Evidence-based practice in primary care—An explorative study of nurse practitioners in Norway

Berland, Astrid; Gundersen, Doris; Bentsen, Signe Berit

doi:10.1016/j.nepr.2012.05.002

Cited by 21 publications

(32 citation statements)

References 15 publications

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“…However, this finding does not coincide with the study that demonstrated limited understanding among other primary health care nurses of the importance of updating their professional knowledge (6). Our result may be explained by the fact that all public health nurses have specialty training, which may well influence their views on professional development.…”

Section: Barriers and Skillscontrasting

confidence: 99%

“…In line with earlier research among nurses (6,32,33), our study shows that the public health nurses who completed the questionnaire rarely make direct use of research findings in their practice. This may be a cause for concern.…”

Section: Criticism Against Guidelinessupporting

confidence: 86%

“…Fewer studies have been conducted among nurses in the primary health service, but there is a growing body of research in this field as well (6,13,14). No earlier studies have surveyed how Norwegian public health nurses use sources of knowledge in general.…”

Section: Discussionmentioning

confidence: 99%

“…A Norwegian study conducted among nurses in the municipal health service (6) showed that the most frequently used sources of knowledge were personal experience, the experience of colleagues, knowledge acquired while training as a nurse, the patient's wishes, and health legislation. Research findings were rarely used.…”

mentioning

confidence: 99%

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Hvordan helsesøstre bruker kunnskapskilder

Weum¹,

Bragstad²,

Glavin³

2017

Sykepleien

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Background: Public health nursing is constantly evolving; the profession must adjust to new focus areas, new professional demands, new tasks and more responsibilities.Objectives: The study's objectives were to identify 1) the sources of knowledge that public health nurses use in practice, 2) what skills enable public health nurses to nd and assess research and national guidelines, 3) what barriers public health nurses encounter as they endeavour to nd and assess research and national guidelines, and 4) in uences that impact on their skills in assessing research-based knowledge.Method: This is a cross-sectional study which involved 708 public health nurses completing an online questionnaire. We used statistical analyses to investigate their use of sources of knowledge and the factors that may in uence their skills in assessing research-based knowledge. PEER-REVIEWED RESEARCH AuthorsResults: National guidelines, knowledge acquired while training as a public health nurse, personal experience and guidelines issued by local authorities were the most commonly used sources of knowledge. The most signi cant barriers reported were a shortage of time to nd research, and the challenge of understanding articles written in English. The public health nurses considered that they were generally adept at nding and assessing national guidelines, but that they were less pro cient at assessing research-based knowledge. The odds were signi cantly greater that public health nurses with a Master's degree, and public health nurses in fulltime employment, would consider themselves adept at assessing research. Conclusion:National guidelines constitute the source of knowledge most frequently used by public health nurses. In order to implement evidence-based professional practice, public health nurses must be pro cient at assessing the recommendations set out in national guidelines in combination with other sources of knowledge. A future national competence and development centre for services provided at community and school health care centres may come to play an important role in implementing national guidelines and safeguarding the quality of procedures issued by local authorities.The general population's access to research is ever-increasing. Public health nurses and other nurses must therefore be prepared to answer questions and to discuss findings from research. In line with the requirements for safety and high standards, the objective set out in the consultation draft of the new national professional guidelines for community and school health care centres is to offer health promotional and preventive services (1).Evidence-based practice involves making decisions in a professional capacity based on a combination of systematically obtained research-based knowledge, evidence-based knowledge and the patient's wishes and needs in the given situation (2-4). It is an important principle in evidence-based practice to search for research summaries and evidence-based reference works and guidelines before looking for single studies (5), as sh...

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Section: Barriers and Skillscontrasting

confidence: 99%

Section: Criticism Against Guidelinessupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Hvordan helsesøstre bruker kunnskapskilder

Weum¹,

Bragstad²,

Glavin³

2017

Sykepleien

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“…Wilson et al [46] similarly found that nurses working in GP practices lacked the confidence to deal with patients who had high levels of knowledge. A recent Norwegian study found that nurse practitioners rarely use research and rely on other sources of information such as: their own and their colleagues’ practical knowledge; knowledge gained from their nursing education; nursing literature; and guidance from experts [47]. Within the UK community nursing context, research found that health visitors did report reading nursing journals but were more likely to read editorials and news articles than research articles [23].…”

Section: Discussionmentioning

confidence: 99%

The challenges of communicating research evidence in practice: perspectives from UK health visitors and practice nurses

Bekkum

Hilton

2013

BMC Nurs

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BackgroundHealth practitioners play a pivotal role in providing patients with up-to-date evidence and health information. Evidence-based practice and patient-centred care are transforming the delivery of healthcare in the UK. Health practitioners are increasingly balancing the need to provide evidence-based information against that of facilitating patient choice, which may not always concur with the evidence base. There is limited research exploring how health practitioners working in the UK, and particularly those more autonomous practitioners such as health visitors and practice nurses working in community practice settings, negotiate this challenge. This research provides a descriptive account of how health visitors and practice nurses negotiate the challenges of communicating health information and research evidence in practice.MethodsA total of eighteen in-depth telephone interviews were conducted in the UK between September 2008 and May 2009. The participants comprised nine health visitors and nine practice nurses, recruited via adverts on a nursing website, posters at a practitioner conference and through recommendation. Thematic analysis, with a focus on constant comparative method, was used to analyse the data.ResultsThe data were grouped into three main themes: communicating evidence to the critically-minded patient; confidence in communicating evidence; and maintaining the integrity of the patient-practitioner relationship. These findings highlight some of the daily challenges that health visitors and practice nurses face with regard to the complex and dynamic nature of evidence and the changing attitudes and expectations of patients. The findings also highlight the tensions that exist between differing philosophies of evidence-based practice and patient-centred care, which can make communicating about evidence a daunting task.ConclusionsIf health practitioners are to be effective at communicating research evidence, we suggest that more research and resources need to be focused on contextual factors, such as how research evidence is negotiated, appraised and communicated within the dynamic patient-practitioner relationship.

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