J Korean Acad Nurs Adm.  2016 Dec;22(5):448-460. 10.11111/jkana.2016.22.5.448.

Factors Influencing of Evidence based Practice Competency and Evidence based Practice Readiness in General Hospital Nurses

• Ryu S
• Kim YS
• Kim YH

• KMID: 2367000
• DOI: http://doi.org/10.11111/jkana.2016.22.5.448

Abstract

PURPOSE
The study was done to verify evidence-based practice (EBP) readiness and factors contributing to EBP competency in general hospital nurses.
METHODS
Participants were 219 nurses working in 7 general hospitals in G-city and J Province. Data were collected from May 12 to May 28, 2015 and analyzed using one-way ANOVA, Pearson's correlation and stepwise multiple regression.
RESULTS
Mean score for EBP competency was 3.89±0.83, for critical thinking disposition, 3.35±0.36, for EBP attitude, 3.53±0.66, for beliefs about value of EBP, 3.42±0.56, for ability in research performance, 2.86±0.57, for time to devote to EBP, 2.57±0.69 and for organization support for EBP, 3.36±0.46. EBP competency was significantly correlated with critical thinking disposition (r=.37, p<.001), beliefs about value of EBP (r=.43, p<.001), ability in research performance (r=.44, p<.001), and time to devote to EBP(r=.33, p<.001). Factors influencing EBP competency in general hospital nurses were research performance (β=.29, p<.001), beliefs about value of EBP (β=.24, p<.001), critical thinking disposition (β=.15, p=.014), recognition of EBP (β=-.18, p=.002), which together explained 35% of total variance.
CONCLUSION
Findings indicate that introduction and activation of EBP in general hospitals is essential and development of systematic training programs to strengthen critical thinking disposition and EBP competency are needed.

Keyword

Evidence based practice; Competency; Readiness; Nurses

MeSH Terms

Education
Evidence-Based Practice*
Hospitals, General*
Thinking

Reference

1. Sackett DL, Straus SE, Richardson WS, Rosenberg W, Haynes RB. Evidence based medicine: How to practice and teach EBM. London: Churchill Livingstone;2001. p. 1.

2. Cho MS, Song MR, Cha SK. Nurses' perceptions regarding evidence-based practice facilitators in a tertiary hospital. J Korean Acad Fundam Nurs. 2011; 18(3):300–309.

3. Thiel L, Ghosh Y. Determining registered nurses' readiness for evidence-based practice. Worldviews Evid Based Nurs. 2008; 5(4):182–192. DOI: 10.1111/j.1741-6787.2008.00137.x.

4. Kim JS, Gu MO, Jo SY. Factors influencing evidence-based practice readiness for tertiary general hospital nurses. J Korea Acad Ind coop Soc. 2013; 14(6):2945–2957. DOI: 10.5762/KAIS.2013.14.6.2945.

5. Nagy S, Lumby J, McKinley S, Macfarlane C. Nurses' beliefs about the conditions that hinder or support evidence-based nursing. Int J Nurs Pract. 2001; 7:314–321. DOI: 10.1046/j.1440-172X.2001.00284.x.

6. Thorsteinsson HS, Sveinsdóttir H. Readiness for and predictors of evidence-based practice of acute-care nurses: A cross-sectional postal survey. Scand J Caring Sci. 2014; 28:572–581. DOI: 10.1111/scs.12083.

7. Ilic D. Teaching evidence-based practice: perspectives from the undergraduate and post-graduate viewpoint. Ann Acad Med Singapore. 2009; 38(6):559–563.

8. Squires JE, Estabrooks CA, Gustavsson P, Wallin L. Individual determinants of research utilization by nurses: A systematic review update. Implement Sci. 2011; 6:1. DOI: 10.1186/1748-5908-6-1.

9. Kim NY, Kim EA. Factors influencing of evidence-based practice competency in nursing students. J Korean Data Anal Soc. 2014; 16(5):2855–2868.

10. Kim YS, Kim JM, Park MM. Factors influencing competency in evidence-based practice among clinical nurses. J Korean Acad Nurs Adm. 2015; 21(2):143–153. DOI: 10.11111/jkana.2015.21.2.143.

11. Health Insurance Review & Assessment Service. [Internet]. Wonju: Health Insurance Review & Assessment Service;2016. cited 2016 September 22. Available from: http://www.hira.or.kr/rd/hosp/getHospList.do?pgmid=HIRAA030002000000.

