Determining registered nurses' readiness for evidence-based practice.

Background: As health care systems worldwide move toward instituting evidence-based practice (EBP), its implementation can be challenging. Conducting a baseline assessment to determine nurses' readiness for EBP presents opportunities to plan strategies before implementation. Although a growing body...

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Publicado en:Worldviews on Evidence-Based Nursing (Wiley-Blackwell) Vol. 5; no. 4; pp. 182 - 193
Autores principales: Thiel L, Ghosh Y
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell 2008 4th Quarter
Acceso en línea:Ver este registro en EBSCOhost
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          Thiel L
          Ghosh Y
        affil: Associate Professor, University of Detroit Mercy, Detroit, MI
      sug:
        subj:
          Attitude to Change
          Information Needs
          Nurse Attitudes
          Nursing Knowledge
          Nursing Practice, Evidence-Based
          Organizational Culture
          Academic Medical Centers
          Access to Information
          Adult
          Age Factors
          CINAHL Database Utilization
          Coefficient alpha
          Construct Validity
          Content Validity
          Convenience Sample
          Cross Sectional Studies
          Descriptive Research
          Descriptive Statistics
          Educational Status
          Exploratory Research
          Factor Analysis
          Female
          Job Experience
          Male
          Middle Age
          Midwestern United States
          Nursing Skills
          Pilot Studies
          Post Hoc Analysis
          Questionnaires
          Registered Nurses
          Scales
          Self Report
          Spearman's Rank Correlation Coefficient
          Staff Nurses
          Summated Rating Scaling
          Surveys
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Background: As health care systems worldwide move toward instituting evidence-based practice (EBP), its implementation can be challenging. Conducting a baseline assessment to determine nurses' readiness for EBP presents opportunities to plan strategies before implementation. Although a growing body of research literature is focused on implementing EBP, little attention has been paid to assessing nurses' readiness for EBP. Objective: The purpose of this study was to assess registered nurses' readiness for EBP in a moderate-sized acute care hospital in the Midwestern United States before implementation of a hospital-wide nursing EBP initiative. Design and Methods: A descriptive cross-sectional survey design was used; 121 registered nurses completed the survey. The participants ( n= 121) completed the 64-item Nurses' Readiness for Evidence-Based Practice Survey that allowed measurement of information needs, knowledge and skills, culture, and attitudes. Data were analyzed using descriptive statistics and a post hoc analysis. Results: The majority (72.5%) of respondents indicated that when they needed information, they consulted colleagues and peers rather than using journals and books; 24% of nurses surveyed used the health database, Cumulative Index to Nursing & Allied Health Literature (CINAHL®). The respondents perceived their EBP knowledge level as moderate. Cultural EBP scores were moderate, with unit scores being higher than organizational scores. The nurses' attitudes toward EBP were positive. The post hoc analysis showed many significant correlations. Conclusions and Implications: Nurses have access to technological resources and perceive that they have the ability to engage in basic information gathering but not in higher level evidence gathering. The elements important to EBP such as a workplace culture and positive attitudes are present and can be built upon. A “site-specific” baseline assessment provides direction in planning EBP initiatives. The Nurses' Readiness for EBP Survey is a streamlined tool with established reliability and validity.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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