Evidence-Based Nursing Practice: What Do We Know?

Tuesday, November 3, 2009: 10:15 AM

Chaya Balik, RN, PhD
Nursing Department, Shoenburn Academic Nursing School, Tel Aviv, Israel
Miriam I. Siebzehner, PhD
The Israeli Center for Technology Assessment in Health Care, Ministry of Health, Israel, Tel-Hashomer, Israel
Yehudith Marcus, MA, RN
Nursing Program, Shoenbrun Academic School of Nursing, Tel Aviv Medical Center, Tel Aviv, Israel
Shoshana Kelishek, MPA, CNM, RN
Shoenbrun Academic School of Nursing, Shoenbrun Academic School of Nursing, Tel Aviv Medical Center, Tel Aviv, Israel

Learning Objective 1: evaluate the knowledge and confidence of Israeli nurses in evidence-based practice and nursing research.

Learning Objective 2: recognize the nursing medical managerial attitudes towards nurses' accessibility to clinical decision making based on evidence

Purpose:It is believed that clinicians whose practice is based on evidence from applied research will provide better care than those who rely on their own experience. Therefore, the professional standpoint is that nurses should base their clinical decision making on sound evidence. The purpose of this study was to evaluate the knowledge and attitudes of academic nurses in postgraduate training programs towards evidence-based practice (EBP).

 Methods: The study included a convenience sample of 188 graduate nurses attending postgraduate programs. A self-reported questionnaire was developed, which contained demographic data and items related to their level of knowledge of EBP, the utilization of nursing information resources during work shifts and leisure time, the feelings of confidence in clinical decision making based on available reported research findings, and the support of EBP on the part of healthcare managers. Results: 167 nurses completed the questionnaires. The majority reported using Google and Medline, and fewer used Cochrane. They retrieved data from the Internet to support their clinical decisions during their shifts as well as in their leisure time (rp=.441, p=.000). Their attitude and their training to evaluate research correlated significantly with their confidence in the validity of the research (rp=.635, p=.000). Conclusion: Nurses reported extensive utilization of both traditional and modern technological sources of information. They have a positive attitude towards their confidence in knowing how to properly evaluate research. The results of this survey support the training of nurses to develop skills in order to implement EBP at all levels of graduate training.