scholarly journals A lack of allocated research time challenges the extent of the implementation of evidence-based practice - A three-year retrospective follow-up cohort study of Master of Science in Nursing graduates

2020 ◽  
Vol 10 (8) ◽  
pp. 19
Author(s):  
Connie Berthelsen
Keyword(s):  
Response Rate ◽  
Evidence Based Practice ◽  
Research Utilization ◽  
Evidence Based ◽  
Nursing Graduates ◽  
Nursing Management ◽  
Master Of Science ◽  
Belief Scale ◽  
Ebp Implementation

Objective: To describe and compare the development of Master of Science in Nursing graduates’ research utilization and improvement of knowledge, one to three years after graduation, and to describe their beliefs, abilities and implementation regarding evidence-based practice in the workplace.Methods: Sixty-five Master of Science in Nursing (MSN) graduates, associated with an academic cohort, were invited to participate in a three-year retrospective follow-up study. Forty-five MSN graduates replied, providing a response rate of 69.23%. A questionnaire of four areas, consisting of the customary cohort questionnaire combined with the EBP Belief scale and the EBP Implementation scale, was sent to the participants using SurveyMonkey®.Results: An overall increased development in MSN graduates’ research utilization and knowledge improvement in all parameters was found from one to three years after graduation, along with greater knowledge of, and a stronger belief in the value of, evidence-based practice. However, a strong decrease in allocated time for research was found, leading to a very limited implementation of evidence-based practice by the MSN graduates.Conclusions: The study ends with a question about whether time is still an issue – even for academic nurses, who are educated and employed to implement evidence-based practice. If the barriers to nursing research are not taken seriously by nursing management then the extent of implementation of evidence-based practice and the improvement of quality in patient care and trajectories will continue to be very limited.

What Does Evidence-Based Practice Mean to You? A Follow-Up Study Examining School-Based Speech-Language Pathologists' Perspectives on Evidence-Based Practice

2020 ◽  
Vol 29 (2) ◽  
pp. 688-704
Author(s):  
Katrina Fulcher-Rood ◽  
Anny Castilla-Earls ◽  
Jeff Higginbotham
Keyword(s):  
Clinical Practice ◽  
Research Evidence ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Clinical Expertise ◽  
Speech Language Pathologists ◽  
School Based ◽  
Research Findings ◽  
Ebp Implementation

Purpose The current investigation is a follow-up from a previous study examining child language diagnostic decision making in school-based speech-language pathologists (SLPs). The purpose of this study was to examine the SLPs' perspectives regarding the use of evidence-based practice (EBP) in their clinical work. Method Semistructured phone interviews were conducted with 25 school-based SLPs who previously participated in an earlier study by Fulcher-Rood et al. 2018). SLPs were asked questions regarding their definition of EBP, the value of research evidence, contexts in which they implement scientific literature in clinical practice, and the barriers to implementing EBP. Results SLPs' definitions of EBP differed from current definitions, in that SLPs only included the use of research findings. SLPs seem to discuss EBP as it relates to treatment and not assessment. Reported barriers to EBP implementation were insufficient time, limited funding, and restrictions from their employment setting. SLPs found it difficult to translate research findings to clinical practice. SLPs implemented external research evidence when they did not have enough clinical expertise regarding a specific client or when they needed scientific evidence to support a strategy they used. Conclusions SLPs appear to use EBP for specific reasons and not for every clinical decision they make. In addition, SLPs rely on EBP for treatment decisions and not for assessment decisions. Educational systems potentially present other challenges that need to be considered for EBP implementation. Considerations for implementation science and the research-to-practice gap are discussed.

scholarly journals An exploration of the factors that impact on clinical practices of Nurses in applying evidence-based practice

2021 ◽  
Vol 1 (2) ◽  
pp. 34-41
Author(s):  
Fathimath Shifaza ◽  
Mohammad Hamiduzzaman
Keyword(s):  
Best Practice ◽  
Evidence Based Practice ◽  
Nursing Profession ◽  
Evidence Based ◽  
Clinical Practices ◽  
Positive Correlation ◽  
The World ◽  
Belief Scale ◽  
Ebp Implementation ◽  
Descriptive Survey

