Investigation of Attitudes of Surgical Nurses Towards Evidence-Based Nursing Practices in and Affecting Factors

Year 2024, , 525 - 532, 30.09.2024

Yelda Candan Donmez , Nagehan Evkaya , Eda Dolgun , Esma Özşaker

https://doi.org/10.30621/jbachs.1217755

Abstract

Abstract
Aim-Background: With evidence-based practice, nurses play an important role in developing and improving health outcomes to the optimal level expected. This study was conducted to examine the attitudes of nurses working in surgical clinics towards evidence-based nursing.
Design-Methods: The sample of the descriptive and cross-sectional study consisted of 110 nurses who worked in the surgical clinics of a university hospital between March and September 2019. Data Collection Form Attitude Towards Evidence-Based Nursing Questionnaire (AEBNAQ) were used to collect the data. Written permissions were obtained from the Scientific Ethics Committee, the institution where the study would be conducted, and the nurses participating in the study. The data were evaluated using number, percentage, mean, standard deviation, Mann-Whitney U and Spearman's rho correlation analysis.
Results: It was determined that the average age of the nurses participating in the study was 34.03±7.29 years, 51.8% has done a graduation project/thesis/research in their education process, 40.0% has attended a scientific meeting on evidence-based practice, 91.8% needs evidence in nursing practices. The total score of the nurses was determined as 62.5±8.5 and sub-dimensions differed as in the "Evidence-Based Nursing Beliefs and Expectations" sub-dimension 29.3±4.2, in the "Evidence-Based Practicing Intention" sub-dimension 16.1±2.7, in the "Evidence-Based Nursing Emotions" sub-dimension 17.1±2.5 points. It was determined that nurses who read scientific journals, have attended scientific meetings, do graduation projects/thesis/research, need evidence in nursing practices, have information about evidence-based practices and want to participate in the training program, and the sub-dimension and total score averages of the AEBNAQ are significantly higher (p<0.05). A weak negative correlation was found between the nurses' age and employment years with their mean total score of AEBNAQ (p<0.05).
Conclusions: It was determined that surgical nurses' attitudes towards evidence-based nursing were at a good level, those who attended scientific meetings, followed scientific journals, and those who were younger were found to have higher attitude scores.

Keywords

Surgery, Nurses, Evidence-Based Nursing, Evidence-Based Practice.

