Three-Year Pre-Post Analysis of EBP Integration in a Magnet-Designated Community Hospital.
ABSTRACT Background Adoption of evidence-based practices (EBP) by registered nurses (RNs) and nurse leaders continues to be a challenge. Although multiple strategies and substantial resources are being invested to advance nursing practice based on evidence, little is known about the long-term impact...
| Published in: | Worldviews on Evidence-Based Nursing (John Wiley & Sons, Inc.) Vol. 13; no. 1; pp. 50 - 59 |
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| Main Authors: | , , |
| Format: | research Journal Article |
| Published: |
John Wiley & Sons, Inc.
Feb2016
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=112965013&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 112965013 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17416787 NRNX jtl: Worldviews on Evidence-Based Nursing (John Wiley & Sons, Inc.) issn: 17416787 maglogo: N pubinfo: dt: Feb2016 vid: 13 iid: 1 pid: 52269 pub: John Wiley & Sons, Inc. artinfo: ui: 112965013 112965013 112965013 10.1111/wvn.12148 112965013 ppf: 50 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Three-Year Pre-Post Analysis of EBP Integration in a Magnet-Designated Community Hospital. aug: au: Warren, Joan Insalaco Montgomery, Kathryn Lothschuetz Friedmann, Erika affil: Director of Nursing Research and Magnet, MedStar Franklin Square Medical Center, Baltimore MD sug: subj: Nursing Practice, Evidence-Based Nurse Attitudes Evaluation Nursing Staff, Hospital Leadership Nurse Managers Registered Nurses Human Retrospective Design Descriptive Research Descriptive Statistics Secondary Analysis Scales Convenience Sample Magnet Hospitals Maryland Maryland Adult Middle Age Aged Self Report Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years ab: ABSTRACT Background Adoption of evidence-based practices (EBP) by registered nurses (RNs) and nurse leaders continues to be a challenge. Although multiple strategies and substantial resources are being invested to advance nursing practice based on evidence, little is known about the long-term impact of these interventions. Aims This study was undertaken to assess nurse leaders' and clinical RNs' beliefs to use EBP, perceptions about organizational readiness for EBP, and frequency of implementing EBP following implementation of multifaceted interventions to achieve and maintain Magnet designation. Methods This retrospective descriptive study compared data from two previously administered online surveys (2008 and 2012) at a mid-Atlantic Magnet-designated community hospital. Results Clinical RNs' self-reported attitudes toward EBP were more positive (2008: M = 53.85, standard error of the mean [SEM] = 0.65; 2012: M = 57.07,SEM = 0.58), as well as their perceptions of organizational readiness (2008: M = 50.72, SEM = 1.20; 2012: M = 81.09, SEM = 0.98), between the two survey years. Contrarily, although nurse leader scores were significantly higher for beliefs (2008: M = 61.15, SEM = 1.23; 2012: M = 60.60., SEM = 0.96), readiness (2008: M = 61.28, SEM = 2.16; 2012: M = 85.18, SEM = 1.64), and implementation (2008: M = 21.35, SEM = 1.72; 2012: M = 19.08, SEM = 1.43) little change was observed in the nurse leader scores between the two survey years compared with clinical RNs. Discussion Results from this study suggest that the multifaceted interventions have had a positive impact on clinical RNs' beliefs and readiness for EBP, but not for nurse leaders. Albeit low, self-reported implementation of EBP by RNs and nurse leaders has been sustained, but has not improved. Linking Evidence to Action Leaders must see their role as not only facilitators of EBP but also as active participants practicing EBP. Actively engaging leaders in EBP by serving on interprofessional EBP teams and role modeling these behaviors to staff is critical to EBP implementation. Realistic expectations of RNs for EBP implementation and clear and accessible resources may enhance RNs' willingness to implement. Going forward, it may be necessary to differentiate the expectations of RNs in EBP implementation by clarifying expectations in the process of identification and analysis of evidence from use of EBP in clinical practice. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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