Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지
DOI QR코드

DOI QR Code

Mixed Method Research Investigating Evidence-Based Practice Self-efficacy, Course Needs, Barriers, and Facilitators: From the Academic Faculty and Clinical Nurse Preceptors

근거기반실무(Evidence-based Practice) 자기효능감, 교과목 요구도, 장애요인 및 촉진요인 탐색을 위한 혼합연구: 교수 및 임상실습 프리셉터를 중심으로

  • Oh, Eui Geum (College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University) ;
  • Yang, You Lee (College of Nursing, Graduate School, Yonsei University) ;
  • Yoo, Jae Yong (Department of Nursing Science, College of Medicine, Chosun University) ;
  • Lim, Ji Yun (Department of Nursing, Severance Hospital) ;
  • Sung, Ji Hyun (College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University)
  • 오의금 (연세대학교 간호대학.김모임 간호학연구소) ;
  • 양유리 (연세대학교 대학원 간호학과) ;
  • 유재용 (조선대학교 의과대학 간호학과) ;
  • 임지윤 (연세대학교 세브란스병원 간호국) ;
  • 성지현 (연세대학교 간호대학.김모임 간호학연구소)
  • Received : 2016.01.13
  • Accepted : 2016.05.06
  • Published : 2016.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The current challenges faced by nurses in providing high quality and evidence-based practice (EBP) supported care require profound changes in nursing education. To understand the changes needed to strengthen EBP education, the researchers examined EBP self-efficacy, course needs, barriers, and facilitators for academic faculty and clinical nurse preceptors to teach EBP in undergraduate nursing curricula. Methods: For this study, mixed-method approach was used with survey data collected from 73 academic faculty members from 54 universities. Further, 17 clinical nurse preceptors in three academic hospitals provided qualitative data for exploration of barriers and facilitators to teaching EBP. Data analysis used SPSS/WIN 21.0 and content analysis. Results: Quantitative data showed that although the overall level of self-efficacy among faculty was moderate, the implementation levels were relatively low. Most faculty members agreed with the need to integrate EBP courses into undergraduate nursing curricula. The qualitative data showed that the barriers to teaching EBP were lack of knowledge, skill, and initial investment for teaching EBP; hierarchical, rules-oriented nursing culture; potential learner overloads in processing EBP; limited research dissemination and application. Facilitators were identified as the importance of EBP to the profession of nursing; collaboration in schools and hospitals; and continuing education in teaching/utilizing EBP. Conclusion: The findings indicate that for successful integration of EBP ni nursing education there is a need for faculty training and integrated EBP courses.

