Nurses' experience of integrating evidence‐based changes into their practice: A qualitative study

Khoddam, Homeira; Modanloo, Mahnaz; Mehrdad, Neda; Heydari, Fatemeh; Talebi, Razieh

doi:10.1002/nop2.1898

Cited by 3 publications

(2 citation statements)

References 63 publications

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“…Specifically, nurses holding a diploma or post‐graduate degree stated more obstacles than nurses who hold a bachelor's degree. The studies by (Alqahtani et al., 2022 ; Khoddam et al., 2023 ; Pitsillidou et al., 2021 ) are in a similar vein with our study findings.…”

Section: Discussionsupporting

confidence: 93%

“…Regarding the feasible method of implementing the EBP strategy, the educational intervention, adopting clinical practice guidelines and clinical protocol were the most prevalent strategies for using and distributing the EBP approach, resulting in more favourable practice environments and reducing the variability of care as reported by the participants, according to the current study. This finding is in line with Khoddam et al (2023).…”

Section: Discussionsupporting

confidence: 90%

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Nurses' experiences and perspectives regarding evidence‐based practice implementation in healthcare context: A qualitative study

Mohamed,

Alhujaily,

Ahmed

et al. 2024

Nursing Open

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AimTo explore nurses' experiences and perspectives about evidence‐based practice (EBP) implementation in the healthcare context.DesignA qualitative descriptive study design using focus group discussions (FGDs).MethodSixty‐four nurses who purposefully selected and worked at various healthcare organizations in Bisha Governorate, Saudi Arabia, were included. Eight FGDs were used to obtain data using open‐ended questions. The collected data underwent inductive qualitative content analysis.ResultsTwo main categories were extracted: experiences and perspectives towards EBP. The experiences category emerged into four sub‐categories: familiarity with concepts and benefits, steps, dissemination sources of EBP and sources of EBP knowledge, while perspectives towards the EBP category included four sub‐categories: application of EBP in clinical practice, barriers, facilitators and EBP application methods. The participants experienced being in a non‐supportive and non‐encouraging atmosphere which results from a lack of organizational commitment to EBP implementation and illuminates the complexities involved in the integration process.ConclusionThe nurses' experience with EBP indicated that there was limited support for the implementation of this approach. Furthermore, they experienced varying barriers to EBP implementation. They viewed EBP as a complex technique as they lacked knowledge and skills related to the formulation of research questions, and retrieving, applying and disseminating of EBP in clinical practice decision‐making. That is due to barriers pertinent to the individual, organizational and patient factors. The key to successfully implementing an EBP in nursing practice is to promote professional development, comprehensive and continuous training, a culture of change, organizational support and motivation.Clinical RelevanceThrough the construction and provision of ongoing educational interventions and mentoring programmes about EBP, healthcare organizations and nursing leadership may develop a comprehensive strategy to encourage staff nurses' participation in the EBP process. This is to enhance nurses' experiences and perspectives towards the EBP approach and overcome the barriers to effective implementation.No Patient or Public Contribution to this StudyPatients or the general public were not involved in the design, analysis or interpretation of the data in this study.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 90%

Nurses' experiences and perspectives regarding evidence‐based practice implementation in healthcare context: A qualitative study

Mohamed,

Alhujaily,

Ahmed

et al. 2024

Nursing Open

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Nurses' experience of integrating evidence‐based changes into their practice: A qualitative study

et al. 2023

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AimTo explore the experiences of neonatal and NICU nurses on participating in evidence‐based changes in their neonatal pain management practice.DesignIt is a qualitative conventional content analysis.MethodsA purposive sample with nurses working in neonatal and NICUs was used. The data were collected through 11 semi‐structured in‐depth individual interviews, five focused group discussions, and observations and analyzed using the conventional content analysis method based on the Elo and Kyngäs model. The COREQ checklist was used for writing the report.ResultsAnalysis of gathered data led to the emergence of four themes, including ‘being in a supportive and encouraging atmosphere’, ‘a journey from resistance to adherence’, ‘achieving multi‐dimensional improvements’, and ‘facing obstructive challenges’.

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Interventional Strategies to Mitigate Maternal Stress and Enhance Coping Skills During Neonatal Admission Into Intensive Care Units in Low‐ and Middle‐Income Countries: A Scoping Review

Siva,

Velayudhan,

Nayak

et al. 2024

Nursing Open

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BackgroundMothers of high‐risk neonates experience tremendous stress during neonatal intensive care unit (NICU) admission. This stress has a negative impact on mothers' participation in neonatal care activities, psychological health and coping skills in the NICU.ObjectiveTo determine the impact of interventional strategies to reduce maternal stress and enhance coping skills during neonatal admission to the NICU.DesignA scoping review was carried out following the methodological framework outlined by Arksey and O'Malley.MethodsThis scoping review was conducted as per the Joanna Briggs Institute guidelines, including a quality appraisal checklist for randomised and nonrandomised controlled trials. Patterns, advances, gaps, evidence for practice and research recommendations from the review (PAGER framework) were used to report the results. The following international databases were used to search for primary articles: Medline via PubMed, EBSCOhost via CINAHL, Scopus, Web of Science and the ProQuest Medical Library. Original studies published in English between January 2011 and January 2023 from low‐ and middle‐income countries (LMICs) that assessed maternal stress and coping skills during neonatal NICU admission were included in the review.ResultsThe review included 15 articles from LMICs, of which 60% were from middle‐income, 25% were from lower‐middle‐income and 15% were from low‐income countries. Interventional strategies were described under five categories. Maternal stress decreased significantly across all three subscales of the PSPS: ‘sight and sound’, ‘baby looks and behavior’ and ‘parental relationship with baby and role alteration’ during neonatal NICU admission. Interventional strategies involving family‐centred care and emotional and psychological supportive care have been reported to have a consistently positive impact on alleviating maternal stress and enhancing coping skills in the NICU.ConclusionHealthcare professionals, especially nurses, are pivotal in promptly recognising maternal stress and NICU stressors. The participation of mothers in neonatal care, such as through family‐centred care and emotional support interventions, significantly reduces maternal stress and enhances coping skills.

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Nurses' experience of integrating evidence‐based changes into their practice: A qualitative study

Cited by 3 publications

References 63 publications

Nurses' experiences and perspectives regarding evidence‐based practice implementation in healthcare context: A qualitative study

Nurses' experiences and perspectives regarding evidence‐based practice implementation in healthcare context: A qualitative study

Nurses' experience of integrating evidence‐based changes into their practice: A qualitative study

Interventional Strategies to Mitigate Maternal Stress and Enhance Coping Skills During Neonatal Admission Into Intensive Care Units in Low‐ and Middle‐Income Countries: A Scoping Review

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