MONITORING THE EFFICACY AND DEVISING A MODEL FOR ENHANCING THE INSTRUCTION OF EVIDENCE-BASED NURSING
Introduction. Evidence-based nursing (EBN) integrates clinical expertise, patient preferences, and robust scientific evidence to guide nursing interventions, crucial for enhancing patient outcomes and safety. EBN training enhances nurses' critical thinking, bridges academic research with clinical practice, and promotes a culture of continuous learning and standardized care protocols.
The objective of our study is to assess the core domains of understanding, mindset, and application concerning EBN, with the subsequent formulation of an action plan aimed at optimizing academic support.
Materials and methods. The study utilized a quasi-experimental design with 145 academic bachelors from NJSC "Semey Medical University" who underwent advanced training in EBN. Two online surveys, based on the "Assessing teaching and learning of evidence-based practice through assessment of knowledge, attitudes, and behavior" questionnaire adapted for nursing, were administered before and after the training. Data analysis was conducted using IBM SPSS Statistics 26.0, employing standard descriptive and analytical statistics, including paired Student’s T-test to compare scores before and after the EBN training, with statistical significance set at p < 0.05.
Results. The study participants predominantly comprised women (n=143), with an average age of 44.31±10.81 years among undergraduate students. There was a statistically noteworthy rise observed in the overall average score pertaining to "Knowledge". Conversely, there was a significant decrease noted in the overall score within the domain of "Attitude", dropping from 23.3 to 17.3. Moreover, there was a statistically significant increase in the average score within the subject area of "Personal application", rising from 20.6 to 23.3 points. Lastly, the "Future Use of Evidence-Based Practice" domain also exhibited an improvement, with indicators increasing from 34.1 to 36.2.
Conclusions. Based on the data gathered, we have formulated models aimed at enhancing the efficacy of EBN training specifically designed for academic nursing students. The educational model is designed to provide comprehensive support from medical institutions to assist nurses in acquiring the knowledge and skills necessary for evidence-based nursing.
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,
Yuliya V. Petrova2,
Madiana S. Zhokebaeva2,
Timur M. Shamshudinov3, https://orcid.org/0000-0001-5015-871X
1 NJSC "Astana Medical University", Astana, Republic of Kazakhstan;
2 NJSC "Semey Medical University", Semey, Republic of Kazakhstan;
3 Clinical Hospital № 5, Almaty, Republic of Kazakhstan.
1. Adamakidou T., Ntempeli E., Galanis P., Mantoudi A., Kleisiaris C., Mantzorou M., Zartaloudi A., Tsiou C., Apostolara P. Factors Related to Evidence-Based Practice among Community Nurses in Greece: A Cross-Sectional Study // Healthcare (Basel). 2023 Nov 30;11(23):3071. doi: 10.3390/healthcare11233071. PMID: 38063639; PMCID: PMC10706835.
2. 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
3. André B., Aune A.G., Brænd J.A. Embedding evidence-based practice among nursing undergraduates: results from a pilot study// Nurse Educ Pract. 2016. 18:30–5.
4. Balakas K., & Smith J. R. Evidence-Based Practice and Quality Improvement in Nursing Education// The Journal of Perinatal & Neonatal Nursing. 2016, 30(3), 191–194. doi:10.1097/jpn.0000000000000197
5. Bostwick L., Linden L. Evaluation criteria for nursing student application of evidence-based practice: a Delphi study // J Nurs Educ. - 2016;55:336–41.
6. Brown C.E., Ecof L., Kim S.C., Wickline M.A., Rose B., Kimpel K. & Glaser D. Multi-institutional study of barriers to research utilization and evidence-based practice among hospital nurses// Journal of Clinical Nursing. 2010, 19, 1944–1951. DOI: 10.1111/j.1365-2702.2009.03184.x.
7. D’Souza P., George A., Nair S., Noronha J., Renjith V. Effectiveness of an Evidence‐Based Practice Training Program for Nurse Educators: A Cluster‐Randomized Controlled Trial // Worldviews on Evidence-Based Nursing. - 2021;18(4):261-271. doi:10.1111/wvn.12521
8. Dizon J.M.R., Grimmer-Somers K., Kumar S. Effectiveness of the tailored Evidence Based Practice training program for Filipino physical therapists: a randomized controlled trial // BMC medical education. 2014. Т. 14. №. 1. С. 1-12.
9. Elhabashy S, Moriyama M, Mahmoud EIE, Eysa B. Effect of evidence-based nursing practices training programme on the competency of nurses caring for mechanically ventilated patients: a randomised controlled trial. BMC Nurs. 2024 Apr 2;23(1):225. doi: 10.1186/s12912-024-01869-1. PMID: 38566049.
