Structural Model of Evidence-Based Practice Implementation among Clinical Nurses

Park, Hyun-Young; Jang, Keum-Seong

doi:10.4040/jkan.2016.46.5.697

Cited by 13 publications

(16 citation statements)

References 23 publications

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“…Barriers to conducting EBP for Korean nurses include: the lack of knowledge and skills, lack of belief and capacity, lack of database access and utilization, and insufficient critical thinking and motivation [20–22]. The barriers to conducting EBP in Korea at the organizational level are organizational culture, insufficient education programs, lack of well-trained EBP experts, lack of time, and inadequate communication [20, 21, 23].…”

Section: Introductionmentioning

confidence: 99%

“…First, EBP implementation is influenced by the knowledge, skills, and beliefs of the individual nurse on EBP [22, 25, 26]. At the organizational level, it is necessary to create an organizational culture that strengthens and supports the nurse’s values and beliefs on EBP, and to share the common beliefs or values of its members to achieve the common goal of successful implementation of EBP [12, 27].…”

Section: Introductionmentioning

confidence: 99%

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Clinical nurses’ beliefs, knowledge, organizational readiness and level of implementation of evidence-based practice: The first step to creating an evidence-based practice culture

Yoo

Kim

et al. 2019

PLoS ONE

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BackgroundThis study aimed to identify clinical nurses’ evidence-based practice (EBP) knowledge, beliefs, organizational readiness, and EBP implementation levels, and to determine the factors that affect EBP implementation in order to successfully establish EBP. This study was conducted at a university-affiliated tertiary hospital located in a provincial area in Korea. The research design was based on Melnyk and Fineout-Overholt’s Advancing Research & Clinical Practice through Close Collaboration model as the first step.MethodsA descriptive and cross-sectional design was conducted and a convenience sample of 521 full-time registered nurses from an 849-bed tertiary hospital were included. Structured questionnaires were used to assess EBP knowledge, EBP beliefs, organizational culture & readiness and EBP implementation. Data were analyzed using SPSS V 25.0 by using descriptive and inferential statistics and hierarchical multiple regression was performed to determine the factors affecting the implementation of EBP.ResultsOur findings showed that the clinical nurses had a positive level of EBP beliefs, but the level of EBP knowledge, organizational readiness and EBP implementation were insufficient. EBP knowledge, beliefs, and organizational readiness were significantly positively correlated with EBP implementation. In the final model, EBP knowledge and organizational readiness were significant predictors of EBP implementation; the model predicted 22.2% of the variance in implementation.ConclusionsBased on these results, the main focus of the study was the importance of individual nurses' efforts in carrying out EBP, but above all efforts to create an organizational culture to prepare and support EBP at the nursing organization level. In the initial process of introducing and establishing EBP, nurse administrators will need to minimize expected barriers, enhance facilitators, and strive to build an infrastructure based on vision, policy-making, budgeting, excellent personnel and facilities within the organization.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Clinical nurses’ beliefs, knowledge, organizational readiness and level of implementation of evidence-based practice: The first step to creating an evidence-based practice culture

Yoo

Kim

et al. 2019

PLoS ONE

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“…All items employed in examples of assistance through the creation of EBP groups. The research conducted in Korea, contrary to research, organizations, learners, and organizations related to statistics do not correlate with the implementation of EBP (Park and Jang, 2016) and more on beliefs and knowledge at the individual level that has the optimum role. In another Korean study stated that the combination of organizational DOI: 10.30994/sjik.v9i2.338 ISSN: 2252-3847 (print); 2614-350X (online) Vol.9 No.2 November 2020 Page.1504-1511…”

Section: Implementation Of Ebp Nurses On An Individual Levelmentioning

confidence: 59%

“…Two different studies conducted in South Korea (Park and Jang, 2016;Yoo et al, 2019) showed that there positively increased in EBP on the knowledge/ skills of EBP of Korean nurses. In contrast to research conducted in Greece (Patelarou et al, 2016) reported that half of the nurses said they were not sure of their ability to be involved in EBP.…”

Section: Implementation Of Ebp Nurses On An Individual Levelmentioning

confidence: 99%

Barriers and Facilitators Implementation of Evidence-Based Nursing practice in Hospitals: A Literature Review

Swito

Sidin

2020

sjik

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The results of the literature review study clearly show: that attitudes and beliefs, knowledge about EBP, a capability to interpret faithful journals, nurses' demographic characteristics including the level of education, work experience, and age influenced the implementation of EBP. At the organizational level, the obstacles in implementing EBP consist of facilities and infrastructure, leadership, conflict, group dynamics, workplace, and organizational culture, lack of human resources, workload, lack of time, lack of internet access, the need for role models in the implementation of EBP. The results clearly showed that the implementation of evidence-based practice was a complex structure where the support of both individuals and organizations was very influential. It was necessary at the individual level to increase knowledge and skills in implementing EBP. However, workplace organizational management and strategic support integrated into the hospital's vision became the initial capital in implementing EBP

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“…국내 연구로는 임상간호 근거기반실무 준비도에 영향을 미 치는 요인 [9], 촉진요인 [18], 근거기반실무 실행 구조모형 [19] 정보검색 및 연구 활용능력 [20], 간호조직의 근거기반실무 활 성화 프로그램 개발 [5]에 대한 연구가 있었다. 또한 국내 간호 사들이 실무현장에서 근거기반실무를 적용하는 경우는 20% 로 나타나 [20], 근거기반실무 필요성에 비해 활성화 정도는 낮 은 실정이었다 [9,20,21].…”

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Effects of an Evidence-Based Practice (EBP) Education Program on EBP Practice Readiness and EBP Decision Making in Clinical Nurses

Nam

Lee

Park

et al. 2017

J Korean Acad Nurs Adm

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Purpose: Today's clinical nurses deal with complex problems that need accurate evidence for practice and decision making. In this study the effectiveness of an EBP education program was examined. Methods: A pre-posttest design was used for this study and participants were 46 nurses working at a tertiary hospital located in Suwon, Korea. Date collection was done before and after the education program, from July 27 to October 2, 2015. Data were analyzed using paired t-test and ANCOVA with SPSS 21.0. Results: There were significant differences in scores before and after the EBP education program for EBP readiness: belief (t=-5.65, p<.001), implementation(t=-2.89, p=.006), competence (t=-4.21, p<.001), and for evidence-based decision making (t=-16.25, p<.001) by the nurses. Conclusion:The findings indicate that the EBP education program has positive effects on EBP belief, implementation, competence and evidence-based decision making. In the future, it is necessary to reinforce the content of the program in the clinical workplace and to provide continuous education for clinical nurses.

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Structural Model of Evidence-Based Practice Implementation among Clinical Nurses

Cited by 13 publications

References 23 publications

Clinical nurses’ beliefs, knowledge, organizational readiness and level of implementation of evidence-based practice: The first step to creating an evidence-based practice culture

Clinical nurses’ beliefs, knowledge, organizational readiness and level of implementation of evidence-based practice: The first step to creating an evidence-based practice culture

Barriers and Facilitators Implementation of Evidence-Based Nursing practice in Hospitals: A Literature Review

Effects of an Evidence-Based Practice (EBP) Education Program on EBP Practice Readiness and EBP Decision Making in Clinical Nurses

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