COMPARATIVE ANALYSIS OF KNOWLEDGE, ATTITUDES, AND BEHAVIOR IN EVIDENCE-BASED NURSING PRACTICE AMONG ACADEMIC AND APPLIED BACHELOR'S DEGREE STUDENTS
Introduction. The education of nurses in evidence-based practice (EBP) represents a continuous endeavor, commencing during their undergraduate education and persisting throughout their professional nursing trajectories. The evaluation of the sufficiency and efficacy of imparting evidence-based nursing (EBN) practice within the academic undergraduate curriculum commenced in the Republic of Kazakhstan in 2019, as a component of the ProInCa initiative ("Promoting the Innovation Capacity of Higher Education in Nursing during Health Services' Transition"), supported by Erasmus+. Four years subsequent to the integration of EBN practice courses within colleges and medical universities, it becomes imperative to undertake a comprehensive assessment to gauge the present state concerning the efficacy of this discipline.
The objective of this study is to assess and juxtapose the efficacy of educational programs pertaining to EBN practice across applied and academic bachelor of nursing levels, with the aim of further refining the management of this discipline.
Materials and methods: An anonymous online questionnaire was administered utilizing the instrument titled "Assessment of teaching and learning evidence-based practice by assessing domains of knowledge, attitudes, and behavior". Prior to and following the completion of the EBN practice course in September 2023, one hundred and sixty-three second-year students from the Higher Medical College and «Danalyk» college in Astana and one hundred and forty-five nurses who underwent professional development training at the NJSC "Semey Medical University" were surveyed. The statistical significance of the findings was evaluated using the Student's paired T-test.
Results. In the "Knowledge" domain, academic bachelor's degree students exhibited a lesser comprehension of the significance of knowledge and skills in EBN for daily practice (16.16±2.07 vs. 19.1±1.84; p=0.001), whereas applied bachelor's degree students consistently maintained a high level both pre- and post-study (21.76±2.87 vs. 21.94±3.36; p=0.001). Furthermore, notable differences in attitude were observed between the compared groups, with undergraduate students expressing more skepticism regarding EBN as a practical approach. Despite this skepticism, undergraduate students displayed enhanced confidence in applying EBN knowledge and skills in their daily practice (20.66±6.87 vs. 23.28±5.58; p=0.001), alongside an increased readiness to implement EBN in their present and future professional endeavors (34.05±4.69 vs. 36.2±3.75; p=0.001).
Conclusions. Thus, students of applied and academic bachelor's degrees demonstrated an improvement in knowledge after completing the course on EBP, expressed their willingness to apply it in their professional activities, however, the perception of nursing as an art with a great emphasis on their own experience and individual approach to the patient remains.
Perizat A. Karazhigitova1,
Laura T. Kassym1*, https://orcid.org/0000-0003-4448-6455,
Assiya A. Kussainova2, https://orcid.org/0000-0002-5738-0804,
Zhuldyz T. Zhetmekova2, https://orcid.org/0000-0001-8510-7023
Dana K. Kozhakhmetova2, https://orcid.org/0000-0002-8367-1461
Ainur S. Botabayeva2,
Almas A. Kussainov1, https://orcid.org/0000-0003-1003-1735
Darya A. Zhunissova2
Gulmira A. Derbissalina1, https://orcid.org/0000-0003-3704-5061
1 NСJSC "Astana Medical University", Astana, Republic of Kazakhstan;
2 NСJSC "Semey Medical University", Semey, Republic of Kazakhstan.
1. Anderson J.J., Mokracek M., Lindy C.N. A nursing quality program driven by evidence-based practice. // Nurs Clin North Am. 2009. 44(1):83-xi. doi:10.1016/j.cnur.2008.10.012
2. Beyea S.C., Slattery M.J. Historical perspectives on evidence-based nursing // Nursing Science Quarterly. 2013. Т. 26. №.2. С.152-155.
3. Bjorkstrom M.E., Johansson I.S., Hamrin E.K.F., Athlin E.E. Swedish nursing students’ attitudes to and awareness of research and development within nursing // Journal of Advanced Nursing. 2003. 41, 393–402.
4. Bonner A., Sando J. Examining the knowledge, attitude and use of research by nurses // J Nurs Manag [Internet]. 2008.16(3):334-43. [cited 2023 Oct 8]. Available from: https://www.ncbi.nlm.nih.gov/pubmed/18324993
5. Bostrom A.M., Ehrenberg A., Gustavsson J.P., Wallin L. Registered nurses’ application of evidence-based practice: a national survey // Journal of Evaluation in Clinical Practice, 2009. 15, 1159– 1163.
