Differences in EBP Beliefs and Implementation Between US Nurses at Magnet and Non-Magnet Healthcare Institutions

Sunday, 22 July 2018: 9:10 AM

Hannele E. Saunders, PhD, APRN-BC, CNS, CNRN, RN-C
The Helene Fuld Health Trust National Institute for EBP in Nursing & Healthcare, The Ohio State University, Columbus, OH, USA
Fathimath Shifaza, PhD
The Helene Fuld Health Trust National Institute for EBP in Nursing and Healthcare, The Ohio State University, Columbus, OH, USA

Background: Evidence-based practice (EBP) has become an imperative for the global healthcare community as it improves patient outcomes and the quality, consistency, and cost-efficiency of care. Magnet-designated hospitals promote excellence in nursing practice through a work environment in which nurses are valued and supported. To attain Magnet status, hospitals are required to demonstrate high-quality, evidence-based nursing care. However, studies have shown that EBP is not practiced consistently by clinicians worldwide.

Purpose: The purpose of this presentation is to describe differences in EBP beliefs and EBP implementation between nurses employed at Magnet and non-Magnet healthcare institutions.

Methods: U.S. nurses from 19 hospitals and healthcare systems participated in national study about EBP knowledge, beliefs, implementation and competency as well as job-related outcomes. A sample of 2,344 nurses completed the online survey between February-August 2017. Descriptive and inferential statistics were used in analyzing the collected data.

Results: Nurses in Magnet hospitals reported higher levels of beliefs in their abilities to overcome barriers to EBP and in delivering evidence-based care, than nurses at non-Magnet hospitals. Although there were no statistically significant differences between nurses at Magnet and non-Magnet hospitals related to EBP implementation, use of evidence to change clinical practice and informally discussing evidence with colleagues were the two strongest areas of EBP implementation among both groups.

Conclusions: Although nurses’ beliefs in the importance and value of EBP were relatively high at both Magnet and non-Magnet hospitals, they did not influence daily practice, as EBP implementation levels were low in both groups. As EBP implementation is a complex process, multifaceted strategies are required for effective application to clinical practice. Further research is needed to explain these findings.

Objectives: At the end of this presentation, participants will be able to:

  • Describe one difference in EBP beliefs and EBP implementation between nurses employed at Magnet versus non-Magnet institutions.
  • List two clinical and research implications of the study findings on nurses’ EBP beliefs and EBP implementation at Magnet versus non-Magnet institutions.