Egyptian and Jordanian nurse educators' perception of barriers preventing the implementation of evidence-based practice: A cross-sectional study

Youssef, Naglaa; Alshraifeen, Ali; Alnuaimi, Karimeh; Upton, Penney

doi:10.1016/j.nedt.2018.01.035

Cited by 28 publications

(30 citation statements)

References 20 publications

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“…Studies of EBN have focused more on nurses as a collective rather than on nurses working in a specialized clinical area, such as cardiovascular nursing. Previous studies identified attitude as an important factor to change practice and implement EBN . Our study examined whether cardiovascular nurses in Turkey had positive attitudes towards EBN.…”

Section: Discussionmentioning

confidence: 96%

Attitude, source of knowledge, and supporting factors on evidence‐based nursing among cardiovascular nurses: A cross‐sectional descriptive study in Turkey

Kilicli

Kelber

Akyar

et al. 2019

Evaluation Clinical Practice

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Rationale, aims, and objectives: Cardiovascular nursing has been a rapidly growing specialty since the 1960s. Assessing cardiovascular nurses' EBN (evidence-based nursing) attitudes and beliefs and the factors supporting EBN is important to assist the training programmes in fostering EBN practice in a clinical environment. Few investigations have been conducted on EBN knowledge, attitudes, beliefs, and implementation among cardiovascular nurses. The present study aims to investigate cardiovascular nurses' attitudes towards EBN, sources of knowledge, and the factors supporting EBN in Turkey. Methods: A cross-sectional survey with a descriptive and comparative design was conducted with 62 cardiovascular nurses working at two hospitals in Turkey. Data were collected by using the Evidence-Based Nursing Attitude Questionnaire, a sociodemographic questionnaire concerning demographic information and including questions about nurses' sources of knowledge, supporting factors to implement EBN, research experience, use of clinical guidelines, and barriers to applying EBN. Data were analysed with descriptive and inferential statistics. Results: The research revealed that cardiovascular nurses have positive attitudes, feelings, beliefs, and intention of conduct towards EBN. Cardiac surgery nurses reported significantly higher positive feelings, beliefs, intention of conduct, and attitude towards EBN than cardiology nurses. Nursing experience and information acquired through nursing school were the most frequently used sources of knowledge rather than research results (35.5%) in their clinical practice. Half of the respondents (47%) were familiar with EBN. Cardiovascular nurses who had graduate degrees, reviewed nursing research and were familiar with EBN had significant positive attitudes towards EBN. Nurses needed enough time and resources, a background in clinical practice, and support from the hospital administration to implement EBN. Conclusions: An education intervention should be provided about EBN knowledge and skills for cardiovascular nurses. Mentor nurses should be trained and assigned in cardiovascular clinics to implement EBN.

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Section: Discussionmentioning

confidence: 96%

Attitude, source of knowledge, and supporting factors on evidence‐based nursing among cardiovascular nurses: A cross‐sectional descriptive study in Turkey

Kilicli

Kelber

Akyar

et al. 2019

Evaluation Clinical Practice

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“…The results of this study also indicate that the EBP mentors for nurses do not believe they are meeting the EBP competencies, especially for the knowledge and skills. In 2005, Youssef, Alshraifeen, Alnuaimi, and Upton (2018) conducted a cross‐sectional study with 124 Egyptian and Jordanian nurse educators to determine their EBP competency. We found that the mean score of 4.85 among our sample was lower than Youssef et al’s counterparts with a mean score of 4.96.…”

Section: Discussionmentioning

confidence: 99%

Development of a Cadre of Evidence‐Based Practice Mentors for Nurses: What Works?

