Nurses self assessed factors influencing their competence in utilization and assessment of research evidence in community health care
A cross-sectional study
DOI:
https://doi.org/10.7557/14.5642Keywords:
research evidence, community healthcare, competenceAbstract
In order to achieve quality of care and patient safety, it is important that nurses use research evidence in practice. Recent research indicates that nurses feel that they do not have the necessary competencies to implement research evidence in practice. This study aims to examine nurses self assessed factors influencing nurses competence in assessing and appraise research evidence in community health care. Cross-sectional data was collected from 41 nurses during the period May 8 to August 8, 2019, using the Norwegian version of Developing Evidence-based Practice questionnaire (DEBP). The results suggests that nurses with full employment are more likely to use research evidence to change practice. Younger nurses with less than 10 years of experience reported higher competence in appraising research evidence.
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References
Bjørk, I. T. & Solhaug, M. (2008). Fagutvikling og forskning i klinisk sykepleie : en ressursbok. Oslo: Akribe.
Dalheim, A., Harthug, S., Nilsen, R. & Nortvedt, M. (2012). Factors influencing the development of evidence-based practice among nurses: a self-report survey. BMC Health Services Research, 12, 367. https://doi.org/10.1186/1472-6963-12-367
Forskrift om nasjonal retningslinje for sykepleieutdanning. (2019). Forskrift om nasjonal retningslinje for sykepleieutdanning (FOR-2019-03-15-412). Hentet fra https://lovdata.no/dokument/SF/forskrift/2019-03-15-412#KAPITTEL_4
Garland Baird, L. M. & Miller, T. (2015). Factors influencing evidence-based practice for community nurses. British Journal of Community Nursing, 20(5), 233-242. https://doi.org/10.12968/bjcn.2015.20.5.233
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(3), 328-338. https://doi.org/10.1111/j.1365-2648.2006.04112.x
Hellier, S. & Cline, T. (2016). Factors that affect nurse practitioners' implementation of evidence-based practice. Journal of the American Association of Nurse Practitioners, 28(11), 612-621. https://doi.org/10.1002/2327-6924.12394
(2009). Samhandlingsreformen. Rett behandling - på rett sted - til rett tid. (St.meld. nr. 47 (2008-2009)). Hentet fra https://www.regjeringen.no/contentassets/d4f0e16ad32e4bbd8d8ab5c21445a5dc/no/pdfs/stm200820090047000dddpdfs.pdf
Helse- og omsorgsdepartementet. (2014). HelseOmsorg21. Et kunnskapssystem for bedre Folkehelse. Hentet fra https://www.regjeringen.no/no/dokumenter/HelseOmsorg21/id764389/
Helse- og omsorgsdepartementet. (2016). Kvalitet og pasientsikkerhet (Meld.St. 6 (2017-2018)). Hentet fra https://www.regjeringen.no/no/dokumenter/meld.-st.-6-20172018/id2581316/sec1
Helse- og omsorgsdepartementet. (2017). Kvalitet og pasientsikkerhet (Meld.St. 11 (2018-2019)). Hentet fra https://www.regjeringen.no/no/dokumenter/meld.-st.-11-20182019/id2622527/sec2?q=kunnskap#kap3-2-1
Helse- og omsorgsdepartementet. (2017-2018). Leve hele livet. En kvalitetsreform for eldre (Meld.St. 15 (2017-2018)). Hentet fra https://www.regjeringen.no/no/dokumenter/meld.-st.-15-20172018/id2599850/sec3?q=kunnskapsbasert%20praksis#kap3-3-1
Helsebiblioteket. (2016). Kunnskapsbasert praksis. Hentet 22. oktober 2019 fra https://www.helsebiblioteket.no/kunnskapsbasert-praksis
KSF. (2019). Sluttrapport februar 2019 til HelseOmsorg21-rådet, fra Kommunenes strategiske forskningsorgan (KSF). Hentet fra https://www.ks.no/globalassets/KS-ksf-rapport-F43-interaktiv.pdf
