Systematic education has a positive impact on nurses' evidence-based practice: Intervention study results

Vaajoki, Anne; Kvist, Tarja; Kulmala, Markus; Tervo‐Heikkinen, Tarja

doi:10.1016/j.nedt.2022.105597

Cited by 8 publications

(6 citation statements)

References 21 publications

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“…Moreover, the current study found that nurses who took part in the web-based training program demonstrated improved EBP skills. This could be attributed to their increased awareness of EBP after the intervention, as reported in other studies [ 40 – 42 , 44 , 45 ].…”

Section: Discussionsupporting

confidence: 63%

Exploring the potential impact of applying web-based training program on nurses’ knowledge, skills, and attitudes regarding evidence-based practice: A quasi-experimental study

Mohamed,

Alhujaily,

Ahmed

et al. 2024

PLoS ONE

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Evidence-based practice (EBP) has gained significant importance in clinical practice worldwide, including in nursing. This study aimed to explore the potential impact of applying a web-based training program on nurses’ knowledge, skills, and attitudes regarding EBP. A quasi-experimental pretest-posttest research design was utilized with a purposive sample of 64 professional nurses who agreed to participate. The study took place in different hospitals and primary healthcare centers in the Bisha Governorate, Aseer region, Saudi Arabia. A four-week standardized web-based training program was implemented using an online learning approach. Nurses were provided with an online self-rated data collection tool through the Google Forms platform. The findings indicated a highly significant difference in the total knowledge and EBP skills mean scores of the post-intervention (53.08±15.9) and (66.03±8.95), respectively compared to pre-intervention (P<0.05). Additionally, there was marked improvement in the mean scores of the positive attitude of the training sessions post-intervention compared to pre-intervention. The program was also well-received by the nurses in terms of quality and usability. The program has the potential to enhance nurses’ knowledge, skills, and attitudes toward EBP. Therefore, healthcare organizations may consider adopting web-based training as a means of continuing professional education to promote EBP competencies among nurses.

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Section: Discussionsupporting

confidence: 63%

Exploring the potential impact of applying web-based training program on nurses’ knowledge, skills, and attitudes regarding evidence-based practice: A quasi-experimental study

Mohamed,

Alhujaily,

Ahmed

et al. 2024

PLoS ONE

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“…The positive results from preventive healthcare support those of previous studies (Furuki et al., 2023; Vaajoki et al., 2023), which highlight the role of nursing education in EBN actualization and the role of organizational culture and support from nursing managers (Furuki et al., 2023). In Finland, nurses working in preventive healthcare (e.g., in maternity and child health clinics or school health services) are mostly public health nurses who have a bachelor's degree (240 ECTS credits, 4 years full‐time education; FINLEX® 1129/2014) compared to, for example, those working in institutional care settings and home care which employs a large number of practical nurses with a vocational upper secondary qualification (180 competence points, 2–3‐years full‐time education; FINLEX® 531/2017).…”

Section: Discussionsupporting

confidence: 85%

“…The positive results from preventive healthcare support those of previous studies (Furuki et al, 2023;Vaajoki et al, 2023), which highlight the role of nursing education in EBN actualization and the role of organizational culture and support from nursing managers (Furuki et al, 2023) large number of practical nurses with a vocational upper secondary qualification (180 competence points, 2-3-years full-time education; FINLEX® 531/2017). We also know that practical rarely access current research evidence in their workplaces to guide their practice (Phillips & Neumeier, 2018).…”

Section: Discussionsupporting

confidence: 80%

Actualization of evidence‐based nursing in primary, specialized, and social care settings—A cross‐sectional survey

