| Learning Objective #1: "...receive operational details regarding the dissemination strategies that may assist in planning future dissemination intervention studies" | |||
| Learning Objective #2: "...understand how to support hospital-based registered nurses in using clinical practice guidelines on tobacco reduction in acute care maternal child settings" |
Clinical practice guidelines (CPGs) have been developed to support knowledge transfer in health care settings. A quasi-experimental, pretest, post-test design was conducted to examine the effect of a dissemination intervention on nurse adherence to CPGs on tobacco reduction and self-efficacy in treating tobacco use and dependence. A sample of 138 hospital-based registered nurses who provided routine pregnancy and postpartum care was recruited from two hospitals in one urban Regional Health Authority in mid-western Canada. Following randomisation of hospitals, the dissemination intervention consisting of academic detailing visits supplemented with a self-study package of print materials, a video, and a Smoking Cessation Interventions Record form, was administered to nurses in one hospital. Data were collected from self-administered, baseline and follow-up questionnaires and nurse documentation of their use of the CPGs during the 10-week intervention period. At three weeks post-intervention, quantitative results indicated the dissemination intervention positively and significantly enhanced nurse adherence to the CPGs and boosted self-efficacy beliefs in treating tobacco use and dependence. Although nurses’ perceptions of autonomy modified the effect of the dissemination intervention on change in self-efficacy beliefs in treating tobacco use and dependence, the intervention group demonstrated significantly improved self-efficacy scores in comparison to the control group. Multiple regression analyses revealed three significant predictors of nurse adherence to CPGs: receiving the intervention (p<0.001); baseline perceptions about using CPGs (p=0.05); and resource adequacy (p=0.04) and three significant predictors of self-efficacy: receiving the intervention (p<0.001); working full-time (p=0.01); and own value of research (p=0.05). This study demonstrated the efficacy of a multifaceted dissemination intervention on enhancing nurses’ use of the CPGs in a hospital-based maternal child practice setting. Receiving the intervention was clearly the strongest predictor of self-efficacy beliefs in treating tobacco use and dependence and nurse adherence to the CPGs on tobacco reduction.
See more of Implementing Evidence-Based Practice: Research Testing Initiatives
See more of The 17th International Nursing Research Congress Focusing on Evidence-Based Practice (19-22 July 2006)