دورية أكاديمية
أعرض في EDS

Effectiveness of Evidence-Based Practice (EBP) Education on Emergency Nurses' EBP Attitudes, Knowledge, Self-Efficacy, Skills, and Behavior: A Randomized Controlled Trial.

التفاصيل البيبلوغرافية
العنوان: Effectiveness of Evidence-Based Practice (EBP) Education on Emergency Nurses' EBP Attitudes, Knowledge, Self-Efficacy, Skills, and Behavior: A Randomized Controlled Trial.
المؤلفون: Koota E; Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland.; HUS Joint Resources, Research and Education, Helsinki University Hospital, Helsinki, Finland., Kääriäinen M; Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland.; Oulu University Hospital, Oulu, Finland., Kyngäs H; Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland.; Oulu University Hospital, Oulu, Finland., Lääperi M; Emergency Medicine and Services, Helsinki University Hospital and University of Helsinki, Helsinki, Finland., Melender HL; Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland.
المصدر: Worldviews on evidence-based nursing [Worldviews Evid Based Nurs] 2021 Feb; Vol. 18 (1), pp. 23-32. Date of Electronic Publication: 2021 Jan 25.
نوع المنشور: Journal Article; Randomized Controlled Trial
اللغة: English
بيانات الدورية: Publisher: Blackwell Publishing Inc. for Sigma Theta Tau International Country of Publication: United States NLM ID: 101185267 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1741-6787 (Electronic) Linking ISSN: 1545102X NLM ISO Abbreviation: Worldviews Evid Based Nurs Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Malden, MA : Blackwell Publishing Inc. for Sigma Theta Tau International, c2004-
مواضيع طبية MeSH: Health Knowledge, Attitudes, Practice*, Education, Nursing, Continuing/*standards , Evidence-Based Practice/*standards, Clinical Competence/standards ; Clinical Competence/statistics & numerical data ; Education, Nursing, Continuing/methods ; Education, Nursing, Continuing/statistics & numerical data ; Evidence-Based Practice/statistics & numerical data ; Humans ; Self Efficacy ; Surveys and Questionnaires
مستخلص: Background: Emergency care clinicians are expected to use the latest research evidence in practice. However, emergency nurses do not always consistently implement evidence-based practice (EBP). An educational intervention on EBP was implemented to promote emergency nurses' use of EBP, and the effectiveness of it was evaluated.
Aims: This study aimed to evaluate the effectiveness of an EBP educational intervention on emergency nurses' EBP attitudes, knowledge, self-efficacy, skills, and behavior. The study also examined learners' satisfaction with the EBP educational intervention.
Methods: A randomized controlled trial with parallel groups with evaluations before the education, immediately after it, and 6 and 12 months after the education was conducted at four emergency departments in two university hospitals. The experimental group (N = 40) received EBP education while the control group (N = 40) completed self-directed EBP education. The primary outcomes were emergency nurses' EBP attitudes, knowledge, self-efficacy, skills, and behavior, while the secondary outcome was satisfaction with the EBP education.
Results: Thirty-five participants of an experimental and 29 participants of a control group completed the study. There were no statistically significant (p < .05) improvements and differences between groups in EBP attitude, self-efficacy, or behavior immediately after the EBP education. At the 6-month measurement point, the experimental group showed significantly better EBP attitudes, behavior, knowledge, and self-efficacy than the control group. At the 12-month measurement point, the improvements began to decrease. The groups also differed significantly in terms of participant satisfaction with how the teacher encouraged learners to ask clinical questions.
Linking Evidence to Action: The EBP educational intervention implemented in this study had a positive effect on emergency nurses' EBP attitudes, knowledge, self-efficacy, skills, and behavior. The effects of the education appeared the best 6 months after the education. After this point, the results began to decrease and approached baseline levels. EBP educational interventions designed for emergency nurses should apply various teaching strategies to improve their EBP attitude, knowledge, self-efficacy, skills, behavior, and satisfaction with the education.
(© 2021 The Authors. Worldviews on Evidence-based Nursing published by Wiley Periodicals LLC on behalf of Sigma Theta Tau International.)