Hamari,

Holopainen,

Nyman

et al. 2024

Worldviews Ev Based Nurs

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BackgroundBasing practice on evidence is a widely acknowledged requirement for nursing, but shortcomings still exist. An increased understanding of the actualization of evidence‐based nursing (EBN) across different nursing contexts is needed to develop better support for EBN and promote uniform high‐quality nursing.AimsThe aim of this study was to compare the actualization of EBN in different organizational contexts in Finland.MethodsData for this survey were collected in 2021. The actualization of EBN in primary, specialized, and social care organizations was evaluated with the Actualization of Evidence‐Based Nursing instrument, nurses' version, which focuses on individual and organizational‐level EBN support structures. Differences between (1) specialized and primary healthcare, and (2) different nursing practice settings were tested with Welch's two sample t‐test, the Kruskal–Wallis rank sum test, and the Wilcoxon rank sum test.ResultsBased on nurse (n = 1020) evaluations, those working in specialized healthcare hold more positive attitudes toward EBN (p = .021) and evaluated their organization's methods for monitoring and evaluating nursing practices (p = .004) more positively than those working in primary healthcare. Regarding different nursing practice settings (n = 1241), the most positive results were observed within preventive healthcare where nurses evaluated their attitudes toward EBN, EBN competence, and personal evidence‐based practices more positively compared to other nursing practice settings. The results were parallel regarding several organizational structures for EBN. Positive results were also observed within somatic units at university hospitals, and most negative results were within institutional care settings, health centers, and home care settings.Linking Evidence to ActionThere is a need for targeted support to strengthen EBN across different organizational contexts, with special attention to those contexts where nursing professionals with lower education levels work. Future research needs to focus on further analyzing the organizational differences and what can be learned, especially from preventive healthcare but also somatic units at university hospitals.

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“…Johnson et al 36 designed an EBPsteps app as a teaching method for social care students to support their learning of EBP, and social care students received it well. Teaching nurses to develop evidence-based methods and consider how to implement them in practice is crucial 37 . The current study is an example of NLRNs as champions of adopting mobile health apps to integrate their clinical decision-making with evidence-based science for their best patient care.…”

Section: Discussionmentioning

confidence: 99%

“…Teaching nurses to develop evidence-based methods and consider how to implement them in practice is crucial. 37 The current study is an example of NLRNs as champions of adopting mobile health apps to integrate their clinical decision-making with evidence-based science for their best patient care. Achieving a better understanding of the strengths and limitations of PubMed4Hh mobile app is critical for advancing the use of EBP at the point of care, particularly redesigning the app to fit nurse's clinical workflow.…”

Section: Feature Articlementioning

confidence: 99%

PubMed4Hh: A Point-of-Care Mobile App for Evidence-Based Clinical Decision Support for Nurse Residents in Maryland

Gartrell,

Warren,

Fontelo

2023

CIN: Computers, Informatics, Nursing

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Evidence-based clinical decision-making is considered a core competency for professional nurses. However, barriers such as lack of time in clinical practice; information overload; restricted access to resources; lack of evidence appraisal skills, awareness, and knowledge; and unreliable resources prevent them from adopting evidence-based practice. This study examined the usefulness of the PubMed4Hh (PubMed for Handhelds) mobile application for clinical decision-making at the point of care among Maryland newly licensed RNs. Using iOS and Android smartphones, 178 newly licensed RNs participated in a 6-month trial from November 2019 to April 2020. Nurses manually entered free-text queries or used voice inputs on the “Patient, Intervention, Comparison, Outcome” or “askMEDLINE” search engines. The results retrieved were presented as journal article abstracts or short summaries called “the bottom line,” designed for quick reading at the point of care. Both Patient, Intervention, Comparison, Outcome and askMEDLINE were rated highly for their usefulness, and participants said they would continue using PubMed4Hh and recommend it to others. Newly licensed RNs had a significantly higher perception of the usefulness of PubMed4Hh when the results of “the bottom line” or abstracts confirmed, led, or modified their nursing skills, knowledge, or the patient's care plan.

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Systematic education has a positive impact on nurses' evidence-based practice: Intervention study results

Cited by 8 publications

References 21 publications

Exploring the potential impact of applying web-based training program on nurses’ knowledge, skills, and attitudes regarding evidence-based practice: A quasi-experimental study

Exploring the potential impact of applying web-based training program on nurses’ knowledge, skills, and attitudes regarding evidence-based practice: A quasi-experimental study

Actualization of evidence‐based nursing in primary, specialized, and social care settings—A cross‐sectional survey

PubMed4Hh: A Point-of-Care Mobile App for Evidence-Based Clinical Decision Support for Nurse Residents in Maryland

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