Keywords

References

  1. Sackett DL, Rosenberg WM, Gray JA, Haynes RB, Richardson WS. Evidence based medicine: What it is and what it isn’t. BMJ: British Medical Journal. 1996;312(7023):71-72. https://doi.org/10.1136/bmj.312.7023.71
  2. Choe MA, Bang KS, Park YH, Kang HJ. Current status and direction for future development of evidence-based nursing in Korea. Perspectives in Nursing Science. 2011;8(2):129-138.
  3. National Evidence-based Healthcare Collaborating Agency. Costing method in health care[Internet]. Seoul: Author; 2013[cited 2015 August 3]. Available from: http://neca.re.kr/eng/publication/report_view.jsp?boardNo=EE&seq=6659&q=626f6172644e6f3d4545.
  4. American Association of Colleges of Nursing. The essentials of baccalaureate education for professional nursing practice[Internet]. Washington, DC: Author; 2008[cited 2015 September 9]. Available from: http://www.aacn.nche.edu/education-resources/BaccEssentials08.pdf.
  5. Korean Accreditation Board of Nursing Education. Nursing education accreditation standards: Evaluation criteria and indicators [Internet]. Seoul: Author; 2013[cited 2014 January 23]. Available from: http://www.kabon.or.kr/eng/index.php.
  6. Hussein AHM, Hussein RG. Nursing educators’ knowledge, skills in evidence-based practice and their critical thinking skills: Self report study. Journal of Education and Practice. 2014;5(27):86-94.
  7. Fineout-Overholt E, Johnston L. Teaching EBP: A challenge for educators in the 21st century. Worldviews on Evidence-Based Nursing. 2005;2(1):37-39. http://dx.doi.org/10.1111/j.1524-475X.2005.04098.x
  8. Heye ML, Stevens KR. Using new resources to teach evidencebased practice. The Journal of Nursing Education. 2009;48(6): 334-339. http://dx.doi.org/10.3928/01484834-20090515-06
  9. Llasus L, Angosta AD, Clark M. Graduating baccalaureate students' evidence-based practice knowledge, readiness, and implementation. The Journal of Nursing Education. 2014;53(9 Suppl): S82-S89. http://dx.doi.org/10.3928/01484834-20140806-05
  10. Finotto S, Carpanoni M, Turroni EC, Camellini R, Mecugni D. Teaching evidence-based practice: Developing a curriculum model to foster evidence-based practice in undergraduate student nurses. Nurse Education in Practice. 2013;13(5):459-465. http://dx.doi.org/10.1016/j.nepr.2013.03.021
  11. Burke LE, Schlenk EA, Sereika SM, Cohen SM, Happ MB, Dorman JS. Developing research competence to support evidencebased practice. Journal of Professional Nursing. 2005;21(6):358-363. http://dx.doi.org/10.1016/j.profnurs.2005.10.011.
  12. Stichler JF, Fields W, Kim SC, Brown CE. Faculty knowledge, attitudes, and perceived barriers to teaching evidence-based nursing. Journal of Professional Nursing. 2011;27(2):92-100. http://dx.doi.org/10.1016/j.profnurs.2010.09.012
  13. Allinder RM. An examination of the relationship between teacher efficacy and curriculum-based measurement and student achievement. Remedial and Special Education. 1995;16(4):247-254. http://dx.doi.org/10.1177/074193259501600408
  14. Nugent KE, Bradshaw MJ, Kito N. Teacher self-efficacy in new nurse educators. Journal of Professional Nursing. 1999;15(4): 229-237. http://dx.doi.org/10.1016/S8755-7223(99)80009-X
  15. Ciliska D. Educating for evidence-based practice. Journal of Professional Nursing. 2005;21(6):345-350. http://dx.doi.org/10.1016/j.profnurs.2005.10.008
  16. Ciliska D, Pinelli J, DiCenso A, Cullum N. Resources to enhance evidence-based nursing practice. AACN Clinical Issues. 2001;12 (4):520-528. https://doi.org/10.1097/00044067-200111000-00008
  17. Chang AM, Crowe L. Validation of scales measuring self-efficacy and outcome expectancy in evidence-based practice. Worldviews on Evidence-Based Nursing. 2011;8(2):106-115. http://dx.doi.org/10.1111/j.1741-6787.2011.00215.x
  18. McSherry R, Artley A, Holloran J. Research awareness: An important factor for evidence-based practice? Worldviews on Evidence- Based Nursing. 2006;3(3):103-115. http://dx.doi.org/10.1111/j.1741-6787.2006.00059.x
  19. Burns HK, Foley SM. Building a foundation for an evidence-based approach to practice: Teaching basic concepts to undergraduate freshman students. Journal of Professional Nursing. 2005;21(6): 351-357. http://dx.doi.org/10.1016/j.profnurs.2005.10.001
  20. Kim JS, Gu MO, Jo SY. Factors influencing evidence-based practice readiness for tertiary general hospital nurses. Journal of the Korea Academia-Industrial Cooperation Society. 2013;14(6): 2945-2957. http://dx.doi.org/10.5762/KAIS.2013.14.6.2945
  21. Oh EG, Kim S, Kim SS, Kim S, Cho EY, Yoo JS, et al. Integrating evidence-based practice into RN-to-BSN clinical nursing education. The Journal of Nursing Education. 2010;49(7):387-392. http://dx.doi.org/10.3928/01484834-20100331-02
  22. Park M. Effects of evidence based practice integrated critical care clinical practicum. Journal of Korean Academic Society of Nursing Education. 2011;17(3):346-354. http://dx.doi.org/10.5977/JKASNE.2011.17.3.346
  23. Park M. Implementation of evidence based nursing education into nursing management clinical practicum: Outcome evaluation and diffusion strategies. Journal of Korean Academy of Nursing Administration. 2013;19(1):39-47. http://dx.doi.org/10.11111/jkana.2013.19.1.39
  24. Yoo JY, Oh EG. Level of beliefs, knowledge and performance for evidence-based practice among nurses experienced in preceptor role. Journal of Korean Academy of Nursing Administration. 2012; 18(2):202-212. http://dx.doi.org/10.11111/jkana.2012.18.2.202
  25. Melnyk BM, Fineout-Overholt E, Fischbeck Feinstein N, Li H, Small L, Wilcox L, et al. Nurses' perceived knowledge, beliefs, skills, and needs regarding evidence-based practice: Implications for accelerating the paradigm shift. Worldviews on Evidence-Based Nursing. 2004;1(3):185-193. http://dx.doi.org/10.1111/j.1524-475X.2004.04024.x
  26. Creswell JW, Clark VLP. Designing and conducting mixed methods research. Thousand Oaks, CA: Sage; 2011. p. 1-488.
  27. Downe-Wamboldt B. Content analysis: Method, applications, and issues. Health Care for Women International. 1992;13(3):313-321. http://dx.doi.org/10.1080/07399339209516006
  28. Zhang Q, Zeng T, Chen Y, Li X. Assisting undergraduate nursing students to learn evidence-based practice through self-directed learning and workshop strategies during clinical practicum. Nurse Education Today. 2012;32(5):570-575. http://dx.doi.org/10.1016/j.nedt.2011.05.018
  29. McDaniel J, Drew T, Gueldenzopf S, Yang MZ, Davids K, Moch SD. Trying to promote EBP in your school of nursing? Don’t overlook non-nursing students. Reflections on Nursing Leadership. 2002;28(2):8-9.
  30. Hwang JI. Hospital nurses' uses of evidence, and barriers to and enablers of evidenced-based practice. Journal of Korean Academy of Nursing Administration. 2013;19(2):292-303. http://dx.doi.org/10.11111/jkana.2013.19.2.292