6. Brown C.E., Kim S.C., Stichler J.F., Fields W. Predictors of knowledge, attitudes, use and future use of evidence-based practice among baccalaureate nursing students at two universities // Nurse Education Today. 2010. 30, 521–527.
7. Burns H.K., Foley S.M. Building a foundation for an evidence-based approach to practice: teaching basic concepts to undergraduate freshman students // Journal of Professional Nursing. 2005. Т. 21. №.6. С. 351-357.
8. Cheng H.M., Guo F.R., Hsu T.F., Chuang S.Y., Yen H.T., Lee F.Y., Yang Y.Y., Chen T.L., Lee W.S., Chuang C.L., Chen C.H., Ho T. Two strategies to intensify evidence-based medicine education of undergraduate students: a randomised controlled trial // Ann Acad Med Singap. 2012 Jan. 41(1):4-11. PMID: 22499474.
9. Engle R.L., Mohr D.C., Holmes S.K. et al. Evidence-based practice and patient-centered care: Doing both well // Health Care Manage Rev. 2021. 46(3):174-184. doi:10.1097/HMR.0000000000000254
10. Florin J., Ehrenberg A., Wallin L., Gustavsson P. Educational support for research utilization and capability beliefs regarding evidence-based practice skills: a national survey of senior nursing students // Journal of Advanced Nursing. 2012. 68, 888–897.
11. Forsman H., Wallin L., Gustavsson P., Rudman A. Nursing students’ intentions to use research as a predictor of use one year post graduation: a prospective study // International Journal of Nursing Studies. 2012. 49, 1155–1164.
12. Halabi J.O., Hamdan-Mansour A. Attitudes of Jordanian nursing students towards nursing research // Journal of Research in Nursing. 2010. 17, 363– 373.
13. Henderson A., Cooke M., Creedy D.K., Walker R. Nursing students’ perceptions of learning in practice environments: a review // Nurse Education Today. 2012. 32, 299–302.
14. Higgins G., Spencer R.L., Kane R. A systematic review of the experiences and perceptions of the newly qualified nurse in the United Kingdom // Nurse Education Today. 2010. 30, 499–508.
15. Jia Y., Zhuang X., Zhang Y., Meng G., Qin S., Shi W.X., Wu X., Zhang Y.P. Adaptation and validation of the Evidence-based Practice Profile Questionnaire (EBP2Q) for clinical postgraduates in a Chinese context // BMC Med Educ. 2023 Aug 21. 23(1):588. doi: 10.1186/s12909-023-04594-6. PMID: 37605185. PMCID: PMC10440888.
16. Johnston J.M., Leung G.M., Fielding R., Tin K.Y., Ho L.M. The development and validation of a knowledge, attitude and behaviour questionnaire to assess undergraduate evidence-based practice teaching and learning // Med Educ. 2003 Nov. 37(11):992-1000. doi: 10.1046/j.1365-2923.2003.01678.x. PMID: 14629412.
17. Kassym L., Akhmetova A., Zhetmekova Zh., Bahun M. Effectiveness of evidence-based nursing educational materials for Kazakhstan undergraduate nursing students // 13th International scientific conference «Responsibilities of health policy – makers and managers for the retention and development of nurses and other healthcare professionals - 2020: International year of the nurse and the midwife» Jesenice, 2020. p.179-184
18. Kerr H., Rainey D. (Addressing the current challenges of adopting evidence-based practice in nursing // British Journal of Nursing, 2021. 30(16), 970-974. https://doi.org/10.12968/bjon.2021.30.16.970
19. Kyriakoulis K. et al. Educational strategies for teaching evidence-based practice to undergraduate health students: systematic review // Journal of educational evaluation for health professions. 2016. Т. 13. С 1-9
20. Ma X., Xu B., Liu Q., Zhang Y., Xiong H., Li Y. Effectiveness of evidence-based medicine training for undergraduate students at a Chinese Military Medical University: a self-controlled trial // BMC Med Educ. 2014 Jul 4. 14:133. doi: 10.1186/1472-6920-14-133. PMID: 24996537. PMCID: PMC4091652
21. Mackey A., Bassendowski S. The history of evidence-based practice in nursing education and practice // Journal of professional nursing. 2017. Т.33. №.1. С.51-55.
