An Exploration of Contextual Factors Impacting Nurses Implementation of Evidence: Readiness, Beliefs, Skills and Needs

2.50
Hdl Handle:
http://hdl.handle.net/10755/308672
Category:
Abstract
Type:
Presentation
Title:
An Exploration of Contextual Factors Impacting Nurses Implementation of Evidence: Readiness, Beliefs, Skills and Needs
Author(s):
Long, Lisa English; Kaylor, Mary Beth; Brewer, Tracy; Fineout-Overholt, Ellen; Brown, Lucinda; Curry, Donna Miles
Lead Author STTI Affiliation:
N/A
Author Details:
Lisa English Long, MSN, RN, long.1148@osu.edu; Mary Beth Kaylor, PhD, RN; Tracy Brewer, DNP, RNC; Ellen Fineout-Overholt, PhD, RN, FNAP, FAAN; Lucinda Brown, MSN; Donna Miles Curry, PhD, RN, PCNS-BC
Abstract:

Session presented on: Sunday, November 17, 2013

Theoretical Base.  The need to understand systems, infrastructure and context are imperative when developing a culture based on evidence. Improving outcomes through the implementation of evidence-based practice (EBP), achieving nursing excellence and building a foundation for exemplary professional practice can be achieved through identification of an organization’s culture of EBP.  The Promoting Action on Research in Health Services (PARIHS) framework (Rycroft-Malone, 2004) and the Advancing Research through Close Collaboration (ARCC) Model (Melnyk & Fineout-Overholt, 2011) served as the basis for a needs assessment.

Purpose of research.  The purpose of this study was to conduct a needs assessment that explored the relationship between contextual factors (readiness, beliefs, skills and needs) and nurses’ ability to translate and implement research.

Design and Methods.  The study, conducted in a mid-west pediatric institution, used a descriptive correlational design.  To understand the relationship between contextual factors and nurses’ ability to translate and implement research the Evidence-based Practice Beliefs Scale, Evidence-based Practice Implementation Scale and Organizational Culture and Readiness for System Wide Implementation of Evidence-based Practice Survey (Melnyk & Fineout-Overholt, 2011) were used for electronic data collection. 

Analysis and Results.  Descriptive and correlational statistics were used to describe results and identify associations among variables. Positive relationships were reported between EBP beliefs, extent of education (p=.013), and organizational EBP culture (p=.000).   Exposure to EBP through CE programs (p=.008) and shared governance activities (p=.000) were positively correlated with EBP implementation.  Engagement of nurses in EBP was positively correlated to a culture of EBP (p=.021).  Areas for further development focused on implementation of EBP.

Conclusion and Implications.  Potential benefits of nurse’s participation included implementation of results to improve the contextual environment.  Innovation through the development of EBP Mentors, resources, and educational programs can be achieved as nurses lead a shift to an organizational culture based on evidence.

Keywords:
Culture and Context; Evidence-Based Practice; Nursing
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.titleAn Exploration of Contextual Factors Impacting Nurses Implementation of Evidence: Readiness, Beliefs, Skills and Needsen_GB
dc.contributor.authorLong, Lisa Englishen_GB
dc.contributor.authorKaylor, Mary Bethen_GB
dc.contributor.authorBrewer, Tracyen_GB
dc.contributor.authorFineout-Overholt, Ellenen_GB
dc.contributor.authorBrown, Lucindaen_GB
dc.contributor.authorCurry, Donna Milesen_GB
dc.contributor.departmentN/Aen_GB
dc.author.detailsLisa English Long, MSN, RN, long.1148@osu.edu; Mary Beth Kaylor, PhD, RN; Tracy Brewer, DNP, RNC; Ellen Fineout-Overholt, PhD, RN, FNAP, FAAN; Lucinda Brown, MSN; Donna Miles Curry, PhD, RN, PCNS-BCen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308672-
dc.description.abstract<p>Session presented on: Sunday, November 17, 2013</p><b>Theoretical Base.  </b>The need to understand systems, infrastructure and context are imperative when developing a culture based on evidence. Improving outcomes through the implementation of evidence-based practice (EBP), achieving nursing excellence and building a foundation for exemplary professional practice can be achieved through identification of an organization’s culture of EBP.  The Promoting Action on Research in Health Services (PARIHS) framework (Rycroft-Malone, 2004) and the Advancing Research through Close Collaboration (ARCC) Model (Melnyk & Fineout-Overholt, 2011) served as the basis for a needs assessment. <p><b>Purpose of research.  </b>The purpose of this study was to conduct a needs assessment that explored the relationship between contextual factors (readiness, beliefs, skills and needs) and nurses’ ability to translate and implement research. <p><b>Design and Methods.  </b>The study, conducted in a mid-west pediatric institution, used a descriptive correlational design.  To understand the relationship between contextual factors and nurses’ ability to translate and implement research the Evidence-based Practice Beliefs Scale, Evidence-based Practice Implementation Scale and Organizational Culture and Readiness for System Wide Implementation of Evidence-based Practice Survey (Melnyk & Fineout-Overholt, 2011) were used for electronic data collection.  <p><b>Analysis and Results.</b>  Descriptive and correlational statistics were used to describe results and identify associations among variables. Positive relationships were reported between EBP beliefs, extent of education (<i>p</i>=.013), and organizational EBP culture (<i>p</i>=.000).   Exposure to EBP through CE programs (<i>p</i>=.008) and shared governance activities (<i>p</i>=.000) were positively correlated with EBP implementation.  Engagement of nurses in EBP was positively correlated to a culture of EBP (<i>p</i>=.021).  Areas for further development focused on implementation of EBP. <p><b>Conclusion and Implications.  </b>Potential benefits of nurse’s participation included implementation of results to improve the contextual environment.  Innovation through the development of EBP Mentors, resources, and educational programs can be achieved as nurses lead a shift to an organizational culture based on evidence.en_GB
dc.subjectCulture and Contexten_GB
dc.subjectEvidence-Based Practiceen_GB
dc.subjectNursingen_GB
dc.date.available2013-12-19T17:34:35Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:34:35Z-
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
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.