Beliefs and implementation of evidence‐based practice among nurses in the nursing homes of a Swiss canton: An observational cross‐sectional study

Perruchoud, Elodie; Fernandes, S; Verloo, Henk; Pereira, Filipa

doi:10.1111/jocn.15826

Cited by 10 publications

(9 citation statements)

References 61 publications

(111 reference statements)

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“…Studies utilizing the ARCC model indicate that there is a strong positive relationship between the beliefs held by practitioners and implementation in clinical practice [22]. Similar studies, using the same scales also found a positive correlation between beliefs and implementation, which indicates that the stronger nurses' beliefs are about the benefits of EBP, the higher their implementation rate in clinical practice [23]. Time throughout the literature was identified as the most salient factor impacting negatively on nurses' ability to implement EBP in clinical practice.…”

Section: Discussionmentioning

confidence: 78%

An exploration of the factors that impact on clinical practices of Nurses in applying evidence-based practice

Shifaza

Hamiduzzaman

2021

International Journal of Advanced Health Science and Technology

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While healthcare institutions around the world strive to adopt evidence-based practice (EBP) as the new standard in best practice, the nursing profession still faces multiple barriers and limitations in implementation. The aim of this paper is to present the analysis of EBP from the perspective of nurses working within two major South Australian hospitals, assessing their implementation and beliefs and exploring avenues for further research-based upon their feedback. A descriptive survey using the EBP beliefs (EBP-b) and the EBP implementation (EBP-I) scales were developed by Melnyk and Fineout-Overholt. Nurses scored high in the EBP belief scale reflecting significant positive readiness towards EBP. A positive correlation was observed between EBP beliefs and implementation, yet implementation rates were very low. More research is needed to explore the reasons why implementation rates are so low amongst practising nurses to understand and address the root of this problem. Based on the evidence it appears that more research is needed to explore the reasons why implementation rates are so low amongst practising nurses to understand and address the root of this problem.

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Section: Discussionmentioning

confidence: 78%

An exploration of the factors that impact on clinical practices of Nurses in applying evidence-based practice

Shifaza

Hamiduzzaman

2021

International Journal of Advanced Health Science and Technology

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“…We also know that practical nurses rarely access current research evidence in their workplaces to guide their practice (Phillips & Neumeier, 2018). This emphasizes the need for targeted and tailored support and further EBN training in these settings, in particular (Perruchoud et al., 2021; Phillips & Neumeier, 2018).…”

Section: Discussionmentioning

confidence: 99%

“…Individual skills (Perruchoud et al., 2021; Yoder et al., 2022; Yoo et al., 2019) and attitudes or beliefs in the value of EBN are linked to how EBN is perceived and implemented (Alqahtani et al., 2020; Cleary‐Holdforth et al., 2021; Stokke et al., 2014; Yoo et al., 2019). Nurses have positive attitudes toward EBN (Alanen et al., 2009; Stokke et al., 2014), and they believe in its value, but they need more knowledge and skills to implement it (Alqahtani et al., 2020; Cleary‐Holdforth et al., 2021; Perruchoud et al., 2021; Yoder et al., 2022). In addition, organizational culture and the supporting structures of the organization are associated with the implementation of EBN (Clarke et al., 2021; Cleary‐Holdforth et al., 2021; Yoder et al., 2022).…”

Section: Introductionmentioning

confidence: 99%

Actualization of evidence‐based nursing in primary, specialized, and social care settings—A cross‐sectional survey