While healthcare institutions around the world strive to adopt evidence-based practice (EBP) as the new standard in best practice, the nursing profession still faces multiple barriers and limitations in implementation. The aim of this paper is to present the analysis of EBP from the perspective of nurses working within two major South Australian hospitals, assessing their implementation and beliefs and exploring avenues for further research-based upon their feedback. A descriptive survey using the EBP beliefs (EBP-b) and the EBP implementation (EBP-I) scales were developed by Melnyk and Fineout-Overholt. Nurses scored high in the EBP belief scale reflecting significant positive readiness towards EBP. A positive correlation was observed between EBP beliefs and implementation, yet implementation rates were very low. More research is needed to explore the reasons why implementation rates are so low amongst practising nurses to understand and address the root of this problem. Based on the evidence it appears that more research is needed to explore the reasons why implementation rates are so low amongst practising nurses to understand and address the root of this problem.

scholarly journals Blackboard facilitation: Reflection as a tool used to explore students experiences on Evidence-based Practice

2017 ◽  
Vol 1 (2) ◽  
pp. 1-7
Author(s):  
Yolinda Uys
Keyword(s):  
Nursing Students ◽  
Clinical Setting ◽  
Evidence Based Practice ◽  
Research Utilization ◽  
Clinical Situation ◽  
Evidence Based ◽  
Undergraduate Nursing Students ◽  
Reflective Journals ◽  
Undergraduate Nursing ◽  
Ebp Implementation

Introduction: Limited resources require EBP management that meets patients’ needs and preferences using newest research and expertise. Seeking out the best practices will lead to decreased length of stay and costs [1]. An evidence-based curriculum embedded across courses and years in the academic and clinical setting fosters the best method of facilitation of evidence-based decision-making [2]. EBP is not fully integrated into the curriculum of undergraduate nursing students. The undergraduate nursing curriculum is where nursing students must be introduced to EBP thus making the need for EBP in the curriculum an essential priority. Methods: The study was qualitative in nature. An EBP module was facilitated on Blackboard. Census sampling was used to select participants to ensure valuable information applicable to the research [3]. Informed consent were obtained from all final year undergraduate nursing students that agreed to participate. To ensure anonymity no student identifiers were used. Reflective journals served as qualitative data and were collected via Blackboard. Data were analyzed by using Tech’s six steps of content analysis. The researcher did the coding of the data which was verified by an independent external expert. Text that reflects a specific theme can be adjoined to represent certain experiences. Results: Reflective journals consist of memory and indicate opinions, perceptions, patterns and trends. Students could utilize Blackboard in a positive and safe environment. Timely feedback on a regular basis is a motivating experience and assists students to work through distressful clinical events, should any occur. There was a significant change in the students’ beliefs on the significance of EBP. EBP implementation took place concluding that EBP in the curriculum will contribute to the use of research utilization in practice. Students experienced the teaching strategies useful and reflected professional development. Conclusion: The reflective journals on Blackboard included self-assessment that involved organizing behavior. The knowledge gained from the EBP process motivated the students to implement EBP in the clinical setting. The students were facilitated to skilfully reflect and learn from each clinical situation. If a student is guided during the reflective process, it can lead to lifelong learning. Key words: Evidence-Based Practice, Curriculum, Reflection.

Evidence-based Practice regarding knowledge, attitude and perceived barriers of Mangalore Physical Therapists: A Survey

2020 ◽  
Vol 11 (4) ◽  
pp. 7056-7063
Author(s):  
Vineel P ◽  
Gopala Krishna Alaparthi ◽  
Kalyana Chakravarthy Bairapareddy ◽  
Sampath Kumar Amaravadi
Keyword(s):  
Response Rate ◽  
Evidence Based Practice ◽  
Physical Therapists ◽  
Medical Profession ◽  
Demographic Data ◽  
Perceived Barriers ◽  
Hard Copy ◽  
Evidence Based ◽  
Research Committee ◽  
The Individual

