Comparison of the Nurse Manager and the Staff Nurse in the Value and Application of Evidence-Based Practice

2.50
Hdl Handle:
http://hdl.handle.net/10755/203209
Type:
Presentation
Title:
Comparison of the Nurse Manager and the Staff Nurse in the Value and Application of Evidence-Based Practice
Abstract:
(Summer Institute) Problem: The nurse manager is required to have the knowledge and skills to role model support for evidence-based practice (EBP). Based on data obtained through a survey assessment, the nurse manager lacks the knowledge and skills to support the staff nurse in this practice. Evidence: In appraising the literature, studies revealed consistent agreement as to the barriers of EBP. These barriers specifically focused on lack of skill in accessing the literature; inability or lack of understanding in critically appraising the literature; and lack of authority to implement practice change. Barriers identified related to administrative support includes lack of managerial mentorship and time to incorporate evidence into practice. Strategies: A survey was administered to staff nurses and nurse managers in an academic medical center to assess attitudes and use of resources for EBP. Practice Change: The nurse manager and staff nurse survey assessment provided an improved understanding of the nurse managers’ and staff nurses’ attitude of EBP and the status of their knowledge and skills of EBP. Evaluation: The survey results were similar between nurse managers and staff nurses on attitudinal items such as willingness to change; perception of access to evidence; and use of evidence to guide practice. Other items included the perception of time to read evidence; authority to change practice; and support from immediate supervisor. There was also a perception that applying evidence to their practice was not supported by their direct supervisor. Results: The survey revealed a gap between evidence and practice in both the nurse manager and the staff nurse. Recommendations: The nurse manager and staff nurse survey assessment provided a framework for further education and mentorship in EBP. Lessons Learned: Nurse managers and staff nurses require support and education in the implementation of EBP at the bedside. Bibliography: Bally, J.M. (2007). The role of nursing leadership in creating a mentoring culture in acute care environments. Nursing Economics, 25, 143-148. Brown, S. J. (2008). Time to move on: Definitions of evidence-based practice. Journal of Nursing Care Quality. 23, 201-202. Burns, H. K., Dudjak, L. & Greenhouse, P. K. (2009). Building an evidence-based practice infrastructure and culture: A model for rural and community hospitals. Journal of Nursing Administration, 39, 321-325. Caine, C. & Kenrick, M. (1997). The role of the clinical directorate managers in facilitating evidence-based practice: A report of an exploratory study. Journal of Nursing Management, 5, 157-165. Caldwell, S. D., Roby-Williams, C., Rush, K., & Ricke-Kiely, T. (2009). Influences of context, process and individual differences on nurses’ readiness for change to Magnet status. Journal of Advanced Nursing, 65, 1412-1422. Dearholt, S. L., White, K. M., Newhouse, R., Pugh, L. C., & Poe, S. (2008). Educational strategies to develop evidence-based practice mentors. Journal for Nurses in Staff Development, 24, 53-59. Edwards, H., Chapman, H., & Davis, L. M. (2002). Utilization of research evidence by nurses. Nurses and Health Sciences, 4, 89-95. Fink, R., Thompson, C.J., & Bonnes, D. (2005). Overcoming barriers and promoting the use of research in practice. Journal of Nursing Administration, 35, 121-129. Gale, B. V. & Schaffer, M. A. (2009). Organizational readiness for evidence-based practice. Journal of Nursing Administration, 39, 91-97. Gerrish, K, Ashworth, P., Lacey, A., Bailey, J., Cooke, J., Kendall, S. & McNeilly, E. (2007). Factors influencing the development of evidence-based practice: A research tool. Journal of Advanced Nursing, 57, 328-338. Gerrish, K. & Clayton, J. (2004). Promoting evidence-based practice: An organizational approach. Journal of Nursing Management. 