22. Majid S., Foo S., Luyt B. et al. Adopting evidence-based practice in clinical decision making: nurses' perceptions, knowledge, and barriers // J Med Libr Assoc. 2011. 99(3):229-236. doi:10.3163/1536-5050.99.3.010
23. Melanie H., Rahim L., Léonie H., Cesar A.H. Feasibility of a new clinical journal club implementation and its association with knowledge, attitudes, and application of evidence-based practice among chiropractic students and trainees: a beforeand-after healthcare education improvement study // Chiropractic & Manual Therapies. 2023. 23:588 https://doi.org/10.1186/s12909-023-04594-6.
24. Moch S.D., Cronje R.J., Branson J. Part I. Undergraduate nursing evidence-based practice education: Envisioning the role of students // Journal of Professional Nursing, 2010, 26(1), 5–13. DOI: 10.1016/j.profnurs.2009.01.015.
25. Ryan E.J. Undergraduate nursing students' attitudes and use of research and evidence-based practice - an integrative literature review // J Clin Nurs. 2016 Jun. 25(11-12):1548-56. doi: 10.1111/jocn.13229. Epub 2016 Mar 16. PMID: 26990808.
26. Sams L., Penn B.K., Facteau L. The challenge of using evidence-based practice // Journal of Nursing Administration. 2004. 34:407-414.
27. Saunders H., Gallagher-Ford L., Kvist T., Vehviläinen-Julkunen K. Practicing Healthcare Professionals' Evidence-Based Practice Competencies: An Overview of Systematic Reviews // Worldviews Evid Based Nurs. 2019 Jun. 16(3):176-185. doi: 10.1111/wvn.12363. Epub 2019 May 10. PMID: 31074582.
28. Sukkarieh-Haraty O., Hoffart N. Integrating Evidence-Based Practice into a Lebanese Nursing Baccalaureate Program: Challenges and Successes // Int J Nurs Educ Scholarsh. 2017 Oct 3. 14(1):/j/ijnes.2017.14.issue-1/ijnes-2017-0026/ijnes-2017-0026.xml. doi: 10.1515/ijnes-2017-0026. PMID: 28976908.
29. Young T., Rohwer A., Volmink J., Clarke M. What are the effects of teaching evidence-based health care (EBHC)? Overview of systematic reviews // PLoS One. 2014 Jan 28. 9(1):e86706. doi: 10.1371/journal.pone.0086706. PMID: 24489771; PMCID: PMC3904944.
30. Zadeh H.H., Khajeali N., Khalkhali H., Mohammadpour Yo. Effect of evidence-based nursing on critical thinking disposition among nursing students // Life Science Journal. 2014. 11. 487-491.
Number of Views: 1560
Category of articles:
Medical education
Bibliography link
Karazhigitova P.A., Kassym L.T., Kussainova A.A., Zhetmekova Zh.T., Kozhakhmetova D.K., Botabayeva A.S., Kussainov A.A., Zhunissova D.A., Derbissalina G.A. Comparative analysis of knowledge, attitudes, and behavior in evidence-based nursing practice among academic and applied bachelor's degree students // Nauka i Zdravookhranenie [Science & Healthcare]. 2024, (Vol.26) 1, pp. 221-231. DOI 10.34689/SH.2024.26.1.026Related publications:
THE URGENT NEED FOR FURTHER STUDY OF SPECIFIC SUICIDE PREVENTION MEASURES IN THE REPUBLIC OF KAZAKHSTAN
TO A HIGH QUALITY OF MEDICAL CARE BASED ON THE IMPROVEMENT OF MEDICAL EDUCATION
MONITORING THE EFFICACY AND DEVISING A MODEL FOR ENHANCING THE INSTRUCTION OF EVIDENCE-BASED NURSING
COMPARATIVE ANALYSIS OF KNOWLEDGE, ATTITUDES, AND BEHAVIOR IN EVIDENCE-BASED NURSING PRACTICE AMONG ACADEMIC AND APPLIED BACHELOR'S DEGREE STUDENTS
SYSTEMIZING INTERNATIONAL ACADEMIC EXCHANGES AND THE ENROLLMENT OF STUDY ABROAD STUDENTS AND SUSTAINING THAT APPROACH: SEEKING TO ESTABLISH FURTHER COOPERATIVE FRAMEWORKS IN SEMEY AND JAPAN (KOCHI AND HIROSHIMA)