The Evidence‐Based Practice Beliefs and Implementation Scales: Psychometric Properties of Two New Instruments

Melnyk, Bernadette Mazurek; Fineout-Overholt, Ellen; Mays, Mary Z.

doi:10.1111/j.1741-6787.2008.00126.x

Cited by 303 publications

(468 citation statements)

References 37 publications

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“…(18) report low levels of nurses' responsibility for implementing an evidence-based nursing approach. Melnyk et al (10) found a statistically significant correlation between the implementation of an evidence-based nursing approach and the level of nurses' education and their ability to assume responsibility at the workplace. Nursing must respond to the changing needs of healthy and ill populations -nurses' professional training programmes must be adapted, with nursing itself becoming a graduate profession (bachelor's degree as the basic level of education).…”

Section: Discussionmentioning

confidence: 99%

Nursing knowledge as a response to societal needs: a framework for promoting nursing as a profession

Savič¹,

Kydd²

2011

Slovenian Journal of Public Health

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Introduction: As the population needs for health care at the local level become integrated into the global context, nurses are given the opportunity to make a significant contribution to the modernization of the healthcare system and gain importance and recognition from the political perspective. Nursing today is confronted with the needs and demands of both healthy and ill populations -these can be the result of changing demographics, new technologies, a growing awareness of the rights and voiced expectations of service users etc. Slovenian nurses have the opportunity to make a significant contribution to the modernization of thethemselves. Colardyn and Bjornavold (4) have stressed the importance of different qualification levels within the European Quality Assurance Reference Framework and firmly believe that nursing must be placed at level 6, the university level for vocational training (level 5 represents traditional vocational training). Every country and their respective nursing associations, together with nursing associations at the European level, must work towards this goal. Nursing professionals should be asking themselves what level of knowledge they require, since the European directive for regulated professions is 35 years old and although it has undergone some minor amendments since then, these have not included a decision on the level of education, as is the case with doctors. Skela Savič (5) has shown that nurses are not the most desired group at universities. She also highlights the difficulties in integrating 4,600 hours of theoretical and practical nursing programme, as stated in the EU directive and the Bologna Process. She believes that the EU directive should include a training period for nurses. Under the current legislation, nurses are required to make independent decisions from the first day of work, which is not realistic. On the other hand, Benton (3)

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Section: Discussionmentioning

confidence: 99%

Nursing knowledge as a response to societal needs: a framework for promoting nursing as a profession

Savič¹,

Kydd²

2011

Slovenian Journal of Public Health

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“…Nurses' beliefs, skills, and knowledge related to EBP have an impact on the use of evidence in practice [8]. Strong beliefs in the value of EBP and positive attitudes toward it are associated with nurses' use of evidence in practice and are seen as important mediators in changing behavior related to EBP [9]. Given the influence of practitioners' beliefs on the successful implementation of EBP, a first step in its implementation may be to assess the nursing staff's beliefs regarding this approach.…”

Section: Introductionmentioning

confidence: 99%

Factor Analytical Examination of the Evidence-Based Practice Beliefs Scale: Indications of a Two-Factor Structure

Grønvik¹,

Ødegård²,

Bjørkly³

2016

OJN

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Background: Promotion of Evidence-Based Practice (EBP) in nursing appears to be developing slowly. Research indicates that nurses' beliefs in EBP may play an even more significant role than knowledge and resources in making implementation feasible. To address this issue, measurement of nurses' beliefs regarding EBP is paramount. Aims and objectives: This study explores the internal consistency reliability and the construct factor structure of the Norwegian version of the original EvidenceBased Practice Beliefs Scale (EBP-BS). Methods: The study has a Non-experimental exploratory survey design. A Norwegian translation of the EBP-BS was tested in a convenience sample of 118 healthcare professionals (95% nurses) attending a continuing education program at a University College in Norway. The response rate was 95% (n = 112). The internal consistency of the scale was measured by Cronbach's alpha, and an explorative Principal Component Analysis (PCA) was used to explore the construct structure. Results: The overall internal consistency of the EBP-BS was acceptable. The PCA indicated a four-factor structure. The psychometric properties of two of the factors were too weak for expanding to a four-factor model. Based on our investigation of the EBP-BS, we suggest a two-factor structure model. The factors were named 1) General knowledge and confidence concerning EBP and 2) Task specific beliefs in EBP. This finding differs from previous results that indicated a unidimensional structure. Conclusion: As a starting point, reliable and valid measurement of nurses' beliefs about EBP is required in order to identify possible obstacles and to optimize implementation in the individual clinical setting. Our results indicate that the EBP-BS has a two-factor structure. Further exploration of the factor structure is needed. Further empirical research may contribute to the resolving of controversies concerning basic understandings of the concept of EBP.

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“…[9] Other instruments were either not comprehensive enough or did not include the three topic domains of interest. For example, the belief and implementation scales by Melnyk et al [5] include knowledge questions, but do not dedicate a separate scale for assessing knowledge. Therefore, the aim of this study was to develop a concise and valid measure to assess nurse's value, knowledge and implementation of EBP.…”

Section: Introductionmentioning

confidence: 99%

“…[2] Despite wide acceptance as a gold standard to providing safe and high quality patient care, it is estimated that only a small percentage of nurses implement EBP on a consistent basis. [5] A lack of understanding of EBP and how evidence is integrated into practice has resulted in poor participation by nurses. [6] Consequently, evidence-based practice education has become a critical part of academic curricula and ongoing education programs for nurses with foci on the value of EBP * Correspondence: Fiona Paul; Email: Fiona.paul@childrens.harvard.edu; Address: Boston Children's Hospital, Boston, MA, United States.…”

Section: Introductionmentioning

confidence: 99%

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The development and content validity testing of the Quick-EBP-VIK: A survey instrument measuring nurses’ values, knowledge and implementation of evidence-based practice

Paul

Connor

McCabe

et al. 2016

JNEP

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Objective: A validated survey tool that concisely measures nurses' values, knowledge and implementation of evidence-based practice (EBP) is needed to develop needs-based curricula for continuing nurse education. Purpose: Develop a succinct measurement instrument, the Quick-EBP-VIK, assessing nurses' values, implementation and knowledge of EBP, to establish face and content validity. Methods: In Phase I-Review of the existing literature to establish topic domains, developed and refined questions. Phase II established face validity, and Phase III content validity using EBP experts as raters. Results and conclusions: Twenty-five questions met the clarity and relevance criteria with content validity indices of > 0.80. Questions were critically evaluated by EBP experts from both academic and clinical settings across the country for relevance and clarity and revised when indicated. The use of EBP experts and content validity indices resulted in a final survey instrument, measuring nurses' values, knowledge and implementation of EBP.

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The Evidence‐Based Practice Beliefs and Implementation Scales: Psychometric Properties of Two New Instruments

Cited by 303 publications

References 37 publications

Nursing knowledge as a response to societal needs: a framework for promoting nursing as a profession

Nursing knowledge as a response to societal needs: a framework for promoting nursing as a profession

Factor Analytical Examination of the Evidence-Based Practice Beliefs Scale: Indications of a Two-Factor Structure

The development and content validity testing of the Quick-EBP-VIK: A survey instrument measuring nurses’ values, knowledge and implementation of evidence-based practice

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