References: Atjonen, P. (2007). Hyvä, paha arviointi. Helsinki, Finland: Tammi.
Considine, J., Curtis, K., Shaban, R. Z., & Fry, M. (2018). Consensus-based clinical research priorities for emergency nursing in Australia. Journal of Australasian Emergency Nursing, 21(2), 43-50. https://doi.org/10.1016/j.auec.2018.03.001.
Considine, J., Curtis, K., Shaban, R. Z., & Fry, M. (2019). Effectiveness of nurse-initiated X-ray for emergency department patients with distal limb injuries: A systematic review. European Journal of Emergency Medicine, 26(5), 314-322. https://doi.org/10.1097/MEJ.0000000000000604.
Friesen, M. A., Brady, J. M., Milligan, R., & Christensen, P. (2017). Findings from a pilot study: Bringing evidence-based practice to bedside. Worldviews on Evidence-Based Nursing, 14(1), 22-34. https://doi.org/10.1111/wvn.12195.
Habich, M., & Letizia, M. (2015). Pediatric pain assessment in the emergency department: A nursing evidence-based practice protocol. Pediatric Nursing, 41(4), 198-202.
Häggman-Laitila, A., Mattila, L.-R., & Melender, H.-L. (2016). Educational interventions on evidence-based nursing in clinical practice: A systematic review with qualitative analysis. Nurse Education Today, 43, 50-59. https://doi.org/10.1016/j.nedt.2016.04.023.
Horntvedt, M.-E., Nordstein, A., Fermann, T., & Severinsson, E. (2018). Strategies for teaching evidence-based practice in nursing education: A thematic literature review. BMC Medical Education, 18, 172. https://doi.org/10.1186/s12909-018-1278-z.
Jordan, K. S., & Moore-Nadler, M. (2014). Children at risk of maltreatment identification and intervention in the emergency department. Journal of Advanced Emergency Nursing, 36, 97-106. https://doi.org/10.1097/TME.0000000000000011.
Julious, S. A. (2010). Sample sizes for clinical trials. Boca Raton, FL: Chapman & Hall/CRC Press.
Koota, E., Kääriäinen, M., Lääperi, M., & Melender, H.-L. (2019). Emergency nurses’ evidence-based practice attitudes, self-efficacy, knowledge, skills and behaviors before an educational intervention - Baseline of a randomized controlled trial. Collegian, 27(4), 361-369. https://doi.org/10.1016/j.colegn.2019.11.002.
Koota, E., Kääriäinen, M., & Melender, H. L. (2018). Educational interventions promoting evidence-based practice among emergency nurses: A systematic review. International Emergency Nursing, 41, 51-58.
Melnyk, B. M., Fineout-Overholt, E., Gallagher-Ford, L., & Kaplan, L. (2012). The state of evidence-based practice in US nurses: Critical implications for nurse leaders and educators. Journal of Nursing Administration, 42(9), 410-417. https://doi.org/10.1097/NNA.0b013e3182664e0a.
Melnyk, B. M., Fineout-Overholt, E., & Mays, M. Z. (2008). The evidence-based practice beliefs and implementation scales: Psychometric properties of two new instruments. Worldviews on Evidence-Based Nursing, 5(4), 208-216. https://doi.org/10.1111/j.1741-6787.2008.00126.x.
Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-word clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and cost. Worldviews on Evidence-Based Nursing, 11(1), 5-15. https://doi.org/10.1111/wvn.12021.
Mezirow, J. (2003). Transformative learning as discourse. Journal of Transformative Education, 1(1), 58-63.
Moore, E. R., Watters, R., & Wallston, K. A. (2019). Effect of evidence-based practice (EBP) courses on MSN and DNP students’ use of EBP. Worldviews on Evidence-Based Nursing, 16(4), 319-326. https://doi.org/10.1111/wvn.12369.
Moore, L. (2017). Effectiveness of an online educational module in improving evidence-based practice skills of practicing registered nurses. Worldviews on Evidence-Based Nursing, 14(5), 358-366. https://doi.org/10.1111/wvn.12214.
