Browse > Article
http://dx.doi.org/10.7475/kjan.2013.25.2.136

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

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)
Publication Information
Korean Journal of Adult Nursing / v.25, no.2, 2013 , pp. 136-147 More about this Journal
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
Evidence-based practice; Program development;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 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   DOI   ScienceOn
2 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   DOI   ScienceOn
3 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   DOI   ScienceOn
4 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.
5 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.
6 Lee, E. H., & Kim, H. S. (2000). Nurses' perception of barriers to research utilization. Journal of Korean Academy of Nursing, 30 (5), 1347-1356.   DOI
7 McKinbbon, K. A. (1998). Evidence-based practice. Bulletin of the Medical Library Association, 86 (3), 396-401.
8 Melnyk, B. M., & Fineout-Overholt, E. (2005). Evidence-based practice in nursing and healthcare: A guide to best practice. Philadelphia: Lippincott, Williams, & Wilkins.
9 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   DOI   ScienceOn
10 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   DOI   ScienceOn
11 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   DOI   ScienceOn
12 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.   DOI
13 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   DOI   ScienceOn
14 Park, H. S. (2005). A study on accessibility, usefulness, barriers of evidence based nursing of clinical nurse. Unpublished master's thesis, Keimyung University, Daegu.
15 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.   DOI   ScienceOn
16 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.
17 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.
18 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   DOI   ScienceOn
19 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   DOI   ScienceOn
20 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   DOI   ScienceOn
21 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.
22 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   DOI
23 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   DOI   ScienceOn
24 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.
25 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   DOI   ScienceOn
26 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.
27 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.   DOI   ScienceOn
28 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.