Nurses' Perceptions of the Relevance of Their Role and Responsibilities for Adopting Evidence‐Based Feedback Into Practice: An Implementation Study.

Aims: To evaluate the implementation process of a novel program focused on improving interactive (dialogic) feedback between clinicians and students during placement. Design: Quantitative cross‐sectional hybrid type 3 effectiveness–implementation study driven by a federated model of social learning...

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Publicado en:Journal of Advanced Nursing (John Wiley & Sons, Inc.) Vol. 81; no. 11; pp. 7525 - 7541
Autores principales: Ossenberg, Christine, Brunelli, Vanessa N., Mitchell, Marion, Henderson, Amanda
Formato: research tables/charts Journal Article
Publicado: John Wiley & Sons, Inc. Nov2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2025
      vid: 81
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      pid: 52269
      pub: John Wiley & Sons, Inc.
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        10.1111/jan.16768
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        atl: Nurses' Perceptions of the Relevance of Their Role and Responsibilities for Adopting Evidence‐Based Feedback Into Practice: An Implementation Study.
      aug:
        au:
          Ossenberg, Christine
          Brunelli, Vanessa N.
          Mitchell, Marion
          Henderson, Amanda
        affil: Nursing Practice Development Unit, Princess Alexandra Hospital, Woolloongabba Queensland,, Australia
      sug:
        subj:
          Nursing Staff, Hospital
          Nurse Attitudes
          Nursing Role
          Feedback
          Health Personnel
          Students, Nursing
          Education, Nursing
          Human
          Male
          Female
          Adult
          Queensland
          Quantitative Studies
          Cross Sectional Studies
          Implementation Science
          Attitude of Health Personnel
          Communication
          Professional Competence
          Organizational Culture
          Social Learning Theory
          Kruskal-Wallis Test
          Mann-Whitney U Test
          Post Hoc Analysis
          Analysis of Variance
          Purposive Sample
          Statistical Significance
          Data Analysis Software
          Descriptive Statistics
          Adult: 19-44 years
          Male
          Female
      ab: Aims: To evaluate the implementation process of a novel program focused on improving interactive (dialogic) feedback between clinicians and students during placement. Design: Quantitative cross‐sectional hybrid type 3 effectiveness–implementation study driven by a federated model of social learning theory and implementation theory. Methods: From June to November 2018, feedback approaches supported by socio‐constructive learning theory and Normalisation Process Theory were enacted in four clinical units of a healthcare facility in southeast Queensland, Australia. The study involved 16 clinical instructors/supervisors, 94 bedside nurses, and 85 final‐year nursing students. Engagement was evaluated using the Normalisation Measure Development survey. Situated learning encounters were constructed based on the needs of each group. Results: Survey results of the four Normalisation Process Theory constructs identified variable adoption by participant groups. Engagement in situated learning encounters that facilitate dialogic feedback was greatest in clinical instructors/supervisors, followed by students. Bedside registered nurses, while indicating they understood purposeful feedback behaviours, did not demonstrate them in practice. Conclusion: The extent to which each group practiced dialogic feedback depended on their perceptions of their influence, whether they saw it as part of their role, and the effort and time required, regardless of the activity's importance, role statements, and codes of conduct. Implications for the Profession: Understanding the norms that shape communication, engagement, and nurses' role priorities is crucial for guiding practice and ongoing engagement with feedback. Impact: The research provides valuable insights for leaders aiming to enhance the integration of evidence into practice. It guides leaders to understand that participants prioritise the reach, relevance, and resources of evidence over formal role descriptions, responsibilities, policies, and codes of conduct. This research encourages leaders to scrutinise existing beliefs, norms, and routines when implementing evidence‐based practices. Reporting Method: Standards for Reporting Implementation Studies (StaRI) reporting guidelines were used. No Patient or Public Contribution: None.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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