12, 114-123. Koehn, M. L. & Lehman, K. (2008). Nurses’ perceptions of evidence-based nursing practice. Journal of Advanced Nursing, 62, 209-215. Leach, L. S. (2005). Nurse executive transformational leadership and organizational commitment. Journal of Nursing Administration, 35, 228-237. Newhouse, R. P., Dearholt, S., Poe, S., Pugh, L. C., & White, K. M. (2007). Organizational change strategies for evidence-based practice. Journal of Nursing Administration, 37,552-557. Rogers, E. (2003). Diffusion of Innovations. New York: Free Press. Rycroft-Malone, J. (2004). The PARIHS framework- a framework for guiding the implementation of evidence-based practice. Journal of Nursing Care Quality, 19, 297-304. Sackett, D. L. (1998). Evidence-based medicine. Spine, 23, 1085-1086. Sams, L., Penn, B.K., & Facteau, L. (2004). The challenge of using evidence-based practice. Journal of Nursing Administration, 34, 407-414. Scott, K. & McSherry, R. (2009). Evidence-based nursing: Clarifying the concepts for nurses in practice. Journal of Clinical Nursing, 18, 1085-1095. Shirey, M. (2006). Evidence-based practice: How nurse leaders can facilitate innovation. Nursing Administration Quarterly, 30, 252-265. Stetler, C. B., Brunell, M., Giuliano, K. K., Morsi, D., Prince, L., & Newell-Stokes, V. (1998). Evidence-based practice and the role of nursing leadership. Journal of Nursing Administration, 28, 45-53. Strout, T. D., Lancaster, K., & Schultz, A. A. (2009). Development and implementation of an inductive model for evidence-based practice: A grassroots, approach for building evidence-based practice capacity in staff nurses. Nursing Clinics of North America, 44, 93-102. Valente, S. M. (2010). Three practical approaches to EBP. Nursing Management, 10-13. Vratny, A. & Shriver, D. (2007). A conceptual model for growing evidence-based practice. Nursing Administrative Quarterly, 162-170. Witzke, A. K., Bucher, L., Collins, M., Essex, M., Prata, J., Thomas, T., Waterhouse, J. & Wintersgill, W. (2008). Journal for Nurses in Staff Development, 24, 12-18. Youngblut, J. M. & Brooten, D., (2001). Evidence-based nursing practice: Why is it important? AACN Clinical Issues, 12, 468-476. [© Academic Center for Evidence-Based Practice, 2011. http://www.acestar.uthscsa.edu]
Keywords:
Value; Evidence-Based Practice
Repository Posting Date:
16-Jan-2012
Date of Publication:
3-Jan-2012
Sponsors:
UTHSCSA Summer Institute

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleComparison of the Nurse Manager and the Staff Nurse in the Value and Application of Evidence-Based Practiceen_GB
dc.identifier.urihttp://hdl.handle.net/10755/203209-
dc.description.abstract(Summer Institute) Problem: The nurse manager is required to have the knowledge and skills to role model support for evidence-based practice (EBP). Based on data obtained through a survey assessment, the nurse manager lacks the knowledge and skills to support the staff nurse in this practice. Evidence: In appraising the literature, studies revealed consistent agreement as to the barriers of EBP. These barriers specifically focused on lack of skill in accessing the literature; inability or lack of understanding in critically appraising the literature; and lack of authority to implement practice change. Barriers identified related to administrative support includes lack of managerial mentorship and time to incorporate evidence into practice. Strategies: A survey was administered to staff nurses and nurse managers in an academic medical center to assess attitudes and use of resources for EBP. Practice Change: The nurse manager and staff nurse survey assessment provided an improved understanding of the nurse managers’ and staff nurses’ attitude of EBP and the status of their knowledge and skills of EBP. Evaluation: The survey results were similar between nurse managers and staff nurses on attitudinal items such as willingness to change; perception of access to evidence; and use of evidence to guide practice. Other items included the perception of time to read evidence; authority to change practice; and support from immediate supervisor. There was also a perception that applying evidence to their practice was not supported by their direct supervisor. Results: The survey revealed a gap between evidence and practice in both the nurse manager and the staff nurse. Recommendations: The nurse manager and staff nurse survey assessment provided a framework for further education and mentorship in EBP. Lessons Learned: Nurse managers and staff nurses require support and education in the implementation of EBP at the bedside. Bibliography: Bally, J.M. (2007). The role of nursing leadership in creating a mentoring culture in acute care environments. Nursing Economics, 25, 143-148. Brown, S. J. (2008). Time to move on: Definitions of evidence-based practice. Journal of Nursing Care Quality. 