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How do nurses and ward managers perceive that evidence-based sources are obtained to inform relevant nursing interventions? - an exploratory study.

Jansson, Inger and Forsberg, Anna LU (2016) In Journal of Clinical Nursing 25(5-6). p.769-776
Abstract
Aims and objectives
To explore how nurses and managers perceive that evidence‐based sources are obtained to inform relevant nursing interventions.
Background
Implementation of evidence‐based practice requires a systematic search and evaluation of research, clinical expertise and consideration of the patients’ preferences and values. Much has been written over the past decade about how this should be done and nurses’ mandatory education has provided them with the necessary tools to work in this way. In spite of this, nurses do not provide evidence‐based practice on a regular basis. Many of the barriers against evidence‐based practice are dependent on contextual factors. Therefore, it can be of interest to study both managers and... (More)
Aims and objectives
To explore how nurses and managers perceive that evidence‐based sources are obtained to inform relevant nursing interventions.
Background
Implementation of evidence‐based practice requires a systematic search and evaluation of research, clinical expertise and consideration of the patients’ preferences and values. Much has been written over the past decade about how this should be done and nurses’ mandatory education has provided them with the necessary tools to work in this way. In spite of this, nurses do not provide evidence‐based practice on a regular basis. Many of the barriers against evidence‐based practice are dependent on contextual factors. Therefore, it can be of interest to study both managers and nurses.
Design
This qualitative study has an explorative and retrospective design.
Method
Interviews were conducted with 15 participants, including eight nurses, four ward managers, two operation managers and one care developer. Directed content analysis was used.
Result
Nurses and managers had different approaches towards the use of scientific knowledge. Nurses’ use of clinical experience and learning from each other was common. Nurses’ work as facilitators was structured by managers. Not involving the patient in the care was common among the nurses.
Conclusion
The parts of evidence‐based practice that are supported by the managers are also used by the nurses. When use of research is not controlled by the managers, the nurses do not search for scientific research. Neither is the patients’ involvement in decision‐making obvious.
Relevance to clinical practice
A change in nurses’ attitudes to scientific knowledge and perception of patient participation is needed. For this to happen, nurses need managers with a strong interest in evidence‐based practice that support successful implementation of research in everyday clinical practise.
(Less)
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author
and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Clinical Nursing
volume
25
issue
5-6
pages
769 - 776
publisher
Wiley-Blackwell
external identifiers
  • pmid:26814374
  • scopus:84958211598
  • wos:000370627000022
  • pmid:26814374
ISSN
1365-2702
DOI
10.1111/jocn.13095
language
English
LU publication?
yes
id
51d49950-fb92-43d7-8542-11a45f5f493d (old id 8573552)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/26814374?dopt=Abstract
date added to LUP
2016-04-04 09:21:07
date last changed
2022-03-15 18:52:48
@article{51d49950-fb92-43d7-8542-11a45f5f493d,
  abstract     = {{Aims and objectives<br/>To explore how nurses and managers perceive that evidence‐based sources are obtained to inform relevant nursing interventions.<br/>Background<br/>Implementation of evidence‐based practice requires a systematic search and evaluation of research, clinical expertise and consideration of the patients’ preferences and values. Much has been written over the past decade about how this should be done and nurses’ mandatory education has provided them with the necessary tools to work in this way. In spite of this, nurses do not provide evidence‐based practice on a regular basis. Many of the barriers against evidence‐based practice are dependent on contextual factors. Therefore, it can be of interest to study both managers and nurses.<br/>Design<br/>This qualitative study has an explorative and retrospective design.<br/>Method<br/>Interviews were conducted with 15 participants, including eight nurses, four ward managers, two operation managers and one care developer. Directed content analysis was used.<br/>Result<br/>Nurses and managers had different approaches towards the use of scientific knowledge. Nurses’ use of clinical experience and learning from each other was common. Nurses’ work as facilitators was structured by managers. Not involving the patient in the care was common among the nurses.<br/>Conclusion<br/>The parts of evidence‐based practice that are supported by the managers are also used by the nurses. When use of research is not controlled by the managers, the nurses do not search for scientific research. Neither is the patients’ involvement in decision‐making obvious.<br/>Relevance to clinical practice<br/>A change in nurses’ attitudes to scientific knowledge and perception of patient participation is needed. For this to happen, nurses need managers with a strong interest in evidence‐based practice that support successful implementation of research in everyday clinical practise.<br/>}},
  author       = {{Jansson, Inger and Forsberg, Anna}},
  issn         = {{1365-2702}},
  language     = {{eng}},
  month        = {{01}},
  number       = {{5-6}},
  pages        = {{769--776}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Journal of Clinical Nursing}},
  title        = {{How do nurses and ward managers perceive that evidence-based sources are obtained to inform relevant nursing interventions? - an exploratory study.}},
  url          = {{http://dx.doi.org/10.1111/jocn.13095}},
  doi          = {{10.1111/jocn.13095}},
  volume       = {{25}},
  year         = {{2016}},
}