Nurses' evidence-based practice competence and hospital practice environment after specific training under the Best Practice Spotlight Organization® Programme. A cross sectional study

Fernández-Castro, Mercedes; López, María Isabel; Martín-Gil, Belén; Rodríguez-Soberado, Pilar; Rivas-González, Noel; Muñoz-Alvaredo, Laura; Río-García, Isaías del; Redondo-Pérez, Natán; Jiménez, José María

doi:10.1016/j.nedt.2023.105808

Cited by 8 publications

(2 citation statements)

References 28 publications

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“…Te #EvidencerMUSEBP model also suggests that the implementation strategy indirectly afects EBP competence and knowledge, mediated by the practice environment, suggesting that the strategy to facilitate the implementation of evidence also positively infuences these two aspects at a secondary level. Empirical evidence has demonstrated that training professionals on aspects related to the culture of change and EBP knowledge included in the BPSO ® program leads to improvements in EBP competence and knowledge [44]. Tese results confrm that the successful application of the EBP strategy tends to require a process of active change directed towards the use of the intervention by individuals and the organization [45] to achieve a change in the practice environment that, at the same time, infuences the competence of professionals.…”

Section: Discussionmentioning

confidence: 99%

Determinants of Evidence Implementation by Nurses: #Evidencer Model for the Use of Evidence-Based Practice (#EvidencerMUSEBP)—A Structural Equation Model

Ruzafa-Martínez,

Fernández-Salazar,

Leal-Costa

et al. 2024

Journal of Nursing Management

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Existing studies have identified specific factors influencing some dimensions of evidence-based practice (EBP) competence and use. However, the way these factors interact still needs to be clarified. The purpose of the study was to test a model based on the Determinant Frameworks that explain the relationships and the direct pathways between the characteristics of the nurses, the context, and the implementation strategies and the dimensions of EBP competence, attitude, knowledge, skills, and use of EBP. A cross-sectional study was carried out in Spain during January and February 2020, involving 2,370 nurses employed in public health centers across all autonomous communities within the National Health System. An online survey was administered to gather data, addressing various topics related to the nurses’ characteristics, the context in which they worked, the implementation strategy, and their competence in evidence-based practice (EBP). As depicted in the conceptual framework, a structural equation model was constructed to test the hypothesized relationships among key study variables. The model obtained showed a good fit (χ2/df = 3.20, p<0.001; RMSEA = 0.030 [90% CI 0.025, 0.036]; CFI = 0.989; GFI = 0.990; TLI = 0.983). The context, more specifically, the dimensions of nurse participation in the center’s affairs, nursing foundations for quality of care, nurse manager ability leadership and support of nurses, and implementation strategy have a direct and positive effect on EBP use. Training in EBP, reading scientific articles, and having a doctorate are associated with higher competence and knowledge in EBP. The final fit shows the #Evidencer model for the use of EBP (#EvidencerMUSEBP) with two main components: the contextual and strategic factors that influence the implementation of EBP and the characteristics of the professionals, such as their training and reading of articles, which have an impact on EBP competence. This model could guide healthcare organizations in proposing comprehensive interventions to improve EBP use and the competency of nurses.

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Section: Discussionmentioning

confidence: 99%

Determinants of Evidence Implementation by Nurses: #Evidencer Model for the Use of Evidence-Based Practice (#EvidencerMUSEBP)—A Structural Equation Model

Ruzafa-Martínez,

Fernández-Salazar,

Leal-Costa

et al. 2024

Journal of Nursing Management

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“…Nurses’ competency is defined as “an expected and measurable level of nursing performance that integrates knowledge, skills, abilities, and judgment, based on established scientific knowledge and expectations in nursing practice” [ 1 , 5 ]. For this reason, researchers stress the need for cultivating nurses’ EBP competencies, even from the undergraduate level, and focus on designing educational programs and digital tools for undergraduate and postgraduate students, as well as professional nurses [ 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 ]. In this direction, health organizations aim to reach a high level of practice and the best quality patient outcomes, while they highlight the necessity to evaluate nurses’ EBP in order to provide evidence-based, high-quality, and cost-effective care [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

