An Evaluation of a Dissemination Intervention to Enhance Registered Nurses' Use of Clinical Practice Guidelines Related to Tobacco Reduction

2.50
Hdl Handle:
http://hdl.handle.net/10755/152472
Type:
Presentation
Title:
An Evaluation of a Dissemination Intervention to Enhance Registered Nurses' Use of Clinical Practice Guidelines Related to Tobacco Reduction
Abstract:
An Evaluation of a Dissemination Intervention to Enhance Registered Nurses' Use of Clinical Practice Guidelines Related to Tobacco Reduction
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Hyndman, Kathryn Jean, RN, BSN, MN, PhD
P.I. Institution Name:Brandon University
Title:Assistant Professor
Clinical practice guidelines (CPGs) have been developed to support knowledge transfer in health care settings. A quasi-experimental, pretest, post-test design was conducted to examine the effect of a dissemination intervention on nurse adherence to CPGs on tobacco reduction and self-efficacy in treating tobacco use and dependence. A sample of 138 hospital-based registered nurses who provided routine pregnancy and postpartum care was recruited from two hospitals in one urban Regional Health Authority in mid-western Canada. Following randomisation of hospitals, the dissemination intervention consisting of academic detailing visits supplemented with a self-study package of print materials, a video, and a Smoking Cessation Interventions Record form, was administered to nurses in one hospital. Data were collected from self-administered, baseline and follow-up questionnaires and nurse documentation of their use of the CPGs during the 10-week intervention period. At three weeks post-intervention, quantitative results indicated the dissemination intervention positively and significantly enhanced nurse adherence to the CPGs and boosted self-efficacy beliefs in treating tobacco use and dependence. Although nurses? perceptions of autonomy modified the effect of the dissemination intervention on change in self-efficacy beliefs in treating tobacco use and dependence, the intervention group demonstrated significantly improved self-efficacy scores in comparison to the control group. Multiple regression analyses revealed three significant predictors of nurse adherence to CPGs: receiving the intervention (p<0.001); baseline perceptions about using CPGs (p=0.05); and resource adequacy (p=0.04) and three significant predictors of self-efficacy: receiving the intervention (p<0.001); working full-time (p=0.01); and own value of research (p=0.05). This study demonstrated the efficacy of a multifaceted dissemination intervention on enhancing nurses? use of the CPGs in a hospital-based maternal child practice setting. Receiving the intervention was clearly the strongest predictor of self-efficacy beliefs in treating tobacco use and dependence and nurse adherence to the CPGs on tobacco reduction.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleAn Evaluation of a Dissemination Intervention to Enhance Registered Nurses' Use of Clinical Practice Guidelines Related to Tobacco Reductionen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152472-
dc.description.abstract<table><tr><td colspan="2" class="item-title">An Evaluation of a Dissemination Intervention to Enhance Registered Nurses' Use of Clinical Practice Guidelines Related to Tobacco Reduction</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Hyndman, Kathryn Jean, RN, BSN, MN, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Brandon University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">hyndmank@brandonu.ca</td></tr><tr><td colspan="2" class="item-abstract">Clinical practice guidelines (CPGs) have been developed to support knowledge transfer in health care settings. A quasi-experimental, pretest, post-test design was conducted to examine the effect of a dissemination intervention on nurse adherence to CPGs on tobacco reduction and self-efficacy in treating tobacco use and dependence. A sample of 138 hospital-based registered nurses who provided routine pregnancy and postpartum care was recruited from two hospitals in one urban Regional Health Authority in mid-western Canada. Following randomisation of hospitals, the dissemination intervention consisting of academic detailing visits supplemented with a self-study package of print materials, a video, and a Smoking Cessation Interventions Record form, was administered to nurses in one hospital. Data were collected from self-administered, baseline and follow-up questionnaires and nurse documentation of their use of the CPGs during the 10-week intervention period. At three weeks post-intervention, quantitative results indicated the dissemination intervention positively and significantly enhanced nurse adherence to the CPGs and boosted self-efficacy beliefs in treating tobacco use and dependence. Although nurses? perceptions of autonomy modified the effect of the dissemination intervention on change in self-efficacy beliefs in treating tobacco use and dependence, the intervention group demonstrated significantly improved self-efficacy scores in comparison to the control group. Multiple regression analyses revealed three significant predictors of nurse adherence to CPGs: receiving the intervention (p&lt;0.001); baseline perceptions about using CPGs (p=0.05); and resource adequacy (p=0.04) and three significant predictors of self-efficacy: receiving the intervention (p&lt;0.001); working full-time (p=0.01); and own value of research (p=0.05). This study demonstrated the efficacy of a multifaceted dissemination intervention on enhancing nurses? use of the CPGs in a hospital-based maternal child practice setting. Receiving the intervention was clearly the strongest predictor of self-efficacy beliefs in treating tobacco use and dependence and nurse adherence to the CPGs on tobacco reduction.</td></tr></table>en_GB
dc.date.available2011-10-26T11:37:36Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:37:36Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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