Multilevel National Analysis of Nursing Students' Perceived Opportunity to Access Evidence‐Based Tools During Their Clinical Learning Experience.

Background: Easy‐to‐access tools have been demonstrated to improve evidence‐based practice (EBP) competences among nursing students. However, students' perception of access to EBP tools (e.g., clinical practice guidelines [CPGs], protocols) is unknown. Aims: To explore: (1) nursing students' opportu...

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Publicado en:Worldviews on Evidence-Based Nursing (John Wiley & Sons, Inc.) Vol. 15; no. 6; pp. 480 - 491
Autores principales: Palese, Alvisa, Gonella, Silvia, Grassetti, Luca, Destrebecq, Anne, Mansutti, Irene, Terzoni, Stefano, Zannini, Lucia, Altini, Pietro, Bevilacqua, Anita, Brugnolli, Anna, Dal Ponte, Adriana, De Biasio, Laura, Fascì, Adriana, Grosso, Silvia, Mantovan, Franco, Marognolli, Oliva, Nicotera, Raffaela, Randon, Giulia, Tollini, Morena, Canzan, Federica
Formato: research tables/charts Journal Article
Publicado: John Wiley & Sons, Inc. Dec2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2018
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      pub: John Wiley & Sons, Inc.
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        atl: Multilevel National Analysis of Nursing Students' Perceived Opportunity to Access Evidence‐Based Tools During Their Clinical Learning Experience.
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        au:
          Palese, Alvisa
          Gonella, Silvia
          Grassetti, Luca
          Destrebecq, Anne
          Mansutti, Irene
          Terzoni, Stefano
          Zannini, Lucia
          Altini, Pietro
          Bevilacqua, Anita
          Brugnolli, Anna
          Dal Ponte, Adriana
          De Biasio, Laura
          Fascì, Adriana
          Grosso, Silvia
          Mantovan, Franco
          Marognolli, Oliva
          Nicotera, Raffaela
          Randon, Giulia
          Tollini, Morena
          Canzan, Federica
        affil: Department of Medical Sciences, University of Udine, Udine Italy
      sug:
        subj:
          Access to Information
          Student Attitudes Evaluation
          Learning Environment, Clinical
          Education, Nursing
          Students, Nursing Psychosocial Factors
          Nursing Practice, Evidence-Based
          Human
          Cross Sectional Studies
          Students, Nursing
          Italy
          Descriptive Statistics
          Learning Environment
          Summated Rating Scaling
          Data Analysis Software
          Spearman's Rank Correlation Coefficient
          Chi Square Test
          T-Tests
          Nonparametric Statistics
          Intraclass Correlation Coefficient
          Odds Ratio
          Confidence Intervals
          Male
          Female
          Adult
          Course Content
          Decision Making, Clinical
          Sex Factors
          Questionnaires
          Adult: 19-44 years
          Male
          Female
      ab: Background: Easy‐to‐access tools have been demonstrated to improve evidence‐based practice (EBP) competences among nursing students. However, students' perception of access to EBP tools (e.g., clinical practice guidelines [CPGs], protocols) is unknown. Aims: To explore: (1) nursing students' opportunity to access EBP tools during their education, and (2) associated factors. Methods: A national cross‐sectional study including all Italian nursing programs. Nursing students were deemed eligible according to the following inclusion criteria: Those who (1) were attending or just ended their practical rotation lasting at least 2 weeks at the time of the survey, and (2) expressed through written informed consent their willingness to take part in the study. Participants were asked about their perceived opportunity to access EBP tools during their most recent clinical learning experience (from 0 – not at all to 3 – always). A set of explanatory variables was collected at the individual, nursing program, and regional levels by using a questionnaire. Results: Nine thousand six hundred and seven (91.6%) out of 10,480 nursing students took part in the study. Overall, 4,376 (45.6%) students perceived not at all or only a small opportunity to access EBP tools during their most recent clinical rotation. In the multilevel analysis, factors promoting access were mainly set at the clinical learning environment level (high safety and nursing care quality, high self‐directed learning opportunities, high quality of the learning environment, and being supervised by a clinical nurse). In contrast, male gender and lower academic class were associated with a lower perception of accessibility to EBP tools. A consistent variability in the perceived opportunity to access EBP tools emerged across regions. Linking Evidence to Action: Evidence‐based decision‐making is increasingly expected from nurses. Therefore, nursing faculties should safeguard and continuously improve students' competence regarding EBP, by implementing strategies mainly at the nursing program and regional levels.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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