Clinical Nurse Specialists’ Role in Promoting Evidence Based Practice in Saskatchewan’s Health Care Settings

Advanced practice nurses' evidence‐based healthcare competence and associated factors: A systematic review

“…A total of 3163 respondents participated in the selected studies. The Competence in individual EBHC stages was measured using the Evidence-Based Practice Implementation (EBPI) scale, the Evidence-Based Practice Belief (EBPB) scale (Butler, 2011;Harper et al, 2017;Van Roper, 2011), the Evidence-Based Practice Questionnaire (EBPQ) scale (Alshammari et al, 2021;Bhatarasakoon et al, 2022), the Health Science-Evidence-Based Practice (HS-EBP) questionnaire (Hamilton et al, 2022), the Evidence-Based Education Questionnaire (EBEQ) scale (Hellier & Cline, 2016), the EBP competency measure (Harper et al, 2017), the PREVIEW measure of specialty competency (Van Roper, 2011), a measure developed by Profetto-McGrath (Campbell, 2012;Profetto-McGrath et al, 2010), the Development of Evidence-Based Practice questionnaire, (Gerrish et al, 2011;Malik et al, 2015), the Attitudes to Evidence-Based Practice questionnaire, the Clinical Effectiveness and Evidence-Based Practice Questionnaire (Malik et al, 2015), the Advanced Practice Role Delineation (APRD) tool, National Survey of Primary Care NPs and Physician and the Practice Pattern Survey (Woo et al, 2019).…”

“…APNs believed that EBP positively affected patient outcomes (Alshammari et al, 2021;Bhatarasakoon et al, 2022;Butler, 2011;Campbell, 2012;Gerrish et al, 2011: Hamilton et al, 2022Harper et al, 2017;Malik et al, 2015;Van Roper, 2011) and led to the best clinical care (Butler, 2011;Campbell, 2012;Gerrish et al, 2011;Hamilton et al, 2022;Harper et al, 2017;Profetto-McGrath et al, 2010). They felt that evidence-based practice is fundamental to professional practice (Bhatarasakoon et al, 2022;Hamilton et al, 2022).…”

“…They felt that evidence-based practice is fundamental to professional practice (Bhatarasakoon et al, 2022;Hamilton et al, 2022). One of their strongest EBP competencies was questioning clinical practice (Harper et al, 2017) but they rarely used evidence to make or develop research proposals (Campbell, 2012;Profetto-McGrath et al, 2010).…”

“…APNs perceived generating research as the EBHC stage in which their competence was weakest (Bhatarasakoon et al, 2022;Gerrish et al, 2011;Woo et al, 2019); almost half of the respondents considered their skills in this area to be at the beginner or novice level (Gerrish et al, 2011). Critical appraisal of rapidly changing data quality was considered particularly challenging (Campbell, 2012;Profetto-McGrath et al, 2010) and information technology skills were perceived as a challenging area of competence (Bhatarasakoon et al, 2022). Participation in evidence generation was minimal (Bhatarasakoon et al, 2022;Butler, 2011;Harper et al, 2017).…”

“…Writing PICO questions was identified as one of the most challenging competence areas in EBHC (Bhatarasakoon et al, 2022;Butler, 2011;Harper et al, 2017). However, their self-assessed skills in finding research evidence, conducting comprehensive literature reviews (Malik et al, 2015), and reviewing research evidence were poor (Bhatarasakoon et al, 2022;Campbell, 2012;Gerrish et al, 2011;Malik et al, 2015). The APNs perceived a low level of competence in assessing the quality of studies using standardised assessment tools and in assessing the validity of study data (Bhatarasakoon et al, 2022).…”