Wang

Zhang

Guo

2020

Worldviews Ev Based Nurs

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Background Development of a critical mass of evidence‐based practice (EBP) mentors for healthcare professionals is pivotal in facilitating and sustaining system‐wide implementation of evidence‐based care, especially for nurses. Empirical evidence shows that organizational factors are strongly associated with EBP. However, the understanding of organizational support to promote EBP competency is found lacking, especially in Mainland China. Aims The purposes of this study were to (1) establish a baseline assessment of EBP nursing leadership and work environment support as well as EBP competency for EBP mentors of nurses in Western China, and (2) explore how nursing leadership and work environment impact the EBP competencies of mentors. Methods A cross‐sectional study was conducted. The study population was 286 EBP mentors for nurses from six urban general hospitals in Xi’an City, Shanxi Province. The EBP Nursing Leadership Scale and the EBP Work Environment Scale were used to evaluate their perceived organizational support. EBP competency was measured by the Evidence‐Based Practice Questionnaire. Results There was insufficient time for EBP mentors of nurses to engage in EBP. Lack of experts in EBP and educational offerings about EBP were identified as the two lowest workplace organizational supports for EBP. The respondents reported themselves as not competent in EBP, especially for the knowledge/skills. EBP nursing leadership and work environment support were key predictors of the self‐reported EBP competency in the stepwise multiple linear regression models (β = .211–.345, p < .01). Linking Evidence to Action It is imperative to provide EBP mentors for nurses with the knowledge and skills to achieve the expected level of EBP competency. Strategies for developing a cadre of EBP mentors for nurses who have competency in EBP need to be multipronged and target the cultivation of an organizational culture that supports EBP.

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“…Multiple studies provide evidence of the attributes required for the therapeutic relationship and their meaning (Felton et al., 2018; Harris & Panozzo, 2019; Hartley et al., 2019; McAllister et al., 2019; Moreno‐Poyato et al., 2016). However, there is evidence of underuse of the same by mental health nurses (Hamaideh, 2017; Youssef et al., 2018). Clearly, it follows that knowledge and implementation of evidence‐based empirical and theoretical precepts of the therapeutic relationship should facilitate and improve the implementation of therapeutic relationship in clinical practice in mental health units.…”

Section: Introductionmentioning

confidence: 99%

Examining the association between evidence‐based practice and the nurse‐patient therapeutic relationship in mental health units: A cross‐sectional study

Poyato

Casanova‐Garrigós

Roldán‐Merino

et al. 2020

Journal of Advanced Nursing

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Aims To examine the relationship between the dimensions of evidence‐based practice and the therapeutic relationship and to predict the quality of the therapeutic relationship from these dimensions among nurses working in mental health units. Design A cross‐sectional design. Methods Data were collected between February–April 2018 via an online form completed by nurses working at 18 mental health units. Multiple linear regressions were used to examine the relationship between the dimensions of evidence‐based practice and therapeutic relationship. Questionnaires were completed by 198 nurses. Results Higher levels of evidence‐based practice were a significant predictor of a higher‐quality therapeutic relationship (β: 2.276; 95% CI: 1.30–3.25). The evidence‐based practice factor which most influenced an improved therapeutic relationship was the nurses’ attitude (β: 2.047; 95% CI: 0.88–3.21). The therapeutic relationship dimension which was most conditioned by evidence‐based practice dimensions was agreement on tasks, which was most favourable with a better attitude (β: 0.625; 95% CI: 0.09–1.16) and greater knowledge and skills for evidence‐based practice (β: 0.500; 95% CI: 0.08–0.93). Conclusion In mental health settings, the therapeutic nurse–patient relationship is positively enhanced by evidenced‐based practice and the nurse's level of experience, with a great influence on shared decision‐making. Impact This research sought to examine the relationship between the evidence‐based practice and the therapeutic relationship in mental health nursing. This study demonstrates that an improved attitude and knowledge of evidence‐based practices of mental health nurses increases shared decision‐making with patients, which is a basic requirement for person‐centred care. Because the therapeutic relationship is considered the backbone of nursing practice in mental health units, this research will have an impact on both mental health nurses and mental health unit managers.

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Egyptian and Jordanian nurse educators' perception of barriers preventing the implementation of evidence-based practice: A cross-sectional study

Cited by 28 publications

References 20 publications

Attitude, source of knowledge, and supporting factors on evidence‐based nursing among cardiovascular nurses: A cross‐sectional descriptive study in Turkey

Attitude, source of knowledge, and supporting factors on evidence‐based nursing among cardiovascular nurses: A cross‐sectional descriptive study in Turkey

Development of a Cadre of Evidence‐Based Practice Mentors for Nurses: What Works?

Examining the association between evidence‐based practice and the nurse‐patient therapeutic relationship in mental health units: A cross‐sectional study

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