To be able to navigate its strategic pathway and developed a structure and a policy on Evidence-Based Practice (EBP) Program for San Juan de Dios Hospital utilizing the Johns Hopkins’ 3rd Edition Model.
Methods:
The study utilized a quasi-experimental pre and post survey- intervention design to assess the change in the nurses’ EBP beliefs, EBP implementation and perceived confidence after the EBP Educational Program that included the actual project conduction. This was further validated through a qualitative inquiry, utilizing Focus Group Discussions (FGD) and expression of their experiences in facilitating the entire process. The mixed method has capitalized on linking how the actual quantitative results will jibe with the managers’ challenges and acceptance of the ongoing program, which is useful in our capacity building initiatives. Total population of 17 Nurse Managers across units of the hospital were included in the study. The EBP Educational Program and the actual project conduction, were implemented and measured from February to October, 2018.
Results:
The game-changing voyage of San Juan de Dios Hospital to EBP has leverage the Nurse Managers’ capabilities in comprehensively appraising best available evidences that helped them design effective practice models to improve clinical care outcomes. After the implementation of the Training Program with actual EBP project conduction, and using an independent t-test quantitative findings revealed significant difference with p-value < 0.05, in terms of the participants EBP Beliefs (p-value=0.00), EBP Implementation (p-value=0.00), and Confidence Scale (p-value=0.00). It was glaring though that under the variable of their Beliefs, the last 2 indicators indicated that the participants still found the process time consuming, and difficult. This was the trend of experiences shared during the FGD, which encapsulated their process of developing their Learning Curves, which visualized new context on top of their usual EBP activity; Embedding Stage, which develops their critical thinking skills; built their confidence; and moved them to become more engaged & empowered; and start the Enculturating capacity of the Team to be more resilient on challenges ahead, which will drive them to adjust, and step-up to gain mastery of the program more resilient on challenges ahead, which will drive them to adjust, and step-up to gain mastery of the program.
Conclusion:
Profile variables of the nurse managers do not significantly differ to their EBP beliefs, implementation, and confidence after the training and practicum sessions (Conduction of EBP projects).
The training and the actual EBP conduction significantly improved the nurse managers’ EBP beliefs, implementation, and confidence. However, the participants still found EBP to be difficult and time consuming.
Qualitatively, the participants expressed the processes they underwent in completing their EBP thrust, which included their Learning Curves; Embedding Stage; and their En-culturating progress.