Readiness of U.S. Nurses for Evidence-Based Practice

Pravikoff, Diane S.; Tanner, Annelle; Pierce, Susan

doi:10.1097/00000446-200509000-00025

Cited by 504 publications

(408 citation statements)

References 9 publications

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“…[51] In comparison RNs have a tendency to look up information more frequently than the other personnel studied.…”

Section: Resourcesmentioning

confidence: 95%

Evidence calls for practice change in intramuscular injection techniques

Strohfus

Paugh²,

Tindell³

et al. 2017

JNEP

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Background and Objective: Intramuscular (IM) injections are administered to patients in all health care settings. Even though this procedure is invasive and the evidence supporting the process of administration is extensive, techniques and procedures vary throughout the literature and in practice. The purpose of this descriptive correlational study was to 1) investigate the literature on current evidence-based IM injection procedures pertaining to gender, patient weight, injection site, needle length, and technique, 2) compare surveyed healthcare personnel self-reported IM injection practices, and 3) query respondents on informational resources they access, continuing education they receive, and their years of healthcare experience and higher education. Methods: The Intramuscular Injection Questionnaire (IIQ) was sent via email to various professional healthcare facilities and their respective social media sites. Two hundred and six (206) healthcare personnel of various healthcare backgrounds and educational levels accessed the IIQ via a link to Qualtrics software. SPSS Version 24 was used for data analysis. Results: Most respondents were registered nurses with 4 -15+ years of experience. Seventy-eight percent of respondents considered their IM injection knowledge at above average or expert levels. Gender was not considered an important factor when selecting an injection needle among 75% of participants. Of all respondents, 61% use z-track technique, 59% use the ventrogluteal site and 34% always bunch or stretch the skin during injection. IM injection education was not provided in 75% of healthcare facilities. Conclusions: IM injection practices vary among respondents and in the literature; some reported practices are contrary to current evidence-based practice. While the evidence provides some sound recommendations, some procedures are not well-documented or supported including in nursing texts. Nurses and other healthcare personnel must critically analyze the site, depth, needle, volume, medication, vaccine, and whether to bunch or stretch, according to evidence-based practice. Healthcare facilities should provide IM injection education routinely to ensure safe practices. Future studies (Level 1 and 2) are needed to further demonstrate the best evidence leading to safe and effective IM injections.

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“…[51] In comparison RNs have a tendency to look up information more frequently than the other personnel studied.…”

Section: Resourcesmentioning

confidence: 95%

Evidence calls for practice change in intramuscular injection techniques

Strohfus

Paugh²,

Tindell³

et al. 2017

JNEP

View full text Add to dashboard Cite

show abstract

“…또한 각 종 생명 유지 장치의 적용 기간 및 재원일 단축과 함께 의료비 지출의 절감 효과를 얻는 등 중환자 간호성과에 긍정적인 효 과가 있음이 나타났다 (Bonello et al, 2008;Hatler et al, 2006). 근거기반실무에 대한 이해와 적극적인 수행이 환자 성 과에 긍정적인 효과가 있음에도 불구하고, 실제 임상현장에서 의 그 인식과 수행은 매우 저조하였다 (Oh, 2008;Oh, Oh, & Lee, 2004;Pravikoff, Tanner, & Pierce, 2005). 표준지침으 로 통용되는 CDC의 감염관리 관련 근거기반 실무지침에 관한 지식의 경우, 중환자실 간호사의 정답률은 약 40%에 그쳤고, 실무지침의 수행률 역시 60% 수준으로 저조하였다 (Labeau et al, 2009;Plost & Nelson, 2007).…”

Section: 실제로 감염관리를 위해서 중환자실 간호사 교육을 포함한unclassified

Level of Knowledge on Evidence-based Infection Control and Influencing Factors on Performance among Nurses in Intensive Care Unit

Yoo

Hur

et al. 2012

Korean J Adult Nurs

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Purpose: This study was to identify the level of knowledge and performances on evidence-based infection control and influencing factors on performance among nurses in intensive care unit. Methods: A descriptive crosssectional survey design was used. Two hundred thirty-nine nurses at intensive care units were conveniently recruited from seven hospitals located in Seoul and Kyounggi province. Data were collected with a questionnaire survey about evidence-based infection control. Data were analyzed using SPSS/WIN 17.0 program. Results: Both level of knowledge (mean 9.15 out of 19) on preventing ventilator-associated pneumonia and central venous catheter induced bloodstream infection, and performance on evidence-based infection control (1.94 out of 4) were moderate. Performance of evidence-based practice for infection control was related to reading research articles regularly, professional satisfaction, and taken education course. Conclusion: These results indicate that systematic and organizational strategies for enhancing evidence-based infection control are needed to improve quality of intensive nursing care.

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“…2 Yet studies continue to suggest that nurses at the bedside lack the resources and knowledge necessary to change the traditional nursing culture to a culture of inquiry with the daily application of the best evidence. 3 So how do bedside clinicians change practice? Today, practice changes can occur by increasing the involvement of bedside clinicians and providing knowledge and skills to implement best practices.…”

Section: Changing Practice and The Bedside Nurse: The Evidencebased Pmentioning

confidence: 99%

So You Want to Change Practice: Recognizing Practice Issues and Channeling Those Ideas

Lusardi

2012

Critical Care Nurse

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Applying the best evidence to support nursing practice and generating new knowledge for use in practice are the hallmarks of excellence and allow practitioners to meet patient care quality and safety priorities. Although identifying a patient care problem comes easily to staff nurses, the process of clarifying the problem and channeling those ideas through to a practice change can be daunting for bedside nurses. This article provides guidance to staff nurses who want to identify a clinical problem and change practice.

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Readiness of U.S. Nurses for Evidence-Based Practice

Cited by 504 publications

References 9 publications

Evidence calls for practice change in intramuscular injection techniques

Evidence calls for practice change in intramuscular injection techniques

Level of Knowledge on Evidence-based Infection Control and Influencing Factors on Performance among Nurses in Intensive Care Unit

So You Want to Change Practice: Recognizing Practice Issues and Channeling Those Ideas

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