Cited by

  1. Korean Nursing Students' Acquisition of Evidence-Based Practice and Critical Thinking Skills vol.57, pp.1, 2016, https://doi.org/10.3928/01484834-20180102-05
  2. Factors associated with Oncology Nurses' Adherence to Chemotherapy-Induced Neutropenia Guidelines based on Pender's Health Promotion Model vol.31, pp.4, 2019, https://doi.org/10.7475/kjan.2019.31.4.389
  3. Clinical nurses’ beliefs, knowledge, organizational readiness and level of implementation of evidence-based practice: The first step to creating an evidence-based practice culture vol.14, pp.12, 2019, https://doi.org/10.1371/journal.pone.0226742
  4. Web-based experiential learning strategies to enhance the evidence-based-practice competence of undergraduate nursing students vol.91, pp.None, 2016, https://doi.org/10.1016/j.nedt.2020.104466
  5. Differences in beliefs on and implementation of evidence‐based practice according to type of health care institution—A national cross‐sectional study among Slovenian nurses vol.29, pp.5, 2016, https://doi.org/10.1111/jonm.13234
  6. Integrating EBP into an undergraduate research methodology course using the Star Model of Knowledge Transformation: A mixed-method study vol.105, pp.None, 2016, https://doi.org/10.1016/j.nedt.2021.105021