10. Fineout-Overholt E., Johnson L. Teaching EBP: implementation of evidence: moving from evidence to action // Worldviews Evid Based Nurs. 2006;3(4):194–200.
11. Friberg F., Lyckhage E.D. Changing essay writing in undergraduate nursing education through action research: a Swedish example // Nurs Educ Perspect. 2013. 34:226–32
12. 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.
13. Karabacak U. Care plans using concept maps and their effects on the critical thinking dispositions of nursing students // International Journal of Nursing Practice. 2012, 18:233-239. doi:10.1111/j.1440-172X.2012.02034.x
14. Kaseka P.U., Mbakaya B.C. Knowledge, attitude and use of evidence based practice (EBP) among registered nurse-midwives practicing in central hospitals in Malawi: a cross-sectional survey// BMC Nursing. 2022. 21(1):1-13. doi:10.1186/s12912-022-00916-z
15. Koota E., Kääriäinen M., Kyngäs H., Lääperi M., Melender HL. Effectiveness of Evidence-Based Practice (EBP) Education on Emergency Nurses' EBP Attitudes, Knowledge, Self-Efficacy, Skills, and Behavior: A Randomized Controlled Trial // Worldviews Evid Based Nurs. - 2021 Feb;18(1):23-32. doi: 10.1111/wvn.12485. Epub 2021 Jan 25. PMID: 33492782.
16. Malik G., McKenna L., Griffiths D. Using pedagogical approaches to influence evidence-based practice integration – processes and recommendations: findings from a grounded theory study // J Adv Nurs. 2017;73:883–93.
17. Matsusaki T., & Sakai T. The role of Certified Registered Nurse Anesthetists in the United States// Journal of Anesthesia. 2011, 25(5), 734–740. doi:10.1007/s00540-011-1193-5
18. Mattila L-R., Eriksson E. Nursing students learning to utilize nursing research in clinical practice // Nurse Educ Today. - 2007;27:568–76.
19. McNeil B.J., Elfrink V., Beyea S.C., Pierce S.T., Bickford C.J. Computer literacy study: report of qualitative findings // J Prof Nurs. 2006. 22:52–9.
20. Melnyk B. M., Fineout-Overholt E., & Mays M. Z. The evidence-based practice beliefs and implementation scales: Psychometric properties of two new instruments // Worldviews on Evidence-Based Nursing. 2008, 5(4), 208–216. https://doi-org.ezproxy.nu.edu.kz/10.1111/j.1741-6787.2008.00126.x
21. Nayda R., Rankin E. Information literacy skill development and life long learning: exploring nursing students’ and academics’ understandings // Aust J Adv Nurs. 2008. 26:27–33.
22. Sams L., Penn B.K., Facteau L. The challenge of using evidence-based practice// Journal of Nursing Administration. 2004, 34:407-414.
23. Scheffer B.K, Rubenfeld M.G. A consensus statement on critical thinking in nursing. J Nurs Educ. 2000 Nov. 39(8):352-9. doi: 10.3928/0148-4834-20001101-06. PMID: 11103973.
24. Schetaki S., Patelarou E., Giakoumidakis K., Kleisiaris C., Patelarou A. Evidence-Based Practice Competency of Registered Nurses in the Greek National Health Service // Nursing Reports. 2023. 13(3):1225-1235. https://doi.org/10.3390/nursrep13030105
25. Stichler J. F., Fields W., Son C .K. & Brown C. E. Faculty knowledge, attitudes and perceived barriers to teaching evidence -based nursing// Journal of Professional Nursing. 2011, 27(2), 92 -100. doi:10.1016/j.profnurs.2010.09.012 .
26. Upton D., Upton P. Development of an Evidence-Based Practice Questionnaire for Nurses // J. Adv. Nurs. - 2006;53:454–458. doi: 10.1111/j.1365-2648.2006.03739.x.
27. Wakibi S., Ferguson L., Berry L., Leidl D., & Belton S. Teaching evidence-based nursing practice: A systematic review and convergent qualitative synthesis // Journal of Professional Nursing. – 2020. doi:10.1016/j.profnurs.2020.06.00
Number of Views: 2652
Category of articles:
Medical education
Bibliography link
Kassym L.T., Kussainova A.A., Zhetmekova Zh.T., Kozhakhmetova D.K., Botabayeva A.S., Petrova Yu.V., Zhokebaeva M.S., Shamshudinov T.M. Monitoring the efficacy and devising a model for enhancing the instruction of evidence-based nursing // Nauka i Zdravookhranenie [Science & Healthcare]. 2024. Vol.26 (2), pp. 212-220. DOI 10.34689/SH.2024.26.2.024Related 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)