The Concept of Facilitation in the Implementation of Evidence-based Practice: Development of an Instrument to Measure Facilitation

2.50
Hdl Handle:
http://hdl.handle.net/10755/308658
Category:
Abstract
Type:
Presentation
Title:
The Concept of Facilitation in the Implementation of Evidence-based Practice: Development of an Instrument to Measure Facilitation
Author(s):
Brown, Susan J
Lead Author STTI Affiliation:
N/A
Author Details:
Susan J Brown, BSN, MSN, PhD, susan.brown3@osumc.edu
Abstract:

Session presented on: Sunday, November 17, 2013

In 2001 the Institute of Medicine identified a significant gap between what is known about how we should care for patients and the care that they actually receive. This identified gap renewed interest in the study of evidence-based practice (EBP). Significant numbers of research studies have evaluated barriers to EBP, yet questions still arise as to why evidence is not routinely incorporated into practice. The Promoting Action on Research Implementation in Health Services (PARiHS) framework  purports that successful implementation of EBP is a function of the strength of the evidence to be implemented, the quality of the context into which it is implemented, and appropriate facilitation. There currently are levels of evidence and measures of context that can be adopted but no measures of appropriate facilitation. The purpose of this research was to develop an instrument to measure facilitation.

This methodological study was conducted to determine the psychometric properties of an investigator-developed instrument to define and measure the concept of facilitation. The instrument was distributed to a sample of 1025 Registered Nurses in an Academic Medical Center. The response rate was 28%. The majorities of respondents were in a staff nurse role, over the age of 35 and had at least a Bachelor’s degree.

The Facilitation Assessment Index (FAI) demonstrated adequate psychometrics. Factor analysis delineated four subscales entitled Support, Leadership, Respect and Autonomy. The overall reliability of the scale was .931 and the range of reliability of the subscales was .853- .931. The test-retest correlation for the total scale was .852 (p< .001).  Correlations for the subscales ranged from .610-.851 (p< .01).

Relationships between demographic variables and facilitation were evaluated. Both the unit and job title variables demonstrated relationships with scale scores, although group sizes were not equal. Future research is needed to strengthen the psychometric properties of the FAI.

Keywords:
Evidence-based Practice; Facilitation
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleThe Concept of Facilitation in the Implementation of Evidence-based Practice: Development of an Instrument to Measure Facilitationen_GB
dc.contributor.authorBrown, Susan Jen_GB
dc.contributor.departmentN/Aen_GB
dc.author.detailsSusan J Brown, BSN, MSN, PhD, susan.brown3@osumc.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308658-
dc.description.abstract<p>Session presented on: Sunday, November 17, 2013</p>In 2001 the Institute of Medicine identified a significant gap between what is known about how we should care for patients and the care that they actually receive. This identified gap renewed interest in the study of evidence-based practice (EBP). Significant numbers of research studies have evaluated barriers to EBP, yet questions still arise as to why evidence is not routinely incorporated into practice. The Promoting Action on Research Implementation in Health Services (PARiHS) framework  purports that successful implementation of EBP is a function of the strength of the evidence to be implemented, the quality of the context into which it is implemented, and appropriate facilitation. There currently are levels of evidence and measures of context that can be adopted but no measures of appropriate facilitation. The purpose of this research was to develop an instrument to measure facilitation. <p>This methodological study was conducted to determine the psychometric properties of an investigator-developed instrument to define and measure the concept of facilitation. The instrument was distributed to a sample of 1025 Registered Nurses in an Academic Medical Center. The response rate was 28%. The majorities of respondents were in a staff nurse role, over the age of 35 and had at least a Bachelor’s degree. <p>The Facilitation Assessment Index (FAI) demonstrated adequate psychometrics. Factor analysis delineated four subscales entitled Support, Leadership, Respect and Autonomy. The overall reliability of the scale was .931 and the range of reliability of the subscales was .853- .931. The test-retest correlation for the total scale was .852 (p< .001).  Correlations for the subscales ranged from .610-.851 (p< .01). <p>Relationships between demographic variables and facilitation were evaluated. Both the unit and job title variables demonstrated relationships with scale scores, although group sizes were not equal. Future research is needed to strengthen the psychometric properties of the FAI.en_GB
dc.subjectEvidence-based Practiceen_GB
dc.subjectFacilitationen_GB
dc.date.available2013-12-19T17:34:13Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:34:13Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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