J Korean Acad Nurs.  2016 Oct;46(5):697-709. 10.4040/jkan.2016.46.5.697.

Structural Model of Evidence-Based Practice Implementation among Clinical Nurses

• Park H
• Jang KS

• KMID: 2424642
• DOI: http://doi.org/10.4040/jkan.2016.46.5.697

Abstract

PURPOSE
This study was conducted to develop and test a structural model of evidence-based practice (EBP) implementation among clinical nurses. The model was based on Melnyk and Fineout-Overholt's Advancing Research and Clinical Practice through Close Collaboration model and Rogers' Diffusion of Innovations theory.
METHODS
Participants were 410 nurses recruited from ten different tertiary hospitals in Korea. A structured self-report questionnaire was used to assess EBP knowledge/skills, EBP beliefs, EBP attitudes, organizational culture & readiness for EBP, dimensions of a learning organization and organizational innovativeness. Collected data were analyzed using SPSS/WINdows 20.0 and AMOS 20.0 program.
RESULTS
The modified research model provided a reasonable fit to the data. Clinical nurses' EBP knowledge/skills, EBP beliefs, and the organizational culture & readiness for EBP had statistically significant positive effects on the implementation of EBP. The impact of EBP attitudes was not significant. The dimensions of the learning organization and organizational innovativeness showed statistically significant negative effects on EBP implementation. These variables explained 32.8% of the variance of EBP implementation among clinical nurses.
CONCLUSION
The findings suggest that not only individual nurses' knowledge/skills of and beliefs about EBP but organizational EBP culture should be strengthened to promote clinical nurses' EBP implementation.

Keyword

Evidence-Based Practice; Nurses; Organizations

MeSH Terms

Adult
Attitude
*Evidence-Based Practice
Female
Humans
Knowledge
Male
Middle Aged
*Models, Theoretical
Nursing Staff, Hospital/*psychology
Self Report
Surveys and Questionnaires
Tertiary Care Centers

Figure

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  Figure 1 Conceptual framework.

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  Figure 2 Path diagram for the modified model.

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