The Effect of Evidence-Based Practice on Workplace Empowerment of Rural Registered Nurses.

Through evidence based practice implementation, autonomous practice and innovation strategies can stimulate workplace empowerment, providing a framework for retention and recruitment within rural healthcare organizations. This pilot study determined the relationships that exist between evidence base...

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Bibliographic Details
Published in:Online Journal of Rural Nursing & Health Care Vol. 12; no. 2; pp. 64 - 77
Main Authors: Belden, Catherine V., Leafman, Joan, Nehrenz, Guy, Miller, Patricia
Format: research tables/charts Journal Article
Published: Online Journal of Rural Nursing & Healthcare Fall2012
Online Access:View this record in EBSCOhost
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      dt: Fall2012
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      pub: Online Journal of Rural Nursing & Healthcare
      place: Chicago, Illinois
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        atl: The Effect of Evidence-Based Practice on Workplace Empowerment of Rural Registered Nurses.
      aug:
        au:
          Belden, Catherine V.
          Leafman, Joan
          Nehrenz, Guy
          Miller, Patricia
        affil: Adjunct faculty, Department of Health Sciences, A.T. Still University
      sug:
        subj:
          Rural Nursing
          Professional Practice, Evidence-Based
          Empowerment
          Occupational Health
          Nurse Attitudes
          Human
          Louisiana
          Pilot Studies
          Questionnaires
          Spearman's Rank Correlation Coefficient
          Logistic Regression
          Exploratory Research
          Organizational Theory
          Summated Rating Scaling
          Coefficient alpha
          Clinical Assessment Tools
          Data Analysis Software
          Chi Square Test
          Linear Regression
          Male
          Female
          Young Adult
          Adult
          Middle Age
          Confidence Intervals
          Odds Ratio
          Educational Status
          Organizational Culture
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Through evidence based practice implementation, autonomous practice and innovation strategies can stimulate workplace empowerment, providing a framework for retention and recruitment within rural healthcare organizations. This pilot study determined the relationships that exist between evidence based practice use and workplace empowerment among rural Registered Nurses. Forty-two rural Registered Nurses completed an online survey examining their level of evidence based practice use and workplace empowerment. A Spearman's rho found a strong, positive correlation between overall evidence based practice use and workplace empowerment (r = 0.648, p< .001). Through regression analysis, educational background was determined to be a confounding variable for overall evidence based practice utilization and perceived level of workplace empowerment. While the resultant small sample size negates generalization of this pilot study to a larger population, the results uphold the premise that organizational support of innovation, as evident within the tenets of evidence based practice, can potentially impact nurses' sense of empowerment in the workplace. The results are valuable to healthcare administrators, quality and risk professionals, professional development educators, and direct care nurses when determining the needs of RNs for evidence based practice education, mentorship, and advancement of organizational empowerment structures. Future studies should examine rural Registered Nurses' workplace empowerment levels as a source of innovation, which can be a direct result of evidence based practice utilization. Evidence based practice, in conjunction with similar empowering work structures, can enhance rural nurses' ability to implement highly reliable, quality healthcare services in an environment conducive to learning, autonomy, productivity, and innovation.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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