• 간호행정학회지
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• 제22권5호
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• pp.448-460
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• 2016

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.

• 간호행정학회지
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• 제21권2호
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• pp.143-153
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• 2015

Purpose: The aim of this study was to describe competency in evidence-based practice (EBP) among clinical nurses and to explore critical thinking disposition (CTD) and organizational culture (OC) as possible predictors for competency in EBP. Also this study was conducted to identify baseline data for purpose of developing evidence-based OC to ensure safety of patients and to improve quality of nursing services in clinical setting. Methods: With a descriptive correlation study design, a competency in EBP questionnaire was administered to a convenience sample of nurses (N=393) from a single general hospital in Gyeonggi Province. Results: The overall mean score for competency in EBP was $3.03{\pm}0.53$. Factors influencing competency in EBP were education (${\beta}=0.23$, p<.001), attendance at lectures on EBP (${\beta}=0.18$, p<.001), intellectual eagerness & healthy skepticism (${\beta}=0.27$, p<.001) among CTD, and hierarchy-oriented OC (${\beta}=0.14$, p=.005), which explained about 35% of the total variance. Conclusion: Critical thinking and competency in EBP should be part of nursing education especially for undergraduate students as well as strengthening clinical practice by activation of EBP. The results of this study that hierarchy-oriented OC, is a significant predictor for competency in EBP is difficult to accept. Its seemed to require further exploration.

• 성인간호학회지
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• 제23권3호
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• pp.255-266
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• 2011

Purpose: The purpose of this study was to explore nurses' access and use of information resources and to identify the barriers and competency to evidence based practice (EBP). This study used descriptive method to identify baseline data for the purpose of developing strategies for establishing EBP in clinical nursing practice. Methods: Participants in this study were 278 nurses from five hospitals in Daegu and Kyungsangbukdo. The data were collected by self administered questionnaires and SPSS/WIN 15.0 program was used to analyze the data with descriptive statistics, t-test, Pearson's correlation coefficients, and ANOVA. Results: Nurses reported $^*most$ frequently using paper and human resources. The mean score of barriers was $3.02{\pm}0.41$, and competency was $2.70{\pm}0.50$. The reported competency was correlated with nurse factors (r=-.31, p<.001) organization factors (r=-.20, p<.001) and research factors (r=-.12, p<.040) as the barriers to evidence based practice. Conclusion: To promote competency in EBP and to decrease the barriers, it would be necessary to develop the organizational culture that encourages nurses to be involved in research activities. In addition, the development of systemic methods to introduce and establish an education program for facilitating EBP in the clinical settings is needed.

• 한국간호교육학회지
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• 제17권3호
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• pp.346-354
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• 2011

Purpose: This study examines the effects of integrating Evidence Based Practice (EBP) into a critical care clinical practicum on nursing students' access and use of information resources and EBP competency. Methods: A one-group pretest-posttest design was used. Fifty senior nursing school students from a university participated. A critical care clinical practicum combined with EBP consisted of six full days of clinical practicum in intensive care units with EBP education. Group and individual training in EBP skills, lectures, small group discussion and conferences were provided. Data were analyzed using paired t tests for 50 participants. Results: The scores of evidence based practice competency increased significantly (p<.001) showing significant improvement in searching and classifying the evidence. Nursing students' access and use of research evidence improved (p=.004). Conclusion: This study showed that the integration of EBP into a clinical practicum was effective in improving accessibility and usefulness in research evidence such as guidelines and research articles, and increasing EBP competency in undergraduate students.

• 성인간호학회지
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• 제24권6호
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• pp.635-646
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• 2012

Purpose: The purpose of this study was to understand clinical nurses' level of information retrieval skill and its influence on evidence based practice (EBP). Methods: A cross-sectional design was used. Data were collected from a convenient sample of 492 nurses working at 5 university hospitals in Korea. The Data were analyzed using descriptive statistics, t-test, one-way ANOVA, and hierarchical multiple linear regression. Results: The mean score for information retrieval skill and EBP competency were respectively $2.81{\pm}0.64$ and $3.98{\pm}0.86$. Two step hierarchical regression analysis showed that attendance at academic conference (p = .036) and information retrieval skill (p<.001) were significant factors of EBP competency, information retrieval skill explained about 19% of total variance of EBP competency. Conclusion: Nurse need to increased fundamental information retrieval skill for EBP competency. Therefore, it is important to increase nurses' information retrieval skills by tailoring continuing EBP education modules. It would be also advisable to develop centralized systems for the internal dissemination of research findings for the use of nursing staff.

• 한국콘텐츠학회논문지
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• 제21권10호
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• pp.613-621
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• 2021

본 연구의 목적은 근거기반실무를 활용한 응급간호 수업 운영의 효과를 확인하기 위함이다. 본 연구는 단일군 전후설계연구이다. 본 연구는 일개 대학교의 3학년 간호대학생 54명을 대상으로 시행되었으며, 자료수집기간은 2019년 9월 2일부터 12월 2일이었다. 근거기반실무를 활용한 응급간호 수업은 근거기반실무의 5단계를 활용하여, 13차시로 진행되었다. 수업 운영은 강의, 팀기반학습, 사례기반학습으로 구성하였다. 자료분석은 SPSS/WIN 21.0 프로그램을 이용하였으며, 기술통계와 paired t-test를 이용하여 분석하였다. 근거기반실무를 활용한 응급간호 수업 후, 근거기반실무 신념(t=-2.76, p=.008), 근거기반실무 역량(t=-5.035, p<.001)은 통계적으로 유의하게 향상되었다. 반면 비판적사고성향은 통계적으로 유의한 차이가 없었다. 연구 결과는 근거기반실무를 활용한 응급간호 수업이 간호 학생의 근거기반실무 신념과 역량을 향상시키는 효과적인 교육전략임을 확인할 수 있었다.

• 한국콘텐츠학회논문지
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• 제18권6호
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• pp.38-49
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• 2018

근거기반실무 간호교육은 학습자의 수준에 따라 단계적으로 경험하며 숙련되도록 이끌어야한다. 본 연구는 근거기반실무의 일부를 통합한 간호학과 2학년의 기본간호학 수업을 운영하고 근거기반실무의 기초역량 향상에 대한 효과를 검증하였다. 연구 설계는 비동등성 대조군 전후 유사실험설계이었다. 대상자는 2개 대학교의 간호학과 2학년 재학생 108명이었다. 실험군은 2016년 2학기 15주 수업기간 중 총 8주, 24시간의 근거기반실무를 활용한 기본간호학 수업에 참여하였고 대조군은 일반적 기본간호학 수업에 참여하였다. 자료는 자가보고형의 문제해결 적극성, 근거기반실무 적용의도, 그리고 비판적 사고성향 측정도구로 수집하였다. 수집된 자료는 SPSS/WIN 23.0 program을 이용하여 동질성은 Chi-square 검정과 독립표본 t-검정으로, 가설 검정은 독립표본 t-검정으로 분석하였다. 분석 결과 실험군은 대조군에 비해 문제해결 적극성과 근거기반실무 적용의도에서 유의한 증가를 보였다. 그러나 비판적 사고는 두 군 간에 차이가 없었다. 근거기반실무를 활용한 기본간호학 수업은 저학년 학생의 근거기반실무 기초역량인 문제해결 적극성과 근거기반실무 적용의도의 증가에 효과적이었다. 근거기반실무에 대한 학년별 목표에 적합한 교과과정에 의한 간호학생들의 근거기반실무 역량과 비판적 사고의 향상에 대한 장기적 노력이 더 필요하다.