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Sunday, November 4, 2007

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This presentation is part of : Theory, Translational Research, and Evidence-Based Practice
MEASURING EBP COMPETENCIES: THE ONLINE ACE-ERI
Vicki Byers, RN, PhD, Academic Center for Evidence-Based Practice, The University of Texas Health Science Center, San Antonio, TX, USA

PURPOSE:  To develop an online version of the ACE Evidence-Based Practice Readiness Inventory (ACE-ERI) and estimate reliability, validity, and utility.  Secondary purpose: to explore correlations of EBP readiness with select factors in participants (undergraduate and graduate nursing students and clinicians) and examine the instrument’s accuracy in classifying basic and advanced skills.

 SIGNIFICANCE. Since evidence-based practice (EBP) is new, there is an attendant need for valid and reliable methods to measure individual readiness to employ EBP; however, such measurement is still in its infancy.  Instruments developed in the previous paradigm of research utilization are often used inexactly in attempts to measure EBP readiness.  A valid and reliable instrument would have multiple uses in education and practice, establishing learning needs and guiding professional development activities.

 METHODS: Using essential competencies (Stevens, 2005) as a foundation, a paper-based ACE EBP Readiness Inventory (ACE-ERI) was developed and administered to 119 clinicians.  The ACE-ERI was then placed online using SurveyTracker web survey software.  Online data were collected from 280 nursing students.  Design for analysis includes estimating internal consistency (reliability) with Cronbach’s alpha; construct validity will be examined using confirmatory factor analysis compared to the Star Model; classification accuracy will be estimated with discriminant function analysis. 

 FINDINGS:  Participants completed paper-based and online ACE-ERI in less than 20 minutes.  Preliminary analysis shows that clinicians report modest levels of EBP proficiency and students report minimal levels. Data collection from approximately 400 participants (multi-site) will be completed spring 2007 followed by full analysis of the instrument.

 CONCLUSION:  A valid, reliable assessment method is valuable in practice and education.  Because ACE-ERI was developed on EBP platforms:  (ACE Star Model of Knowledge Transformation and national consensus on Essential Competencies for EBP in Nursing), face validity is strong.  The instrument is easily administered using either paper-based or online survey approaches.