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Tuesday, November 3, 2009: 3:25 PM
Learning Objective 1: The learner will be able to identify barriers and facilitators of Evidence based practice among ICU nurses
Learning Objective 2: The learner will be able to understand the factors affecting evidence-based practice among ICU nurses
Barriers and Facilitators of Evidence-based Nursing Practice among ICU nurses
Seema Thomas, MSN, RN,Bronson Methodist Hospital , Kalamazoo
Sharie Falan, PhD, RN,Western Michigan University , Kalamazoo
Abstract
BACKFGROUND: Evidence-Based Practice (EBP) has become the paradigm of practice in all health disciplines. Many healthcare organizations require nurses to do EBP.
OBJECTIVE: To explore the barriers and facilitators for the use of EBP among Intensive Care Unit (ICU) nurses.
METHOD: A convenience sample of 114 ICU nurses from two medium sized hospitals from Midwest Unites States completed an online survey using questionnaires developed by McKenna, Ashton, & Keeney (2004) and Upton &Upton (2006). Nurses completed the online survey anonymously accessing the survey directly or through investigators’ website or hospital intranet. Those nurses who did not work in ICU for at least six months were excluded from the survey. The data from the online surveys were imported to SPSS 15.0 for analysis.
RESULTS: The barriers for EBP in more than 50% of the participants were (1) conflicting research findings (n = 96, 84.2%), (2) cost of implementing research findings (n = 78, 68.4%), (3) mass of research literature (n = 66, 57.9%) and (4) time limitations (n = 62, 54.4%). The facilitators for EBP were (1)benefits to professional development (n = 94, 82.5%), (2) EBP mentors (n = 84, 73.7%), (3) management support (n = 72, 63.2%), (4)confidence in computer usage (n = 69, 60.5%), (5) colleague support for putting research into practice (n = 64, 56.1%), and (6) knowledge in searching for evidence based information (n = 60, 52.6%). Other factors affecting EBP in the sample were being part of a research study (t = 3.26, df = 93.89, p=.002), having a course in research (t = 3.46, df = 76.52, p = .001), having at least a Bachelor of Science in Nursing degree (t= -3.25, df=93.86, p=.002), having membership in a professional association (t=2.49, df =70.28, p = .015), having a leadership role(t = -2.71, df = 55.09, p = .009), and working more hours per week work per week (r = .372 & p =.000)., attitude (r = .236, p =.016) and practice (r = .356 & p = .000) along with nurses’ reporting of their estimated percentage of EBP (r = .219 & p =.027). A negative correlation was also found between nursing experience and number of sources of information used (r = -.34, p = .027). There was a significant relationship between nurses’ experience and internet access frequency for nursing related reasons(r = .207, p = .048). Nurses who practiced in Cardiac surgical ICU reported significantly lower scores of EBP than nurses who practices in medical and general surgery ICUs (F = 6.57, df = 3, p =.000).
Conclusions: In order to promote the use of EBP by nurses, nurses with at least a bachelor degree in nursing should be recruited and nurses without a BSN degree should be encouraged to obtain further education. Nurses should be encouraged to participate in research teams, be actively involved in professional nursing associations and take research courses. Mentoring of nurses who are less knowledgeable in EBP by nurses who are more knowledge and skills in EBP should be promoted. As EBP is beneficial to patient outcomes and often cost-effective for hospitals, nurses should be encouraged and rewarded for advancing their knowledge and practice of evidence based care.
Seema Thomas, MSN, RN,
Sharie Falan, PhD, RN,
Abstract
BACKFGROUND: Evidence-Based Practice (EBP) has become the paradigm of practice in all health disciplines. Many healthcare organizations require nurses to do EBP.
OBJECTIVE: To explore the barriers and facilitators for the use of EBP among Intensive Care Unit (ICU) nurses.
METHOD: A convenience sample of 114 ICU nurses from two medium sized hospitals from Midwest Unites States completed an online survey using questionnaires developed by McKenna, Ashton, & Keeney (2004) and Upton &
RESULTS: The barriers for EBP in more than 50% of the participants were (1) conflicting research findings (n = 96, 84.2%), (2) cost of implementing research findings (n = 78, 68.4%), (3) mass of research literature (n = 66, 57.9%) and (4) time limitations (n = 62, 54.4%). The facilitators for EBP were (1)benefits to professional development (n = 94, 82.5%), (2) EBP mentors (n = 84, 73.7%), (3) management support (n = 72, 63.2%), (4)confidence in computer usage (n = 69, 60.5%), (5) colleague support for putting research into practice (n = 64, 56.1%), and (6) knowledge in searching for evidence based information (n = 60, 52.6%). Other factors affecting EBP in the sample were being part of a research study (t = 3.26, df = 93.89, p=.002), having a course in research (t = 3.46, df = 76.52, p = .001), having at least a Bachelor of Science in Nursing degree (t= -3.25, df=93.86, p=.002), having membership in a professional association (t=2.49, df =70.28, p = .015), having a leadership role(t = -2.71, df = 55.09, p = .009), and working more hours per week work per week (r = .372 & p =.000)., attitude (r = .236, p =.016) and practice (r = .356 & p = .000) along with nurses’ reporting of their estimated percentage of EBP (r = .219 & p =.027). A negative correlation was also found between nursing experience and number of sources of information used (r = -.34, p = .027). There was a significant relationship between nurses’ experience and internet access frequency for nursing related reasons(r = .207, p = .048). Nurses who practiced in Cardiac surgical ICU reported significantly lower scores of EBP than nurses who practices in medical and general surgery ICUs (F = 6.57, df = 3, p =.000).
Conclusions: In order to promote the use of EBP by nurses, nurses with at least a bachelor degree in nursing should be recruited and nurses without a BSN degree should be encouraged to obtain further education. Nurses should be encouraged to participate in research teams, be actively involved in professional nursing associations and take research courses. Mentoring of nurses who are less knowledgeable in EBP by nurses who are more knowledge and skills in EBP should be promoted. As EBP is beneficial to patient outcomes and often cost-effective for hospitals, nurses should be encouraged and rewarded for advancing their knowledge and practice of evidence based care.
See more of: Translational Research
See more of: Oral Paper & Poster: Evidence-Based Practice Contest
See more of: Oral Paper & Poster: Evidence-Based Practice Contest