A Multisite Health System Survey to Assess Organizational Context to Support Evidence‐Based Practice

Abstract

Background: Implementation and sustainability of a culture of evidence-based practice (EBP) require a systematic approach. A baseline assessment of the organizational context can inform implementation efforts.Aims: To examine organizational hospital context and provider characteristics associated with EBP readiness and to describe EBP context across hospitals.Methods: A nonexperimental descriptive correlational design was used to conduct a webbased survey of direct-care registered nurses (N = 701) and nurse managers (N = 94) across a large Midwestern multisite healthcare system using the Alberta Context Tool (ACT). EBP readiness by nurse characteristicsResponse n Leadership M ± SD Culture M ± SD Evaluation M ± SD Social capital M ± SD Organizational slack M ± SD Formal interaction M ± SD Informal interaction M ± SD Structural/ electronic resources

A Conceptual Model of Nurses’ Workplace Social Capital: A Theory Synthesis

“…Finally, urgency, e ciency, and immediacy of delivery of healthcare services can be viewed as a positive effect modi er on nurses' workplace social capital. Research supports the notion of higher workplace social capital among nursing professionals working in critical care hospitals compared with those working in community or academic hospitals [31].…”

“…Shin and Lee [32] reported that the score of workplace social capital varied among nurses' groups with different levels of education, years of experience and years in the present unit. The scores of workplace social capital perceived by nurses with a graduate degree, providing direct care (work role) and having full-time employment status were lower than those who had bachelor's education, provided non-direct care and had part-time/casual work employment [31]. Moreover, employees with higher emotional intelligence are more dexterous in establishing constructive communication [33], in their interactions with others [34] and in developing interpersonal relational networks [35].…”

Barriers and Facilitators Implementation of Evidence-Based Nursing practice in Hospitals: A Literature Review

“…The EBP knowledge/ skill variable is also one of the clinical nurse demographic factors that carried out at different times and places that will determine the various findings. By referring to Hauck, Winsett, and Kuric, 2013;Pittman et al, 2019. The level of education also influences EBP knowledge.…”

“…Hence, other factors that influence knowledge related to demographics are also sourced in the length of work (Al-Busaidi et al, 2019) so that in studies that use the following two simultaneously variables use filed multilevel regression submission, changed with more pure variables. In research conducted (Pittman et al, 2019). Suggesting young nurses is more difficult in the application of new tactics, and discussed in other demographic discussions such as age and year-old obtained from the results of Dalheim et al, 2012. Other factors were revealed by (Majid et al, 2011;Dalheim et al, 2012;Weng, Kuo, Yang, Liao, et al, 2013;Khammarnia et al, 2015;Gifford et al, 2018) had difficulty find and interpret scientific journals both because of language differences, lack of understanding of statistics and use of scientific terms in research.…”

“…In 2016, Melnyk revealed that the implementation of EBP in independent practice and hospitals was still relatively low. In another survey, even more than one-third of hospitals in the United States did not meet the criteria for measuring EBP implementation (Pittman et al, 2019). Meanwhile referring to whose conducted an EBP study at a Taiwanese hospital found that although nurses had a significant level of confidence in EBP, it was the lowest when compared to other disciplines.…”