, Baek HJ. Nursing research. Seoul: Korean Nurses Association; 2012. p. 30.
  19. Son YJ, Kim SH, Park YS, Lee SK, Lee YM. The influence of information retrieval skill on evidence based practice competency in clinical nurses. Korean Journal of Adult Nursing. 2012;24(6):635-646. http://dx.doi.org/10.7475/kjan.2012.24.6.635
  20. Brown CE, Wickline MA, Ecoff L, Glaser D. Nursing practice, knowledge, attitudes and perceived barriers to evidencebased practice at an academic medical center. Journal of Advanced Nursing. 2008;65(2):371-381. http://dx.doi.org/10.1111/j.1365-2648.2008.04878.x
  21. Melnyk BM, Findout-Overholt E, Stillwell SB, Williamson KM. The seven steps of evidence-based practice. American Journal of Nursing. 2010;110(1):51-53. http://dx.doi.org/10.1097/01.NAJ.0000366056.06605.d2
  22. Profetto-McGrath J. Critical thinking and evidence-based practice. Journal of Professional Nursing. 2005;21(6):364-371. https://doi.org/10.1016/j.profnurs.2005.10.002
  23. Llasus L, Angosta AD, Clark M. Graduating baccalaureate students' evidence-based practice knowledge, readiness and implementation. Journal of Nursing Education. 2014;53(9 Suppl):S82-S89. http://dx.doi.org/10.3928/01484834-20140806-05
  24. Solomons NM, Spross JA. Evidence-based practice barriers and facilitators from a continuous quality improvement perspective: An integrative review. Journal of Nursing Management. 2011; 19:109-120. http://dx.doi.org/10.1111/j.1365-2834.2010.01144.x
  25. Hwang JI. Hospital nurses' uses of evidence, and barriers to and enablers of evidence-based practice. Journal of Korean Academy of Nursing Administration. 2013;19(2):292-303. http://dx.doi.org/10.11111/jkana.2013.19.2.292
  26. Gu MO, Cho MS, Cho YA, Jeong JS, Jeong IS, Park JS, et al. Topics for evidence-based clinical nursing practice guidelines in Korea. Journal of Korean Clinical Nursing Research. 2011;17(3):307-318.
  27. Hospital Nurses Association. Evidence-based clinical nursing practice guideline [Internet]. Seoul: Hospital Nurses Association [cited 2016 April 20]. Available from: http://www.khna.or.kr/web/information/guide.php
  28. White-Williams C, Patrician P, Fazeli P, Degges MA, Graham S, Andison M, et al. Use, knowledge, and attitudes toward evidence-based practice among nursing staff. The Journal of Continuing Education in Nursing. 2013;44(6):246-254; quiz 255-246. http://dx.doi.org/10.3928/00220124-20130402-38
  29. Cho MS, Cho YA, Song MR, Kim MK, Cha SK. Development of a program to facilitate evidence-based practice based on the transtheoretical model. Korean Journal of Adult Nursing. 2013; 25(1):136-147. http://dx.doi.org/10.7475/kjan.2013.25.1.136

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