Describing nurses' communication about evidence‐based practice change: A social network analysis of hospital nurses.

Background: Nurses play a critical role in providing evidence‐based, high‐quality care to optimize patient outcomes. Models from implementation science suggest social networks may influence the adoption of evidence‐based practices (EBPs). However, few studies have examined this relationship among ho...

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Publicado en:Worldviews on Evidence-Based Nursing (John Wiley & Sons, Inc.) Vol. 21; no. 2; pp. 128 - 137
Autores principales: Arsenault Knudsen, Élise N., Mundt, Marlon P., Steege, Linsey M.
Formato: research tables/charts Journal Article
Publicado: John Wiley & Sons, Inc. Apr2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2024
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      pub: John Wiley & Sons, Inc.
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        10.1111/wvn.12708
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        atl: Describing nurses' communication about evidence‐based practice change: A social network analysis of hospital nurses.
      aug:
        au:
          Arsenault Knudsen, Élise N.
          Mundt, Marlon P.
          Steege, Linsey M.
        affil: School of Nursing, University of Wisconsin‐Madison, Madison Wisconsin,, USA
      sug:
        subj:
          Nursing Role
          Nursing Practice, Evidence-Based
          Social Network Analysis
          Communication Evaluation
          Nursing Staff, Hospital
          Inpatients
          Nurse Administrators
          Human
          Male
          Female
          Young Adult
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Funding Source
          Patient-Reported Outcomes
          Implementation Science
          Exploratory Research
          Cross Sectional Studies
          Nursing Leaders
          Health Care Delivery
          Critical Care
          Purposive Sample
          Research Subject Recruitment
          Data Collection
          Data Analysis Software
          Descriptive Statistics
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Background: Nurses play a critical role in providing evidence‐based, high‐quality care to optimize patient outcomes. Models from implementation science suggest social networks may influence the adoption of evidence‐based practices (EBPs). However, few studies have examined this relationship among hospital nurses. Social network analysis (SNA) mathematically evaluates patterns of communication, a critical step in implementation. Exploring hospital nurses' communication networks may provide insight into influences on the adoption of EBPs. Aims: This study aimed to describe complete communication networks of hospital nurses for practice changes on inpatient units, including upper level nursing administrators. Methods: This descriptive, exploratory, cross‐sectional study used SNA on two inpatient units from one hospital. A sociometric survey was completed by nurses (unit to executive level) regarding communication frequency about practice changes. Network‐level density, diameter, average path length, centralization, and arc reciprocity were measured. Attribute data were used to explore subnetworks. Results: Surveys from 148 nurses on two inpatient adult intensive care units (response rates 90% and 98%) revealed high communication frequency. Network measures were similar across the two units and among subnetworks. Analysis identified central (charge nurses and nurse leaders) and peripheral members of the network (new‐to‐practice nurses). Subnetworks aligned with the weekend and shift worked. Linking Evidence to Action: Established communication channels, including subnetworks and opinion leaders, should be used to maximize and optimize implementation strategies and facilitate the uptake of EBPs. Future work should employ SNA to measure the impact of communication networks on promoting the uptake of EBP and to improve patient outcomes.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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