  Evidence-based Practice is defined as usage of current best evidence which is conscientious, explicit and judicious in deciding on the care of the individual. It is one of the vital decision-making processes in the medical profession. Though India is renowned as a center for medical education, there is scarcity regarding the literature on evidence-based practice. The survey aims to identify the prevalence of evidence-based practice among the physical therapists of Mangalore. The study protocol submitted to scientific research committee and Ethical institutional committee, K.M.C. Mangalore Manipal University. On approval, the questionnaire had been distributed among the physical therapists of Mangalore through mails and in the written form. The questionnaire consists of questions divided into eight sections: 1) consent form 2) current practice status; 3) demographic data; 4) behavior; 5) previous knowledge of E.B.P. resources; 6) skills and available resources; 7) Opinions regarding E.B.P.; 8)Perceived barriers regarding E.B.P. The emails were sent through Google forms to all the physical therapists, and hard copies were distributed among the selected physical therapists. The response rate for the emails was 13.1%. The response collected through hard copies was 178, whereas total hard copies distributed was 320, the participants rejected some due to lack of interest. In total, including emails and hard copy questionnaire 205 was the response rate in which all were practicing physical therapy as their primary profession. The findings of the study will pave the way to identify the status of evidence-based practice as well as help in designing promotional programmers for evidence-based practice.

Evidence-Based Practice Patterns Among Speech-Language Pathologists and Audiologists in Saudi Arabia

2019 ◽  
Vol 41 (4) ◽  
pp. 242-249 ◽  
Author(s):  
Abdulsalam Alhaidary
Keyword(s):  
Saudi Arabia ◽  
Clinical Decision Making ◽  
Practice Patterns ◽  
Evidence Based Practice ◽  
Clinical Decision ◽  
Limited Resources ◽  
Evidence Based ◽  
Speech Language Pathologists ◽  
Insufficient Time ◽  
Ebp Implementation

The goal of this study was to explore the evidence-based practice (EBP) pattern among speech-language pathologists (SLPs) and audiologists in Saudi Arabia. A total of 48 clinicians working in Saudi Arabia completed a questionnaire that investigated patterns, attitudes, skills, and time and resources at the workplace related to EBP. The results showed that SLPs and audiologists held favorable attitudes toward EBP, and the use of research studies to guide clinical decision making was increased among the participants with previous EBP training. Also, the study found that skills and knowledge related to EBP need to be enhanced, but they were not major barriers to EBP implementation. Limited resources appeared to impose some hindrances, whereas insufficient time at the workplace was found to be a major challenge for EBP implementation. Overall, the findings from this study highlight the importance of increasing the continuing education and professional time for EBP activities in the workplace.

scholarly journals Effectiveness of an Evidence-Based Practice Educational Intervention among School Nurses

2020 ◽  
Vol 17 (11) ◽  
pp. 4063
Author(s):  
Pei-Lin Hsieh ◽  
Sue-Hsien Chen
Keyword(s):  
Self Efficacy ◽  
Primary Schools ◽  
Flipped Classroom ◽  
Evidence Based Practice ◽  
Quality Care ◽  
School Nurses ◽  
Evidence Based ◽  
Learning Technology ◽  
Post Test

The evidence-based practice (EBP) approach to high-quality care is designed to improve patient outcomes. However, little research has been conducted to determine how EBP is adopted and implemented among school nurses in Taiwan. This study evaluated an EBP training program implemented among school nurses in Taiwan to determine whether and how effectively it improved their knowledge levels, attitudes, skills, and self-efficacy. A pretest-posttest research design was employed. Participants were recruited via convenience sampling from among 193 primary schools throughout Tao-Yuan and New Taipei City in Taiwan. The EBP program implemented both mobile learning technology and the flipped classroom format. The learning outcomes were evaluated before, immediately after, and at a 3-month follow-up. In this regard, the data were collected using the School Nurse Evidence-Based Practice Questionnaire. The results showed that the participant scores for the items of knowledge and self-efficacy significantly increased over the study period. Somewhat differently, scores for the skill items significantly increased from the pre-test to the immediate post-test, but significantly decreased from the immediate post-test to the final follow-up. Overall, however, the EBP program led to marked improvements in knowledge, skills, and self-efficacy. These findings can help guide the development of a creative evidence-based school nursing curriculum.

Day surgery: Improving care through follow up contact

1998 ◽  
Vol 8 (6) ◽  
pp. 11-13 ◽  
Author(s):  
Lesley Mason
Keyword(s):  
Evidence Based Practice ◽  
Day Surgery ◽  
Evidence Based

In this article I will outline the method of evidence based practice we have implemented during the last three years following the introduction of day surgery as a specific speciality in our Trust. I will outline the method of accessing information on a regular basis and how this information was used to improve the service we offer. Finally I will suggest how, as a group of professionals, we may take this initiative forward towards AD 2000.

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