The Experience of Evidence-Based Nursing Implementation at a North Medical Center in Taiwan

Objective:

    Evidence-based nursing (EBN) is an essential issue for improving quality of care. Enhancing the competence of EBN is the foundation of implementing evidence-based practice. This project aimed to understand learning clinical EBN skills satisfaction and needs in nurse staffs. From the Evidence-Based Nursing (EBN) Implementation to solve and improving the care skills knowledge, attitudes and motivation of the nurses who attended the training program.

Methods:

    Analysis of the needs in EBN skills and abilities for nurse staffs. Adopt an actual observation method, questionnaire for staff's before working. We collected totally 84 staffs from based on the survey results and literature review on December 2012, Statistical analysis of surveys on nurses’ skills that staffs felt the needs in an urgent needs assistance showed 67.47% of accuracy on knowledge of clinical EBN skills. Analysis of the survey that EBN of skills included 5 dimensions: Asking

Acquire. Appraisal. Apply. Audit.(5A). Knowledge of clinical practice experience, and lack of in-service educations and trainings. Therefore, we used the following methods to improve the project. We arranged the clinical EBN training programs for nurse staffs and compared with none any arrangement EBN training.

Results:

    After all the above interventions, nurses had higher accuracy on stress scores in the range of "slightly" to "servere" . Appraisal, Acquire , asking, PICO and apply. The staffs who were "having apply experience", " or " high level of interesting in EBN " were at a higher needs in the EBN training. The completeness of before EBN training in the abilities been promoted from 68.7% to 88.2%(promote28.38%). However, the posttest score of EBN knowledge in nurses at the age of 36-40 years, 10-15years of work experience, bachelor degree, and administrator were significantly higher than the score of pretest.

Conclusion

The EBN workshop with adequate scenario practice which included "Formulating a PICO question", "Data searching", "Level of evidence rating" might improve the knowledge, attitudes and skills of EBN attendants. The satisfaction of nurses in the workshop was high. It’s not only promotion of quality care, but also prevention of incident. Hope the results benefit the policy making in organizations in the future. In addition, to be a health educator will be the most important responsibility for us, we hope to continue develop this project and follow the effect advanced. In addition, These results are expected to provide a reference and shares the experiences of evidence-based nursing implementation to develop a training program of EBN.