Hamari,

Holopainen,

Nyman

et al. 2024

Worldviews Ev Based Nurs

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BackgroundBasing practice on evidence is a widely acknowledged requirement for nursing, but shortcomings still exist. An increased understanding of the actualization of evidence‐based nursing (EBN) across different nursing contexts is needed to develop better support for EBN and promote uniform high‐quality nursing.AimsThe aim of this study was to compare the actualization of EBN in different organizational contexts in Finland.MethodsData for this survey were collected in 2021. The actualization of EBN in primary, specialized, and social care organizations was evaluated with the Actualization of Evidence‐Based Nursing instrument, nurses' version, which focuses on individual and organizational‐level EBN support structures. Differences between (1) specialized and primary healthcare, and (2) different nursing practice settings were tested with Welch's two sample t‐test, the Kruskal–Wallis rank sum test, and the Wilcoxon rank sum test.ResultsBased on nurse (n = 1020) evaluations, those working in specialized healthcare hold more positive attitudes toward EBN (p = .021) and evaluated their organization's methods for monitoring and evaluating nursing practices (p = .004) more positively than those working in primary healthcare. Regarding different nursing practice settings (n = 1241), the most positive results were observed within preventive healthcare where nurses evaluated their attitudes toward EBN, EBN competence, and personal evidence‐based practices more positively compared to other nursing practice settings. The results were parallel regarding several organizational structures for EBN. Positive results were also observed within somatic units at university hospitals, and most negative results were within institutional care settings, health centers, and home care settings.Linking Evidence to ActionThere is a need for targeted support to strengthen EBN across different organizational contexts, with special attention to those contexts where nursing professionals with lower education levels work. Future research needs to focus on further analyzing the organizational differences and what can be learned, especially from preventive healthcare but also somatic units at university hospitals.

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“…In Switzerland, studies investigating the attitudes towards EBP and recording its level of implementation have been conducted among nurses and allied health care providers [ 41 – 48 ]. The results are comparable to the studies cited above, with generally positive attitudes towards EBP but unsatisfactory implementation into clinical practice [ 43 , 46 ].…”

Section: Introductionmentioning

confidence: 99%

Self-reported attitudes, skills and use of evidence-based practice among Swiss chiropractors: a national survey

et al. 2022

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Study Objectives The high burden of disease associated with musculoskeletal disorders severely impacts patients’ well-being. As primary care providers, Swiss chiropractors ought to contribute towards identifying and using effective treatment strategies. An established approach is the full integration of evidence-based practice (EBP). This study aimed to investigate the attitudes, skills and use of EBP among Swiss chiropractors, as well as investigating potential facilitators and barriers for its adoption. Methods and material All 329 members of the Swiss Association of Chiropractic (ChiroSuisse) were invited in March 2021 to participate in this cross-sectional survey. Data were acquired anonymously online, using the Evidence-Based practice Attitude and utilization SurvEy (EBASE). The survey encompassed 55 questions measuring attitudes (n = 8, response range 1–5; total score range of 8–40), skills (n = 13, response range 1–5; total score range of range of 13–65) and use of EBP (n = 6, response range 0–4; total score range of 0–24). Results 228 (69.3%) chiropractors returned complete EBASE questionnaires. This sample was representative of all ChiroSuisse members with respect to gender, age groups and proportion of chiropractic residents. Respondents generally held positive attitudes towards EBP, as indicated by the high mean (31.2) and median (31) attitude sub-score (range 11–40). Self-reported skills had a mean sub-score of 40.2 and median of 40 (range 13–65). Knowledge about EBP-based clinical practice had been primarily obtained in chiropractic under- or postgraduate education (33.8% and 26.3%, respectively). Use of EBP achieved a lower sub-score, with mean and median values of 7.4 and 6, respectively (range 0–24). The most commonly identified barriers preventing EBP uptake were lack of time (67.9%) and lack of clinical evidence in chiropractic/manual therapy-related health fields (45.1%). Conclusion Swiss chiropractors held favourable attitudes and reported moderate to moderate-high skill levels in EBP. Nevertheless, similar to chiropractors in other countries, the self-reported use of EBP was relatively low, with lack of time and lack of clinical evidence being the most named barriers.

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Beliefs and implementation of evidence‐based practice among nurses in the nursing homes of a Swiss canton: An observational cross‐sectional study

Abstract: This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

Cited by 10 publications

References 61 publications

An exploration of the factors that impact on clinical practices of Nurses in applying evidence-based practice

An exploration of the factors that impact on clinical practices of Nurses in applying evidence-based practice

Actualization of evidence‐based nursing in primary, specialized, and social care settings—A cross‐sectional survey

Self-reported attitudes, skills and use of evidence-based practice among Swiss chiropractors: a national survey

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