12. Yi J, Park MH. Nurses' access & use of information resources and barriers & competency of evidence based practice. Korean J Adult Nurs. 2011; 23(3):255–266.

13. Ministry for Health and Welfare. (KR). Medical service act. 2016. 11. 30. Act No. 14183.

14. Upton D, Upton P. Development of an evidence-based practice questionnaire for nurses. J Adv Nurs. 2006; 53(4):454–458. DOI: 10.1111/j.1365-2648.2006.03739.x.

15. Melnyk BM, Fineout-Overholt E, Mays MZ. The evidence-based practice beliefs and implementation scales: Psychometric properties of two new instruments. Worldviews Evid Based Nurs. 2008; 5(4):208–216. DOI: 10.1111/j.1741-6787.2008.00126.x.

16. Lim KC, Park KO, Kwon JS, Jeong JS, Choe MA, Kim JH, et al. Registered nurses' knowledge, attitudes and practice about evidence-based practice at general hospitals in Korea. J Korean Clin Nurs Res. 2011; 17(3):375–387.

17. Kwon IS, Lee GE, Kim GD, Kim YH, Park KM, Park HS, et al. Development of a critical thinking disposition scale for nursing students. J Korean Acad Nurs. 2006; 36(6):950–958.

18. Lee HN, Byeon YS, Lim NY, Lee MS, Kim IS, Baek HJ. Nursing research. Seoul: Korean Nurses Association;2012. p. 30.

19. Son YJ, Kim SH, Park YS, Lee SK, Lee YM. The influence of information retrieval skill on evidence based practice competency in clinical nurses. Korean J Adult Nurs. 2012; 24(6):635–646. DOI: 10.7475/kjan.2012.24.6.635.

20. Brown CE, Wickline MA, Ecoff L, Glaser D. Nursing practice, knowledge, attitudes and perceived barriers to evidence-based practice at an academic medical center. J Adv Nurs. 2009; 65(2):371–381. DOI: 10.1111/j.1365-2648.2008.04878.x.

21. Melnyk BM, Findout-Overholt E, Stillwell SB, Williamson KM. Evidence-based practice: step by step: the seven steps of evidence-based practice. Am J Nurs. 2010; 110(1):51–53. DOI: 10.1097/01.NAJ.0000366056.06605.d2.

22. Profetto-McGrath J. Critical thinking and evidence-based practice. J Prof Nurs. 2005; 21(6):364–371. DOI: 10.1016/j.profnurs.2005.10.002.

23. Llasus L, Angosta AD, Clark M. Graduating baccalaureate students' evidence-based practice knowledge, readiness, and implementation. J Nurs Educ. 2014; 53:9 Suppl. S82–S89. DOI: 10.3928/01484834-20140806-05.

24. Solomons NM, Spross JA. Evidence-based practice barriers and facilitators from a continuous quality improvement perspective: An integrative review. J Nurs Manag. 2011; 19:109–120. DOI: 10.1111/j.1365-2834.2010.01144.x.

25. Hwang JI. Hospital nurses' uses of evidence, and barriers to and enablers of evidenced-based practice. J Korean Acad Nurs Adm. 2013; 19(2):292–303. DOI: 10.11111/jkana.2013.19.2.292.

26. Gu MO, Cho MS, Cho YA, Jeong JS, Jeong IS, Park JS, et al. Topics for evidence-based clinical nursing practice guidelines in Korea. J Korean Clin Nurs Res. 2011; 17(3):307–318.

27. Hospital Nurses Association. Evidence-based clinical nursing practice guideline [Internet]. Seoul: Hospital Nurses Association;cited 2016 April 20. Available from: http://www.khna.or.kr/web/information/guide.php.

28. White-Williams C, Patrician P, Fazeli P, Degges MA, Graham S, Andison M, et al. Use, knowledge, and attitudes toward evidence-based practice among nursing staff. J Contin Educ Nurs. 2013; 44(6):246–254. quiz 255-246. DOI: 10.3928/00220124-20130402-38.

29. Cho MS, Cho YA, Song MR, Kim MK, Cha SK. Development of a program to facilitate evidence-based practice based on the transtheoretical model. Korean J Adult Nurs. 2013; 25(2):136–147. DOI: 10.7475/kjan.2013.25.1.136.