Phillips, A. C., Lewis, L. K., McEvoy, M. P., Galipeau, J., Glasziou, P., Moher, D., … Williams, M. T. (2016). Development and validation of the guideline for reporting evidence-based practice educational interventions and teaching (GREET). BMC Medical Education, 16, 237. https://doi.org/10.1186/s12909-016-0759-1.
R Core Team (2014). R: A language and environment for statistical computing. Vienna, Austria: R Foundation for Statistical Computing. http://www.R-project.org/.
Ramos-Morcillo, A. J., Fernández-Salazar, S., Ruzafa-Martínez, M., & Del-Pino-Casado, R. (2015). Effectiveness of a brief, basic evidence-based practice course for clinical nurses. Worldviews on Evidence-Based Nursing, 12(4), 199-207. https://doi.org/10.1111/wvn.12103.
Royer, H., Crary, P., Fayram, E., & Heidrich, S. M. (2018). Five-year program evaluation of an evidence-based practice scholars program. The Journal of Continuing Education in Nursing, 49(12), 547-554. https://doi.org/10.3928/00220124-20181116-05.
Saunders, H., Gallagher-Ford, L., Kvist, T., & Vehviläinen-Julkunen, K. (2019). Practicing healthcare professionals’ evidence-based practice competencies: An overview of systematic reviews. Worldviews on Evidence-Based Nursing, 16(3), 176-185. https://doi.org/10.1111/wvn.12363.
Saunders, H., Vehviläinen-Julkunen, K., & Stevens, K. R. (2016). Effectiveness of an education intervention to strengthen nurses’ readiness for evidence-based practice: A single-blind randomized controlled study. Applied Nursing Research, 31, 175-185. https://doi.org/10.1016/j.apnr.2016.03.004.
Snibsøer, A. M., Espehaug, B., Ciliska, D., & Wammen Nortvedt, M. (2017). Changes in evidence-based practice beliefs and implementation after postgraduate educational program: A before-and-after study over one year. Nordic Journal of Nursing Research, 37(3), 164-171. https://doi.org/10.1177/2057158517692754.
Squires, J. E., Aloisio, L. D., Grimshaw, J. M., Bashir, K., Dorrance, K., Coughlin, M., … Graham, I. D. (2019). Attributes of context relevant to healthcare professionals’ use of research evidence in clinical practice: A multi-study analysis. Implementation Science, 14, 52. Retrieved from https://implementationscience.biomedcentral.com/articles/10.1186/s13012-019-0900-8.
Tilson, J. K., Kaplan, S. L., Harris, J. L., Hutchinson, A., Ilic, D., Niederman, R., … Zwolsman, S. E. (2011). Sicily statement on classification and development of evidence-based practice learning assessment tool. BMC Medical Education, 11(78), https://doi.org/10.1186/1472-6920-11-78.
Upton, D., & Upton, P. (2006). Development of an evidence-based practice questionnaire for nurses. Journal of Advanced Nursing, 53(4), 454-458. https://doi.org/10.1111/j.1365-2648.2006.03739.x.
Wickham, H. (2016). ggplot2: Elegant graphics for data analysis. New York, NY: Springer-Verlag.
Yost, J., Ciliska, D., & Dobbins, M. (2014). Evaluating the impact of an intensive education workshop on evidence-informed decision making knowledge, skills, and behaviours: A mixed methods study. BMC Medical Education, 14, 13. https://doi.org/10.1186/1472-6920-14-13.
فهرسة مساهمة: Keywords: attitude; behavior; education; emergency nursing; evidence-based practice; intervention; knowledge; randomized controlled trial; self-efficacy; skills
تواريخ الأحداث: Date Created: 20210125 Date Completed: 20210901 Latest Revision: 20220420
رمز التحديث: 20231215
DOI: 10.1111/wvn.12485
PMID: 33492782
قاعدة البيانات: MEDLINE
الوصف
تدمد:1741-6787
DOI:10.1111/wvn.12485