An Adaptation of the Original Fresno Test to Measure Evidence‐Based Practice Competence in Pediatric Bedside Nurses

Abstract

The adapted Fresno test presented here appears to be a valid and reliable assessment of EBP competence in Bachelor of Science in Nursing-prepared pediatric nurses. However, further testing of this instrument is warranted using a larger sample of pediatric nurses in diverse settings. This instrument can be a starting point for evaluating the impact of EBP competence on patient outcomes.

Instrumentos para medir competencias en enfermería: revisión sistemática

“…Debido a la necesidad de contar con escalas de medida específicos en esta temática, 66.6% de los autores de la revisión elaboraron escalas sobre competencias, en tanto que el restante de los estudios presentaron la adaptación transcultural con traducción-retrotraducción de los instrumentos ya existentes utilizando la metodología recomendada por Guillermin y colaboradores (17) y Beaton y colaboradores (18) ; la mayoría de las adaptaciones se efectuó del inglés a otros idiomas (español (19) , portugués (20) y coreano (21) , aunque también se localizó un instrumento adaptado del sueco al noruego (22) y uno más en español dirigido a médicos que se adaptó para enfermeras (23) . Fuente: Adaptado del modelo PRISMA-P 2009 (Moher et al (40) )…”

Key considerations for selecting instruments when evaluating healthcare professionals’ evidence‐based practice competencies: A discussion paper

“…60 minutes) and grade, as expert knowledge is needed to evaluate and interpret the open‐ended answers. The validated Fresno assessment tool has been modified for use in occupational therapy (McCluskey & Bishop, ), physical therapy (Tilson, ) and very recently, in nursing (Halm, ; Laibhen‐Parkes et al., ). In a systematic review of instruments for evaluating education in EBP (Shaneyfelt et al., ), the Berlin and Fresno assessment instruments were the only two tools classified as level 1 instruments in terms of their ability to evaluate competency in EBP.…”

“…Few researchers to date have developed instruments to more objectively measure the actual, i.e., performance‐based EBP competencies of medical practitioners and trainees, or to modify them for use in occupational and physical therapy (Fritsche et al., ; Ilic et al., ; McCluskey & Bishop, ; Ramos et al., ; Tilson, ). Although some of these more objective instruments for assessing EBP competencies simultaneously measure EBP competencies across several steps of the EBP implementation process, only one, the Fresno assessment tool (Ramos et al., ), has very recently been evaluated and modified for use in nursing (Halm, ; Laibhen‐Parkes et al., ). Therefore, there is an urgent need for nursing research to evaluate, modify and validate these tools for possible use in measuring the actual EBP competencies of nurses, instead of continuing to measure nurses’ EBP competencies via self‐assessments.…”

“…Although some of these more objective instruments for assessing EBP competencies simultaneously measure EBP competencies across several steps of the EBP implementation process, only one, the Fresno assessment tool (Ramos et al, 2003), has very recently been evaluated and modified for use in nursing (Halm, 2018;Laibhen-Parkes et al, 2018). Therefore, there is an urgent need for nursing research to evaluate, modify and validate these tools for possible use in measuring the actual EBP competencies of nurses, instead of continuing to measure nurses' EBP competencies via self-assessments.…”

“…This work was first undertaken in the field of medicine, with modifications of the newly developed tools to assess actual EBP competencies made primarily for the fields of physical and occupational therapy. Only very recently have the first efforts for making similar modifications to these tools been published for use in the field of nursing (Laibhen‐Parkes, Kimble, Melnyk, Sudia, & Codone, ). Previous studies have shown a discrepancy between the results of healthcare professionals’ EBP competency evaluations via self‐assessments and more objective measures of actual performance, especially about performing highly complex tasks such as implementing the steps of the EBP process (Scurlock‐Evans et al., ; Wonder, Spurlock, Lancaster, & Gainey, ).…”