Leaders and managers in nursing and healthcare are key to advancing and sustaining evidence‐based practice

Melnyk, Bernadette Mazurek

doi:10.1111/wvn.12626

Cited by 4 publications

(5 citation statements)

References 6 publications

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“…4 This is a significant concern for nurse leaders who are instrumental to advancing and sustaining EBP in clinical settings. 5 However, significant barriers exist to translating new research into practice settings and consistent adoption by nurses. 5 Cultivating and sustaining a culture are the most critical of the major obstacles in EBP adoption.…”

Section: Speeding Evidence-based Practice In Clinical Practicementioning

confidence: 99%

“…5 However, significant barriers exist to translating new research into practice settings and consistent adoption by nurses. 5 Cultivating and sustaining a culture are the most critical of the major obstacles in EBP adoption. With the ongoing staffing crisis postpandemic, finding adequate time and resources to review the literature further impedes EBP uptake.…”

Section: Speeding Evidence-based Practice In Clinical Practicementioning

confidence: 99%

“…More specifically, EBP uptake in clinical settings sits at 50% currently 4 . This is a significant concern for nurse leaders who are instrumental to advancing and sustaining EBP in clinical settings 5 . However, significant barriers exist to translating new research into practice settings and consistent adoption by nurses 5 .…”

Section: Speeding Evidence-based Practice In Clinical Practicementioning

confidence: 99%

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Spotlight on Leadership

Fontenot

2024

JONA: The Journal of Nursing Administration

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Artificial intelligence (AI) is not a new concept. Since the 2022 release of a popular large language model, AI has become readily accessible to the general population, brought transformational shifts in healthcare, and created significant implications for nurse leaders. Specifically, AI has major indications in the area of evidence-based practice. Historically, new evidence takes years to reach the bedside. Nurse leaders are instrumental in closing the research-to-practice gap and, in doing so, promote optimal patient safety and care delivery methods. This article provides an overview of using AI in the context of nursing leadership in healthcare settings, including appropriate case use. In addition, this article covers the ethical challenges of using AI in clinical settings.

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Section: Speeding Evidence-based Practice In Clinical Practicementioning

confidence: 99%

Section: Speeding Evidence-based Practice In Clinical Practicementioning

confidence: 99%

Section: Speeding Evidence-based Practice In Clinical Practicementioning

confidence: 99%

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Spotlight on Leadership

Fontenot

2024

JONA: The Journal of Nursing Administration

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“…Te EBP competencies in healthcare provide clarity and are a guide for clinicians, leaders, faculty, EBP mentors, and students as they strive to achieve EBP competencies. Tis is crucial for healthcare professionals to provide patients with the most efcient and efective care possible [3]. Te use of EBP can enhance the quality, dependability, and outcomes of healthcare.…”

Section: Introductionmentioning

confidence: 99%

“…Terefore, nursing educators require a valid measuring tool for assessing the EBP competencies of nursing students and understanding nurses' knowledge, attitudes, and skills in engaging with EBP. Furthermore, the tool is necessary for assessing the efectiveness of their teaching approaches for EBP [3]. However, in Arab countries, particularly Saudi Arabia, research instruments in the Arabic language for assessing student EBP competencies are limited.…”

Section: Introductionmentioning

confidence: 99%

A Psychometric Study of the Student Evidence-Based Practice Scale S-EBPQ-Arabic Version for Use among Undergraduate Nursing Students

Alharbi

2024

International Journal of Clinical Practice

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Background. Previous studies have demonstrated the significance of evidence-based practice in improving patient care and outcomes. Therefore, integrating evidence-based practice into the health professions’ education curriculum has become a pedagogical priority. However, there is a lack of reliable and valid scales to measure students’ evidence-based practice usage, attitudes, knowledge, and skills in Arab countries. Aim. This study aims to examine the adapted Student Evidence-Based Practice Scale Questionnaire (S-EBPQ) validity at logical statistical level and reliability for use among students in Arabic context. Methods. This cross-sectional study included 233 undergraduate nursing students from a university in Saudi Arabia, who were recruited after translating and pilot testing the S-EBPQ. Three distinctive types of validity including conceptual, content, and face validity were assessed to determine the quality of the questionnaire items logically. Exploratory factor analyses were performed to examine the tool’s structural validity. Additionally, internal consistency was assessed to evaluate reliability. Findings. All items were considered relevant to Arab culture, and no changes were made to any items. The content validity indices for all items were above 0.80 as this was considered an acceptable value. The exploratory factor analysis identified the same four factors (practice, attitude, retrieving and reviewing evidence, and sharing and applying evidence-based practice). All KMO values for the individual items ≥0.876 were also well above the acceptable 0.6 limit. The four-factor structure explained a total variance of 64%, with factor load score λ ≥ 0.455. The total and subscale S-EBPQ scores showed evidence of reliability, with Cronbach’s alpha ≥0.8. Conclusions. This study demonstrated the reliability and validity of the Arabic S-EBPQ version. The study has the potential to advance Arab countries’ understanding of evidence-based practice. S-EBPQ is a validated tool that can be used to assess nursing students’ knowledge of EBP practices. Since educators need to continually evaluate instructional and curricular design in order to meet contemporary nursing needs, this scale can enhance the educational process and enhance students’ competencies.

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Prevention and management of enteral nutrition-related diarrhea among adult inpatients: a best practice implementation project

Zhang,

Du,

et al. 2024

JBI Evidence Implementation

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Introduction: Diarrhea, the most common complication for patients during enteral nutrition, poses a range of risks and care burdens. Medical staff are aware of the importance of proactively preventing and managing enteral nutrition-related diarrhea. However, clinical prevention and management methods are not standardized, and the scientific basis and effectiveness of these methods need to be further verified. Objectives: This project aimed to promote evidence-based practices for the prevention and management of enteral nutrition-related diarrhea among adult inpatients in a public tertiary hospital in China. Methods: This project was guided by the JBI Evidence Implementation Framework and used the JBI Practical Application of Clinical Evidence System (PACES) and the JBI Getting Research into Practice (GRiP) tools. Twelve audit criteria were developed to conduct a baseline audit to measure compliance with best practices. A barrier analysis was conducted, and strategies were implemented to overcome the barriers. The project was finalized with a follow-up audit to determine any changes in compliance with best practices. Results: The overall compliance rate for the audit criteria increased from 27.37% at baseline to 89.62% in the follow-up audit, with six criteria achieving a compliance rate of 100%. Conclusions: The implementation of evidence-based practices can effectively narrow the gap between current practice and best practice. This project improved the ability of medical staff to prevent and manage enteral nutrition-related diarrhea, as well as promoting evidence-based practice in the hospital. Spanish abstract: http://links.lww.com/IJEBH/A168

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Leaders and managers in nursing and healthcare are key to advancing and sustaining evidence‐based practice

Cited by 4 publications

References 6 publications

Spotlight on Leadership

Spotlight on Leadership

A Psychometric Study of the Student Evidence-Based Practice Scale S-EBPQ-Arabic Version for Use among Undergraduate Nursing Students

Prevention and management of enteral nutrition-related diarrhea among adult inpatients: a best practice implementation project

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