Mazurek Melnyk, B., Fineout-Overholt, E., Gallagher-Ford, L. & Kaplan, L. (2012). The State of Evidence-Based Practice in US Nurses: Critical Implications for Nurse Leaders and Educators. Journal of Nursing Administration, 42(9), 410-417. https://doi.org/10.1097/NNA.0b013e3182664e0a
Melnyk, B. M., Gallagher‐Ford, L., Zellefrow, C., Tucker, S., Thomas, B., Sinnott, L. T. & Tan, A. (2018). The First U.S. Study on Nurses’ Evidence‐Based Practice Competencies Indicates Major Deficits That Threaten Healthcare Quality, Safety, and Patient Outcomes. Worldviews on Evidence-Based Nursing, 15(1), 16-25. https://doi.org/10.1111/wvn.12269
Middleton, S., McElduff, P., Ward, J., Grimshaw, J., Dale, S., D'Este, C., … Levi, C. (2011). Implementation of evidence-based treatment protocols to manage fever, hyperglycaemia, and swallowing dysfunction in acute stroke (QASC): a cluster randomised controlled trial. The Lancet, 378(9804), 1699-1706. https://doi.org/10.1016/S0140-6736(11)61485-2
Norsk Pasientskadeerstatning. (2019, 20. desember). 877 pasienter døde i helsetjenesten - pårørende fikk erstatning. Hentet fra https://www.npe.no/no/Om-NPE/aktuelt/877-pasienter-dode-i-helsetjenesten--parorende-fikk-erstatning/
Phillips, L. & Neumeier, M. (2018). Building Capacity for Evidence-Based Practice: Understanding How Licensed Practical Nurses (LPNs) Source Knowledge. Worldviews on Evidence-Based Nursing, 15(4), 290-295. https://doi.org/10.1111/wvn.12284 Questback AS: https://www.questback.com/no/
Røkholt, G., Davidsen, L.-S., Johnsen, H. N. & Hilli, Y. (2017). Helsepersonells erfaringer med å implementere kunnskapsbasert praksis på et sykehus i Norge. Nordisk sygeplejeforskning, 7(3), 195-208. https://doi.org/10.18261/issn.1892-2686-2017-03-03
Saeterstrand, T., Holm, S. & Brinchmann, B. (2015). Hjemmesykepleiepraksis. Hvordan ny organisering av helsetjenesten påvirker sykepleiepraksis. Klinisk Sygepleje 29[1], 4-16. 2015. Klinisk sygepleje, 29, 4-16.
Senter for omsorgsforskning. (2014). Forskning for bedre kommunale helse- og omsorgstjenester. En håndbok om hvordan kommunene kan medvirke og tilrettelegge for forskning. Oslo. Hentet fra https://openarchive.usn.no/usn-xmlui/bitstream/handle/11250/2438302/forskningshandbok_240414.pdf?sequence=2&isAllowed=y
Shifaza, F. & Hamiduzzaman, M. (2019). System Factors Influencing the Australian Nurses' Evidence-based Clinical Decision Making: A Systematic Review of Recent Studies. Journal of Evidence-based Care, 9(2), 16-30. https://doi.org/10.22038/ebcj.2019.40598.2068
Smedt, S. D. & Mehus, G. (2017). Sykepleieforskning i rurale områder i Norge ; en scoping Netherlands review. Nordisk tidsskrift for helseforskning, 13(2), 21-42. https://doi.org/10.7557/14.4238
Soguel, L., Vaucher, C., Bengough, T., Burnand, B. & Desroches, S. (2019). Knowledge Translation and Evidence-Based Practice: A Qualitative Study on Clinical Dietitians' Perceptions and Practices in Switzerland. J Acad Nutr Diet, 119(11), 1882-1889. https://doi.org/10.1016/j.jand.2019.04.017
Solbakken, R. (2017). Behov for endrede lederroller. Sykepleien Ledelse, 01, 12-17. Hentet fra https://sykepleien.no/sites/default/files/le_2017_1.pdf
Weinhold, I. & Gurtner, S. (2014). Understanding shortages of sufficient health care in rural areas. Health Policy. 2014;118(2):201-14.
Weum, M., Bragstad, L. K. & Glavin, K. (2018). How public health nurses use sources of knowledge. Norwegian Journal of Clinical Nursing / Sykepleien Forskning, 1-23. https://doi.org/10.4220/Sykepleienf.2017.64242
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