Comparison of evidence-based practice between physicians and nurses: A national survey of regional hospitals in Taiwan

Chiu, Yu‐Han; Weng, Yi Ming; Lo, Heng-Lien; Hsu, Chih‐Cheng; Shih, Ya-Hui; Kuo, Ken N.

doi:10.1002/chp.20070

Cited by 40 publications

(43 citation statements)

References 33 publications

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“…13,23 Our results indicate that RTs encounter a number of impedances. Overall, lack of convenient kits and insufficient numbers of capable designated personnel were the most common barriers.…”

Section: Discussionmentioning

confidence: 71%

“…When compared with physicians in Taiwan, 13 the knowledge and skills of EBP among Taiwanese RTs is relatively low. The likely explanation is that physicians have been persuaded to follow EBP longer than RTs have.…”

Section: Discussionmentioning

confidence: 95%

“…The findings are in accordance with reports about physicians, nurses, and the other allied health professionals. [12][13][14][15][16][17][18] To our knowledge, this study is the first to explore the EBP profile of registered RTs.…”

Section: Discussionmentioning

confidence: 99%

“…A number of studies have illustrated that, although a majority of medical, nursing, pharmacologic, and allied health professions hold positive attitudes toward EBP, their knowledge and skill pertaining to EBP implementation are relatively insufficient. [12][13][14][15][16][17][18] Whether or not RTs practice with evidence, and, if so, how, has been unclear. 19 RTs have to deal with a broad range of medical problems in clinical practice.…”

Section: Introductionmentioning

confidence: 99%

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Profile of Evidence-Based Practice Among Respiratory Therapists in Taiwan

et al. 2013

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BACKGROUND: Evidence-based practice (EBP) has been proposed as a core competence to improve healthcare quality. The profile of EBP among respiratory therapists (RTs) has not been explored. We investigated how RTs in Taiwan perceive the implementation of EBP. METHODS: We surveyed RTs in Taiwan's regional hospitals during a 4-month period in 2011. RESULTS: A majority of RTs were aware of EBP (88.0%). Although most RTs held a favorable impression of EBP, their knowledge of and skill in EBP implementation were deficient. Only half of the RTs had implemented EBP. Insufficient convenient kits (59.1%), deficient designated personnel (50.0%), and lack of time (45.5%) were major barriers to implementing EBP. RTs rated MEDLINE as the most commonly used evidence-based retrieval database, followed by UpToDate, IntroductionEvidence-based practice (EBP) means clinical practice that is consistent with the current best evidence. EBP integrates clinical epidemiology, biostatistics, research methods, and informatics into healthcare. 1,2 The process of EBP mainly involves 4 steps: framing a clear question based on a clinical problem; finding relevant evidence in the literature; critically appraising the validity of the research; and applying the findings to clinical decision-making. 3 Respiratory care is increasingly utilized, with the associated respiratory therapists (RTs) playing an important role in supporting related clinical services. [4][5][6][7] proposed as a useful means to improve healthcare outcomes for RTs. [8][9][10][11] Therefore it is essential to assess how RTs implement EBP in clinical decision-making. A number of studies have illustrated that, although a majority of medical, nursing, pharmacologic, and allied health professions hold positive attitudes toward EBP, their knowledge and skill pertaining to EBP implementation are relatively insufficient. 12-18 Whether or not RTs practice with evidence, and, if so, how, has been unclear. 19 RTs have to deal with a broad range of medical problems in clinical practice. 20 RTs play an important role in the prevention and management of respiratory diseases. 21 Timely acquired relevant information is important for their clinical practice. Access to evidence-based information can help facilitate effective management. Therefore, how to obtain current evidence-based knowledge is a critical skill. Nevertheless, only a few studies surveyed the behavior of RTs in searching for evidence-based information.We surveyed RTs in Taiwan regarding their awareness of EBP related to beliefs, attitudes, knowledge, skills, and implementation. MethodsThe ethical review board of the Taiwan National Health Research Institutes approved the study protocol. The survey was accompanied by an introductory letter stating the purpose of this study and promising confidentiality. Return of the completed questionnaire was considered consent for participation.

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Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Profile of Evidence-Based Practice Among Respiratory Therapists in Taiwan

et al. 2013

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“…In Taiwan's regional hospitals, physicians carry a heavy clinical load and often lack the time to search for evidence-based information 18 23. Under a collaborative project since the beginning of 2007, the National Health Research Institutes (NHRI) has offered them free access to Cochrane reviews to promote the application of EBM.…”

Section: Introductionmentioning

confidence: 99%

Dissemination of systematic reviews in a hospital setting: a comparative survey for spreading use of the Cochrane Library

Weng

Hsu

Shih

et al. 2012

Postgraduate Medical Journal

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Creating room for evidence‐based practice: Leader behavior in hospital wards

Renolen

Hjälmhult

Høye

et al. 2019

Research in Nursing & Health

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The integration (routinizing and sustaining) of evidence‐based practice (EBP) into hospital management is a key element for improving patient safety and ensuring better patient outcomes. Hospital managers and clinical leaders play crucial roles in this integration. Interactions between leaders and integration context influence the improvement's quality, but leader‐based actions that are effective for improving nursing practice remain unclear. The relationship between leaders could also either hinder or enable this implementation process. The aim of this study was to generate a theory about patterns of leader behavior that leaders are engaged in when attempting to integrate EBP in a clinical setting. We used a classic grounded theory methodology to generate a substantive EBP theory. In this study, through participant observation, we observed 63 nurses (15 specialist, 39 registered, and 9 assistant nurses). From these, five ward leaders (two head nurses, one assistant head nurse, and two teaching nurses) participated in individual interviews, and 18 clinical nurses participated in four focus groups. “Creating room for EBP” emerged as a theory for explaining the way in which the leaders attempted to resolve their main concern: How to achieve EBP treatment and care with tight resources and without overextending the nurses. Creating room for EBP encompasses a process of interactions, including positioning for, executing, and interpreting responses to EBP.

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Comparison of evidence-based practice between physicians and nurses: A national survey of regional hospitals in Taiwan

Cited by 40 publications

References 33 publications

Profile of Evidence-Based Practice Among Respiratory Therapists in Taiwan

Profile of Evidence-Based Practice Among Respiratory Therapists in Taiwan

Dissemination of systematic reviews in a hospital setting: a comparative survey for spreading use of the Cochrane Library

Creating room for evidence‐based practice: Leader behavior in hospital wards

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