Beliefs and implementation of evidence-based practice among nurses with a higher education degree (2. Part)

A cross-sectional study

Authors

  • Brigita Skela-Savič Angela Boškin Faculty of Health Care, Spodnji Plavž 3, 4270 Jesenice, Slovenia https://orcid.org/0000-0002-1028-5383
  • Bojana Lobe University of Ljubljana, Faculty of Social Sciences, Kardeljeva ploščad 5, 1000 Ljubljana, Slovenia
  • Urban Bole Psychiatric hospital Idrija, Pot sv. Antona 49, 5280 Idrija, Slovenia

DOI:

https://doi.org/10.14528/snr.2022.56.4.3126

Keywords:

knowledge, internationalisation of higher education, interest in research, healthcare policy, healthcare management, advanced nursing

Abstract

Introduction: Nursing professionals are still not sufficiently empowered to use evidence-based practice competences. The aim of the study was to identify the factors shaping the beliefs on and implementation of evidence-based practice among nurses working in the Slovenian health care system.
Methods: This study used a cross-sectional research design. A total of 1,014 nurses with a higher education degree from all three levels of the health care system participated in the study. Two scales were used: EBP Beliefs Scale and EBP Implementation Scale. Data were processed using descriptive, exploratory, and explanatory
methods.
Results: Overall, a total of 325 participants (38.8%) had received education and training in research, compared to 280 of those (34%) who had received education and training in evidence-based practice. Self-assessed knowledge about research and evidence-based practice was highest among respondents with a master’s degree. Beliefs about evidence-based practice were explained by  self-assessed knowledge of evidence-based practice (β = 0,249) and research (β = 0,162), total years of employment (β = ‒0,124), job satisfaction (β = 0,117), training in evidence-based practice (β = 0,092), and master's degree  (β = 0,077). Implementation of evidence-based practice is explained by beliefs regarding evidence-based practice (β = 0,306) and employment at a community health centre (β = 0,132).
Discussion and conclusion: Lack of knowledge in  research and evidence-based practice and the importance of knowledge obtained through master's programmes are central to developing beliefs regarding evidencebased  practice and improving its implementation. Career development at the primary level focused on taking on new roles and linked to both postgraduate education and independent work in nursing proved to be an important factor in the implementation of evidence-based practice.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Albarqouni, L., Hoffmann, T., Straus, S., Olsen, N. R., Young, T., Ilic, D. … Glasziou, P. (2018). Core competencies in evidencebased practice for health professionals: Consensus statement based on a systematic review and delphi survey. JAMA Network Open, 1(2), Article e180281. https://doi.org/10.1001/jamanetworkopen.2018.0281 PMid:30646073

Albreht, T., Polin, K., Pribaković Brinovec, R., Kuhar, M., Poldrugovac, M., Ogrin Rehberger, P. ... Vracko, P. (2021). Slovenia: Health system review. Health Systems in Transition, 23(1), 72–83.

Aynalem, Z. B., Yazew, K. G., & Gebrie, M. H. (2021). Evidence-based practice utilization and associated factors among nurses working in Amhara Region Referral Hospitals, Ethiopia. PloS One, 16(3), Article e0248834. https://doi.org/10.1371/journal.pone.0248834 PMid:33740000; PMCid:PMC7978364

Bole, U. (2018). Odnos visokošolsko izobraženih medicinskih sester v primarnem zdravstvenem varstvu do na dokazih podprte prakse (magistrsko delo). Fakulteta za zdravstvo Angele Boškin, Jesenice.

Bole, U., & Skela-Savič, B. (2019). Odnos visokošolsko izobraženih medicinskih sester v primarnem zdravstvenem varstvu do na dokazih temelječe prakse. In K. Pesjak, S. Pivač, (Eds.), 12. mednarodna znanstvena konferenca Izzivi in potrebe družbe na področju preventive in promocije zdravja na vseh ravneh zdravstvenega varstva, Hotel Astoria Bled, 6. junij 2019 (pp. 132–139). Jesenice: Fakulteta za zdravstvo Angele Boškin.

Birken, S. A., & Currie, G. (2021). Using organization theory to position middle-level managers as agents of evidence-based practice implementation. Implementation Science, 16(1), 37. https://doi.org/10.1186/s13012-021-01106-2 PMid:33836781; PMCid:PMC8034157

Camargo, F. C., Iwamoto, H. H., Galvão, C. M., Pereira, G. A., Andrade, R. B., & Masso, G. C. (2018). Competences and barriers for the evidence-based practice in nursing: An integrative review. Revista Brasileira de Enfermagem, 71(4), 2030–2038. https://doi.org/10.1590/0034-7167-2016-0617 PMid:30156693