Project Number

yok

References

• Ovayolu N, Kaplan Ö, Ovayolu Ö. Hemşirelikte kanıta dayalı uygulama. Nefroloji Hemşireliği Dergisi 2009;6(1–2):11-16.
• Yılmaz D, Düzgün F, Dikmen Y. Hemşirelerin kanıta dayalı hemşireliğe yönelik tutumlarının incelenmesi. Acıbadem Üniversitesi Sağlık Bilim Dergisi 2019;10(4):713-719.
• Dicenso A, Cullum N, Ciliska D. Implementing evidence-based nursing: an introduction to evidence-based nursing. In: Cullum BH, SMN, Ciliska D, editors. Evidence-Based Nursing: An Introduction. JohnWiley&Sons, Incorporated; 2017.p.1-8.
• Ozer Kucuk E, Cakmak S, Kapucu S, Koc M, Kahveci R. Hemşirelik öğrencilerinin kanıta dayalı hemşirelik uygulamalarına ilişkin farkındalıklarının belirlenmesi. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi 2017;4(2):1-12.
• Taş Arslan F, Çelen R. Hemşirelik öğrencilerinin kanıta dayalı hemşireliğe yönelik tutumlarının belirlenmesi. Sted/Sürekli Tıp Eğitimi Dergisi 2018;27(2):99-106.
• Dikmen Y, Yağmur Filiz N, Tanrıkulu F, Yılmaz D, Kuzgun H. Attitudes of intensive care nurses towards evidence-based nursing. International Journal of Health Sciences Research 2018;8(1):138-143.
• Yılmaz E, Çeçen D, Aslan A, Kara H, Kızıl Togaç H, Mutlu S. Cerrahi kliniklerde çalışan hemşirelerin kanıta dayalı hemşireliğe yönelik tutumları ve araştırma kullanımında algıladıkları engeller. Hemşirelikte Eğitim ve Araştırma Dergisi 2018;15(4):235-241.
• Taşçı Ö, Özer N. Cerrahi hemşirelerin eleştirel düşünme eğilimleri ile kanıta dayalı hemşireliğe yönelik tutumlarının incelenmesi. Etkili Hemşirelik Dergisi 2023;16(4):416-434.
• Himmet S. Cerrahi hemşirelerinin bireysel yenilikçilik ve profesyonellik düzeylerinin kanıta dayalı hemşireliğe yönelik tutumlarına etkisi(tez). İstanbul: İstanbul Medipol Üniversitesi 2021.
• 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 2021;37(1):135-148.
• Antunes V. On nursing research and evidence-based practice: topics for researchers and practitioners. International Healthcare Review 2022;1(1):1.
• Doğan SD, Yıkar Karaçay S, Arslan S, Yurtseven Ş, Nazik E, Erden Yüksekkaya S. Bir üniversite hastanesinde çalışan hemşirelerin kanıta dayalı hemşireliğe yönelik tutumları. Ankara Sağlık Bilimleri Dergisi 2019:8(2):39-45.
• Ruzafa-Martínez M, López-Iborra L, Madrigal-Torres M. Attitude towards evidence-based nursing questionnaire: development and psychometric testing in Spanish community nurses. Journal of Evaluation Clinical Practice 2011;17(4):664-670.
• Ayhan Y, Kocaman G, Bektaş M. Kanıta dayalı hemşireliğe yönelik tutum ölçeği”nin Türkçe’ye uyarlanması: geçerlik ve güvenirlik çalışması. Hemşirelikte Araştırma Geliştirme Dergisi 2015;17(2–3):21-35.
• Belita E, Squires JE, Yost J, Ganann R, Burnett T, Dobbins M. Measures of evidence-informed decision-making competence attributes: a psychometric systematic review. BMC Nursing 2020;19(1):1-28.
• Daştan B, Hintistan S. Dahiliye kliniklerinde çalışan hemşirelerin kanıta dayalı hemşireliğe yönelik tutumlarının belirlenmesi: kırsal bölge örneği. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi.2018;1(1):1-9
• Patelarou AE, Laliotis A, Brokalaki H, Petrakis J, Dafermos V, Koukia E. Readiness for and predictors of evidence base practice in Greek healthcare settings. Applied Nursing Research 2017;35:64-70.
• Al-Maskari MA, Patterson BJ. Attitudes towards and perceptions regarding the ımplementation of evidence-based practice among omani nurses. Sultan Qaboos University Medical Journal 2018;18(3):344-349.
• Malik G, McKenna L, Plummer V. Perceived knowledge, skills, attitude and contextual factors affecting evidence-based practice among nurse educators, clinical coaches and nurse specialists. International Journal of Nursing Practice 2015;21(2):46–57.
• Durmuş M, Gerçek A, Çiftci N. Influence of problem solving skills of health workers on evidence-based perceptıons of attitude. Akademik Sosyal Araştırmalar Dergisi 2017;5(53):648-661.
• Karataş Baran G, Atasoy S, Şahin S. Hemşirelerin kanıta dayalı hemşirelik uygulamalarına yönelik farkındalık ve tutumlarının değerlendirilmesi. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 2020;7(3):352-359.
• Kahraman Özdemir E. Yoğun bakım hemşirelerinin kanıta dayalı hemşireliğe yönelik tutumları ile ventilatör ilişkili pnömoniyi önleme bilgileri arasındaki ilişki(tez). İzmir: Ege Üniversitesi 2019.
• Yılmaz M, Gürler H. Hemşirelerin kanıta dayalı uygulamaya ilişkin görüşleri. Florence Nightingale Hemşirelik Dergisi 2017;25(1):1-12.
• Kilicli AB, Kelber ST, Akyar I, Litwack K. Attitude, Source of knowledge, and supporting factors on evidence‐based nursing among cardiovascular nurses: a cross‐sectional descriptive study in Turkey. Journal of Evaluation Clinical Practice 2019;25(3):498-506.