Clinical Nurse Specialists' Approaches in Selecting and Using Evidence to Improve Practice

Profetto‐McGrath, Joanne; Negrin, Kelly; Hugo, Kylie; Smith, Kathryn H.

doi:10.1111/j.1741-6787.2009.00164.x

Cited by 32 publications

(46 citation statements)

References 53 publications

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“…This key element of the role is found across countries in the majority of studies on clinical specialists 29,44,45 and APs 46 and, when practiced with clinical expertise and in line with clients' preferences, demonstrates ''best practice.'' 47 The same amount of EBP did not appear in nonYpost-holding sites, indicating that clinicians, in various health professions, did not perform to the same level as CS/APs, perhaps because of a lack of clear role position descriptions and expectations to fulfill such responsibilities.…”

Section: Discussionmentioning

confidence: 97%

Perceived Outcomes of Research and Audit Activities of Clinical Specialists in Ireland

Begley

Elliott

Lalor

et al. 2015

Clinical Nurse Specialist

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Section: Discussionmentioning

confidence: 97%

Perceived Outcomes of Research and Audit Activities of Clinical Specialists in Ireland

Begley

Elliott

Lalor

et al. 2015

Clinical Nurse Specialist

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“…A study by J. Profetto-McGrath carried out among Canadian departmental nurses showed that major obstacles in using EBNP in their everyday clinical practice included a lack of time and appropriate sources of scientific information as well as organizational difficulties [24]. This was also confirmed by our study performed among both groups of nurses who added the following obstacles: unfamiliarity with the principles of methodology of conducting research and components of research studies as well as ignorance of statistics, limited access to up-to-date scientific evidence and scientific publications for nurses.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Knowledge and Attitudes Towards the Use of Scientific Research in Clinical Practice Among Departmental and Charge Nurses

Belowska

Pańczyk

Gotlib

2014

Polish Journal of Public Health

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Introduction. The awareness of benefits arising from the use of the latest results of scientific research (EBNP -EvidenceBased Nursing Practice) among departmental and charge nurses is a necessary condition to ensure effective and safe health services and nursing care meeting the highest standards of patient care.Aim. The comparison of knowledge of and attitudes towards EBNP among nurses depending on their position. Material and methods. Twenty one departmental nurses (PO) (mean age 50.38 years, min. 37, max. 62, SD=7.35) and 20 Bachelor's degree students of a bridge programme (SSP) (mean age 43 years, min. 34, max. 55, SD=6.37). Qualitative study and analysis of the results, structured interview, extended focus.Results. PO and SSP were not able to define the acronyms EBM and EBP correctly and did not have detailed knowledge of the criteria for assessment of reliability of scientific literature. A majority of DN was familiar with the available journals for nurses and was aware of benefits resulting from using EBNP. The use of EBNP in everyday clinical practice in SSP group was limited by a lack of time, insufficient knowledge of English and access to the Internet, as well as working at the position that makes taking decisions on developing procedures and standards for nursing care impossible. Conclusions. The level of knowledge about EBNP in both groups was inadequate and needs urgent supplementation of knowledgeand skills of nurses with reference to this subject area. 2. The attitudes of nurses towards EBNP were different depending on their work position. Departmental nurses were aware of benefits resulting from using the most recent study results in everyday clinical practice and being up-to-date with medical knowledge. 3. The boundaries limiting the use of EBNP in everyday clinical practice by the study participants were objective and they require system changes with reference to the organization of work and the system of continuing education.

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“…In an earlier survey of APNs Gerrish et al (2011) identified that expertise in EBP is variable, with those possessing a master's degree being more confident than those with lower academic qualifications. Profetto-McGrath et al (2010) also identified the need for further development of APNs capacity to retrieve and transfer knowledge in order to increase the uptake of research findings into nursing practice. Educational preparation needs to enable APNs to develop the knowledge and skills to provide evidence-based care themselves, as well as develop skills in different strategies deemed to be effective in promoting EBP among their colleagues.…”

Section: Discussion Of Findingsmentioning

confidence: 99%

“…The aim of this study was to explore their impact in promoting EBP amongst FLNs. Goudreau (2007) and Profetto-McGrath et al (2010) assert that APNs are well equipped to help FLNs implement evidence-based change. Although it is widely 3 acknowledged that APNs have key role in promoting EBP (Davies et al 2006) among FLNs there is a paucity of research examining how APNs fulfil this expectation and what impact their influence may have.…”

Section: Introductionmentioning

confidence: 99%

The perceived impact of advanced practice nurses (APNs) on promoting evidence-based practice amongst frontline nurses: findings from a collective case study

McDonnell

Gerrish

Kirshbaum

et al. 2012

Journal of Research in Nursing

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The aim of this study was to explore the perceived impact of advanced practice nurses in promoting evidence-based practice amongst frontline nurses. A collective instrumental case study was undertaken involving five extended case studies and eighteen short case studies in a range of hospital and primary care settings across seven Strategic Health Authorities in England. The study participants were a purposive sample of twenty-three advanced practice nurses selected to represent a range of settings, clinical specialities, organisational responsibilities and ways of working. In-depth interviews were undertaken with the advanced practice nurse and up to ten interviews with health care professionals with whom they worked. For the extended case studies, non-participant observation and follow-up interviews were also undertaken. Data analysis drew on the principles of the Framework approach.From the perspectives of the participants, these advanced practice nurses enhanced the ability of frontline nurses to provide evidence-based care. They improved the competence, knowledge and skills of frontline nurses and empowered them to deliver care which they considered to be safer, holistic, more timely and of a higher standard. This is likely to have a positive effect on patient outcomes and on patient experience. However, this impact is inherently hard to capture. Key wordsadvanced nursing practice, case study research, evidence-based practice, nursing.

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Clinical Nurse Specialists' Approaches in Selecting and Using Evidence to Improve Practice

Abstract: This study indicates that although CNSs select and use evidence from a wide variety of sources, further development of their capacity to retrieve and transfer knowledge may increase the uptake of research findings in nursing practice.

Cited by 32 publications

References 53 publications

Perceived Outcomes of Research and Audit Activities of Clinical Specialists in Ireland

Perceived Outcomes of Research and Audit Activities of Clinical Specialists in Ireland

Comparison of Knowledge and Attitudes Towards the Use of Scientific Research in Clinical Practice Among Departmental and Charge Nurses

The perceived impact of advanced practice nurses (APNs) on promoting evidence-based practice amongst frontline nurses: findings from a collective case study

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