Cheng, L., Feng, S., Hu, Y., & Broome, M. E. (2018). Leadership practices of nurse managers for implementing evidence-based nursing in China. Journal of Nursing Management, 26(6), 671–678. https://doi.org/10.1111/jonm.12594 PMid:29464807

Crawford, C. L., Rondinelli, J., Zuniga, S., Valdez, R. M., Cullen, L., Hanrahan, K., & Titler, M. G. (2020). Testing of the nursing evidence-based practice survey. Worldviews on Evidence-Based Nursing, 17(2), 118–128. https://doi.org/10.1111/wvn.12432 PMid:32233058

Dagne, A. H., Beshah, M. H., Kassa, B. G., & Dagnaw, E. H. (2021). Implementation of evidence-based practice and associated factors among nurses and midwives working in Amhara Region government hospitals: A cross-sectional study. Reproductive Health, 18(1), 36. https://doi.org/10.1186/s12978-021-01096-w PMid:33579309; PMCid:PMC7881559

Dessie, G., Jara, D., Alem, G., Mulugeta, H., Zewdu, T., Wagnew, F. … Burrowes, S. (2020). Evidence-based practice and associated factors among health care providers working in public hospitals in Northwest Ethiopia during 2017. Current Therapeutic Research, Clinical and Experimental, 93, Article 100613. https://doi.org/10.1016/j.curtheres.2020.100613 PMid:33306046; PMCid:PMC7708748

Dolezel, J., Zelenikova, R., Finotto, S., Mecugni, D., Patelarou, A., Panczyk, M. … Jarosova, D. (2021). Core evidence-based practice competencies and learning outcomes for European nurses: Consensus statements. Worldviews on Evidence-based Nursing, 18(3), 226–233. https://doi.org/10.1111/wvn.12506 PMid:34031973; PMCid:PMC8251814

Directive 2013/55/EU of the European Parliament and of the Council of 20 November 2013 amending Directive 2005/36/EC on the recognition of professional qualifications and Regulation (EU) No 1024/2012 on administrative cooperation through the Internal Market Information System (‘the IMI Regulation’). Retrieved from https://eur-lex.europa.eu/LexUriServ/LexUriServ.do?uri=OJ:L:2013:354:0132:0170:en:PDF

Fu, Y., Wang, C., Hu, Y., & Muir-Cochrane, E. (2020). The barriers to evidence-based nursing implementation in mainland China: A qualitative content analysis. Nursing & Health Sciences, 22(4), 1038–1046. https://doi.org/10.1111/nhs.12763 PMid:32713063

Gallagher-Ford, L., & Connor, L. (2020). Transforming healthcare to evidence-based healthcare: A failure of leadership. The Journal of Nursing Administration, 50(5), 248–250. https://doi.org/10.1097/NNA.0000000000000878 PMid:32317566

Gallagher-Ford, L., Koshy Thomas, B., Connor, L., Sinnott, L. T., & Melnyk, B. M. (2020). The effects of an intensive evidencebased practice educational and skills building program on EBP competency and attributes. Worldviews on Evidence-Based Nursing, 17(1), 71–81. https://doi.org/10.1111/wvn.12397 PMid:32017438

Haddad, L. M., Annamaraju, P., & Toney-Butler, T. J. (2020). Nursing shortage. In StatPearls. StatPearls Publishing. PMid:29630227

International Council of Nurses (ICN) (2020). Guidelines on advanced nursing practice. Geneva: International Council of Nurses.

Maier, C., Aiken, L., & Busse, R. (2017). Nurses in advanced roles in primary care: Policy levers for implementation. OECD Health Working Papers, 98. https://doi.org/10.1787/a8756593-en

Melnyk, B. M., Gallagher-Ford, L., Zellefrow, C., Tucker, S., Thomas, B., Sinnott, L. T., & Tan, A. (2018). The first U.S. study on nurses' evidence-based practice competencies indicates major deficits that threaten healthcare quality, safety, and patient outcomes. Worldviews on Evidence-Based Nursing, 15(1), 16–25. https://doi.org/10.1111/wvn.12269 PMid:29278664

Melnyk, B. M., Fineout-Overholt, E., & Mays, M. Z. (2008). The evidence-based practice beliefs and implementation scales: Psychometric properties of two new instruments. Worldviews on Evidence-Based Nursing, 5(4), 208–216. https://doi.org/10.1111/j.1741-6787.2008.00126.x PMid:19076922

Migliore, L., Chouinard, H., & Woodlee, R. (2020). Clinical research and practice collaborative: An evidence-based nursing clinical inquiry expansion. Military Medicine, 185(Suppl 2), 35–42. https://doi.org/10.1093/milmed/usz447 PMid:31912871

Nilsen, P., Schildmeijer, K., Ericsson, C., Seing, I., & Birken, S. (2019). Implementation of change in health care in Sweden: A qualitative study of professionals' change responses. Implementation Science, 14(1), 51. https://doi.org/10.1186/s13012-019-0902-6 PMid:31088483; PMCid:PMC6518624

OECD (2021), Health at a Glance 2021: OECD Indicators (pp. 221-223). OECD Publishing, Paris. https://doi.org/10.1787/ae3016b9-en.