23, 201-202. Burns, H. K., Dudjak, L. & Greenhouse, P. K. (2009). Building an evidence-based practice infrastructure and culture: A model for rural and community hospitals. Journal of Nursing Administration, 39, 321-325. Caine, C. & Kenrick, M. (1997). The role of the clinical directorate managers in facilitating evidence-based practice: A report of an exploratory study. Journal of Nursing Management, 5, 157-165. Caldwell, S. D., Roby-Williams, C., Rush, K., & Ricke-Kiely, T. (2009). Influences of context, process and individual differences on nurses’ readiness for change to Magnet status. Journal of Advanced Nursing, 65, 1412-1422. Dearholt, S. L., White, K. M., Newhouse, R., Pugh, L. C., & Poe, S. (2008). Educational strategies to develop evidence-based practice mentors. Journal for Nurses in Staff Development, 24, 53-59. Edwards, H., Chapman, H., & Davis, L. M. (2002). Utilization of research evidence by nurses. Nurses and Health Sciences, 4, 89-95. Fink, R., Thompson, C.J., & Bonnes, D. (2005). Overcoming barriers and promoting the use of research in practice. Journal of Nursing Administration, 35, 121-129. Gale, B. V. & Schaffer, M. A. (2009). Organizational readiness for evidence-based practice. Journal of Nursing Administration, 39, 91-97. Gerrish, K, Ashworth, P., Lacey, A., Bailey, J., Cooke, J., Kendall, S. & McNeilly, E. (2007). Factors influencing the development of evidence-based practice: A research tool. Journal of Advanced Nursing, 57, 328-338. Gerrish, K. & Clayton, J. (2004). Promoting evidence-based practice: An organizational approach. Journal of Nursing Management. 12, 114-123. Koehn, M. L. & Lehman, K. (2008). Nurses’ perceptions of evidence-based nursing practice. Journal of Advanced Nursing, 62, 209-215. Leach, L. S. (2005). Nurse executive transformational leadership and organizational commitment. Journal of Nursing Administration, 35, 228-237. Newhouse, R. P., Dearholt, S., Poe, S., Pugh, L. C., & White, K. M. (2007). Organizational change strategies for evidence-based practice. Journal of Nursing Administration, 37,552-557. Rogers, E. (2003). Diffusion of Innovations. New York: Free Press. Rycroft-Malone, J. (2004). The PARIHS framework- a framework for guiding the implementation of evidence-based practice. Journal of Nursing Care Quality, 19, 297-304. Sackett, D. L. (1998). Evidence-based medicine. Spine, 23, 1085-1086. Sams, L., Penn, B.K., & Facteau, L. (2004). The challenge of using evidence-based practice. Journal of Nursing Administration, 34, 407-414. Scott, K. & McSherry, R. (2009). Evidence-based nursing: Clarifying the concepts for nurses in practice. Journal of Clinical Nursing, 18, 1085-1095. Shirey, M. (2006). Evidence-based practice: How nurse leaders can facilitate innovation. Nursing Administration Quarterly, 30, 252-265. Stetler, C. B., Brunell, M., Giuliano, K. K., Morsi, D., Prince, L., & Newell-Stokes, V. (1998). Evidence-based practice and the role of nursing leadership. Journal of Nursing Administration, 28, 45-53. Strout, T. D., Lancaster, K., & Schultz, A. A. (2009). Development and implementation of an inductive model for evidence-based practice: A grassroots, approach for building evidence-based practice capacity in staff nurses. Nursing Clinics of North America, 44, 93-102. Valente, S. M. (2010). Three practical approaches to EBP. Nursing Management, 10-13. Vratny, A. & Shriver, D. (2007). A conceptual model for growing evidence-based practice. Nursing Administrative Quarterly, 162-170. Witzke, A. K., Bucher, L., Collins, M., Essex, M., Prata, J., Thomas, T., Waterhouse, J. & Wintersgill, W. (2008). Journal for Nurses in Staff Development, 24, 12-18. Youngblut, J. M. & Brooten, D., (2001). Evidence-based nursing practice: Why is it important? AACN Clinical Issues, 12, 468-476. [© Academic Center for Evidence-Based Practice, 2011. http://www.acestar.uthscsa.edu]en_GB
dc.subjectValueen_GB
dc.subjectEvidence-Based Practiceen_GB
dc.date.available2012-01-16T11:03:31Z-
dc.date.issued2012-01-03en_GB
dc.date.accessioned2012-01-16T11:03:31Z-
dc.description.sponsorshipUTHSCSA Summer Instituteen_GB
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