Evidence-Based Practice Competency of Registered Nurses in the Greek National Health Service

Schetaki,

Patelarou,

Giakoumidakis

et al. 2023

Nursing Reports

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Nurses’ competency toward evidence-based practice (EBP) has been extensively investigated by several studies worldwide. However, factors affecting the competence of Greek nurses working in the NHS have not been fully investigated in terms of EBP. Thus, this study aimed to explore the impact of the individual qualifications of nurses on their competence toward EBP. Data from 473 registered nurses working in 10 hospitals in the Greek National Health Service (NHS) were collected between October and December 2020 using a convenience sampling method in a cross-section design. The Greek version of the 35-item (five-point Likert scale) Evidence-Based Practice Competency Questionnaire for Professional Registered Nurses (EBP-COQ Prof) was used to assess the competence level of nurses, focusing on attitudes, skills, and knowledge, as well as the utilization of EBP in clinical practice. One-way ANOVA and Pearson coefficient tests were applied to compare the possible differences among variables (two or more groups) as appropriate. A multi-factorial regression model was applied to explore participants’ qualifications, including demographics (MSc degree, gender, English language knowledge, etc.) as independent variables, and to control for potential confounding effects toward EBP competency. The p-values < 0.05 were considered statistically significant. The mean age of the 473 participants (402 women and 71 men) was 44.7 ± 9.2 years old. The mean value of competence subscales was found as follows: attitudes 3.9 ± 0.6, knowledge 3.7 ± 0.6, skills 3.1 ± 0.8, and utilization 3.4 ± 0.7. A multivariate regression analysis revealed that associates of “Master’s degree” (t = 3.039, p = 0.003), “Writing an academic article” (3.409, p = 0.001), “Working in a University clinic” (2.203, p = 0.028), and “Computer Skills” (2.404, p = 0.017) positively affected “Attitudes”, “Knowledge”, “Skills”, and “Utilization”, respectively. The research data suggest that nurses working in the Greek NHS were limited in competence regarding EBP in comparison with other European countries. Therefore, vocational, educational, and training programs tailored to EBP enhancement are crucially important. This study was not registered.

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Implementation and sustainability of best practice guidelines: a tale of three hospitals

Qin,

Wang,

Tao

et al. 2024

JBI Evidence Implementation

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Objective: This study explores factors that affect the sustainable implementation of best practice guidelines (BPGs) and provides a basis for developing corresponding action strategies to promote project sustainability. Methods: Using the NHS (National Health Service) questionnaire scoring system, surveys were conducted among nurses who implemented BPGs in three hospitals in China. Data were analyzed using statistical analysis. We adhered to the STROBE guidelines for cross-sectional studies. Results: The average total score was 85.18/100, while the average scores of the process dimension, staff dimension, and organization dimension were 25.85, 45.88, and 13.45, respectively. The average score of the three dimensions was 83.12%, 87.56%, and 81.52%, respectively. This means that the three dimensions of the NHS SM had high scores and the implemented BPGs had a high likelihood of being sustained. The sustainable implementation of guidelines involves three factors: project characteristics, staff dimensions, and organizational environment. Conclusion: Important factors that influence project sustainability include the clinical value of the project, a supportive environment provided by human resources and project infrastructure, and the degree of cooperation between interprofessional teams. Spanish abstract: http://links.lww.com/IJEBH/A305

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Nurses' evidence-based practice competence and hospital practice environment after specific training under the Best Practice Spotlight Organization® Programme. A cross sectional study

Cited by 8 publications

References 28 publications

Determinants of Evidence Implementation by Nurses: #Evidencer Model for the Use of Evidence-Based Practice (#EvidencerMUSEBP)—A Structural Equation Model

Determinants of Evidence Implementation by Nurses: #Evidencer Model for the Use of Evidence-Based Practice (#EvidencerMUSEBP)—A Structural Equation Model

Evidence-Based Practice Competency of Registered Nurses in the Greek National Health Service

Implementation and sustainability of best practice guidelines: a tale of three hospitals

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