Oh, E. G., & Yoo, J. Y. (2020). Experiences of evidence-based practice mentors: A phenomenological study. Contemporary Nurse, 56(4), 331–343. https://doi.org/10.1080/10376178.2020.1736593 PMid:32270744

Shayan, S. J., Kiwanuka, F., & Nakaye, Z. (2019). Barriers associated with evidence-based practice among nurses in low- and middle-in-come countries: A systematic review. Worldviews on Evidence-Based Nursing, 16(1), 12–20. https://doi.org/10.1111/wvn.12337. PMid:30604471

Singleton J. K. (2017). Evidence-based practice beliefs and implementation in doctor of nursing practice students. Worldviews on Evidence-Based Nursing, 14(5), 412–418. https://doi.org/10.1111/wvn.12228 PMid:28388829

Skela-Savič, Lobe B., & Bole U. (2022). Prepričanja in implementacija na dokazih podprte prakse med visokošolsko izobraženimi medicinskimi sestrami in zdravstveniki v Sloveniji (1. del): Psihometrična analiza instrumentov. Obzornik Zdravstvene Nege, 56(3), 184–193. https://doi.org/10.14528/snr.2022.56.3.3116

Skela-Savič, B., Gotlib, J., Panczyk, M., Patelarou, A. E., Bole, U., Ramos-Morcillo, A. J. … Ruzafa-Martínez, M. (2020). Teaching evidence-based practice (EBP) in nursing curricula in six European countries: A descriptive study. Nurse Education Today, 94, Article 104561. https://doi.org/10.1016/j.nedt.2020.104561 PMid:32905986

Skela-Savič, B., & Lobe, B. (2020). Differences in beliefs on and implementation of evidence-based practice according to type of health care institution: A national cross-sectional study among Slovenian nurses. Journal of Nursing Management, 29(5), 971–981. https://doi.org/10.1111/jonm.13234 PMid:33305446

Skela-Savič, B., (2020). It is time for clinical specialisations and advanced nursing practice: Marking the International Year of the Nurse and the Midwife. Obzornik zdravstvene nege, 54(1), pp. 4−11. https://doi.org/10.14528/snr.2020.54.1.3023.

Skela-Savič, B., Hvalič-Touzery, S., & Pesjak, K. (2017). Professional values and competencies as explanatory factors for the use of evidence-based practice in nursing. Journal of Advanced Nursing, 73(8), 1910–1923. https://doi.org/10.1111/jan.13280 PMid:28205259.

Skela-Savič, B., Pesjak, K., & Lobe, B. (2016). Evidence-based practice among nurses in Slovenian Hospitals: A national survey. International Nursing Review, 63(1), 122–131. https://doi.org/10.1111/inr.12233 PMid:26748610.

Social Research Association. (2021). Research Ethics Guidance. Retrieved from https://the-sra.org.uk/common/Uploaded%20files/Resources/SRA%20Research%20Ethics%20guidance%202021.pdf

Titler, M., LoBiondo-Wood, G., & Haber, J. (2019). Overview of evidence-based practice. In G. LoBiondo-Wood, J. Haber, & M. G. Titler (Eds.), Evidence-based practice for healthcare and quality improvement. Philadelphia: Elsevier.

Tomotaki, A., Fukahori, H., & Sakai, I. (2020). Exploring sociodemographic factors related to practice, attitude, knowledge, and skills concerning evidence-based practice in clinical nursing. Japan Journal of Nursing Science, 17(1), Article e12260. https://doi.org/10.1111/jjns.12260 PMid:31173465

World Medical Association. (2013). World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. Journal of the American Medical Association, 310(20), 2191–2194. https://doi.org/10.1001/jama.2013.281053 PMid:24141714

Yoo, J. Y., Kim, J. H., Kim, J. S., Kim, H. L., & Ki, J. S. (2019). Clinical nurses’ beliefs, knowledge, organizational readiness and level of implementation of evidence-based practice: The first step to creating an evidence-based practice culture. PLos One 14(12), Article e0226742. https://doi.org/10.1371/journal.pone.0226742 PMid:31877147; PMCid:PMC6932768

Published

2022-12-17

How to Cite

Skela-Savič, B., Lobe, B. ., & Bole, U. (2022). Beliefs and implementation of evidence-based practice among nurses with a higher education degree (2. Part): A cross-sectional study. Slovenian Nursing Review, 56(4), 280–290. https://doi.org/10.14528/snr.2022.56.4.3126

Issue

Section

Original scientific article

Most read articles by the same author(s)

<< < 1 2 3 4 > >>