Determination of the Intensive Care Nurses’ Attitudes towards Evidence-Based Practices

Year 2024, Volume: 10 Issue: 1, 107 - 118, 28.03.2024

Nilgün Söylemez , Dilek Güneş

https://doi.org/10.19127/mbsjohs.1419906

Abstract

Objective: This research was carried out to determine the attitudes of intensive care nurses towards evidence-based nursing.
Methods: This descriptive study was conducted with 134 nurses working in the intensive care units of a university hospital between January and June 2021. Research data were collected by online data collection technique using “Descriptive Form for Nurses” and “Evidence-Based Nursing Attitude Questionnaire (EBNAQ)”. The obtained data were analyzed by using descriptive statistics (number, percentage, mean) and Mann Whitney U tests in the computer-aided SPSS package program.
Results: It was determined that the intensive care nurses’ mean total score in the Evidence-Based Nursing Attitude Questionnaire (EBNAQ)was 66.35±6.22. Evidence-Based Practice Intentions Subscale was found to be higher in female nurses than in male nurses (p<0.05). Moreover, nurses with 11 years or more of professional experience had a higher mean score in the subscale Emotions Related to Evidence-Based Nursing than those with 10 years or less of intensive care and professional experience (p < 0.05).
Conclusion: It was determined that the attitudes of the nurses toward Evidence-Based Nursing were found to be positive. Moreover, it was determined that the nurses who had knowledge about evidence-based practice had more positive attitudes toward Evidence-Based Nursing.

Keywords

Evidence, Evidence-Based Practice, Nursing, Attitude, Intensive Care

Ethical Statement

Ethics approval was obtained from Fırat University (the approval code: 31970446/050.05/).

Supporting Institution

The authors declared that this study hasn’t received no financial support.

Thanks

Autors express they’re thanks to the nurses who participated in the study.

References

• Oh EG, Yang YL. Evidence-based nursing education for undergraduate students: A preliminary experimental study. Nurse Educ Pract. 2019 Jul;38:45–51.
• Farokhzadian J, Nayeri N, Borhani F, Zare M. Nurse leaders’ Attitudes, Self-Efficacy and training Needs for Implementing Evidence-Based Practice: Is It Time for a Change toward Safe Care? Br J Med Med Res. 2015 Jan 10;7(8):662–71.
• Friesen MA, Brady JM, Milligan R, Christensen P. Findings from a Pilot Study: Bringing Evidence-Based Practice to the Bedside. Worldviews Evidence-Based Nurs. 2017 Feb;14(1):22–34.
• Pereira F, Pellaux V, Verloo H. Beliefs and implementation of evidence-based practice among community health nurses: A cross-sectional descriptive study. J Clin Nurs. 2018;27(9–10):2052–61.
• Weng YH, Chen C, Kuo KN, Yang CY, Lo HL, Chen KH, et al. Implementation of evidence-based practice in relation to a clinical nursing ladder system: A national survey in Taiwan. Worldviews Evidence-Based Nurs. 2015;12(1):22–30.
• Chiwaula CH, Kanjakaya P, Chipeta D, Chikatipwa A, Kalimbuka T, Zyambo L, et al. Introducing evidence based practice in nursing care delivery, utilizing the Iowa model in intensive care unit at Kamuzu Central Hospital, Malawi. Int J Africa Nurs Sci. 2021 Dec;14:100272.
• Green A, Jeffs DA, Boateng BA, Lowe GR, Walden M. Evaluating evidence-based practice knowledge and beliefs through the e-learning EBP academy. J Contin Educ Nurs. 2017;48(7):304–11.
• Wakibi S, Ferguson L, Berry L, Leidl D, Belton S. Teaching evidence-based nursing practice: A systematic review and convergent qualitative synthesis. J Prof Nurs. 2021 Jan;37(1):135–48.
• Lopez V, Cleary M. Integrating Evidence-Based Practice in the Nursing Curriculum. Issues Ment Health Nurs. 2019 Apr;40(4):365–8.
• Bowers B. Evidence-based practice in community nursing. Br J Community Nurs. 2018;23(7):336–7.
• Gülşen UK, Havva KS. Investigation of Nursing Students’ Attitudes Towards Evidence-Based Nursing. Journal of Anatolia Nursing and Health Sciences. 2018;21(4):256–63.
• Alqahtani N, Oh KM, Kitsantas P, Rodan M. Nurses’ evidence-based practice knowledge, attitudes and implementation: A cross-sectional study. J Clin Nurs. 2020;29(1–2):274–83.
• Ruzafa-Martínez M, López-Iborra L, Madrigal-Torres M. Attitude towards Evidence-Based Nursing Questionnaire: development and psychometric testing in Spanish community nurses. J Eval Clin Pract. 2011 Aug;17(4):664–70.
• Patelarou AE, Laliotis A, Brokalaki H, Petrakis J, Dafermos V, Koukia E. Readiness for and predictors of evidence base practice in Greek healthcare settings. Appl Nurs Res. 2017;35:64–70.
• 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. J Eval Clin Pract. 2019 Jun;25(3):498–506.
• Ayhan Y, Kocaman G, Bektaş M. The validity and reliability of attitude towards evidencebased nursing questionnaire for Turkish. Journal of Research and Development in Nursing. 2015;17(2–3):21–35.
• Qiao S, Li X, Zhou Y, Shen Z, Stanton B. Attitudes toward evidence-based practices, occupational stress and work-related social support among health care providers in China: A SEM analysis. PLoS One. 2018;13(8):1–16.
• Jylhä V, Oikarainen A, Perälä M-L, Holopainen A. Facilitating evidence-based practice in nursing and midwifery in the WHO European Region. World Health Organization. Copenhagen; 2017.
• Melnyk BM, Fineout-Overholt E, Giggleman M, Choy K. A Test of the ARCC© Model Improves Implementation of Evidence-Based Practice, Healthcare Culture, and Patient Outcomes. Worldviews Evidence-Based Nurs. 2017;14(1):5–9.
• Bianchi M, Bagnasco A, Bressan V, Barisone M, Timmins F, Rossi S, et al. A review of the role of nurse leadership in promoting and sustaining evidence-based practice. J Nurs Manag. 2018 Nov;26(8):918–32.
• Yılmaz D, Düzgün F, Dikmen Y. Investigation of Nurses' Attitudes Towards Evidence-Based Nursing Practices. Acıbadem University Health Science Journal. 2020 Jan 1;10(4):713–9.
• Yıldırım MS, Yıldız E. The Determination of Attitude Towards Evidence Based Nursing of Nurses. J Nurs Sci. 2020;3(2):24–9.
• Dikmen Y, Filiz NY, Tanrıkulu F, Dilek Yılmaz HK. Attitudes of Intensive Care Nurses towards Evidence-Based Nursing. Int J Heal Sci Res. 2018;8(1):138–43.
• Al-Maskari MA, Patterson BJ. Attitudes Towards and Perceptions Regarding the Implementation of Evidence-Based Practice Among Omani Nurses. Sultan Qaboos Univ Med J [SQUMJ]. 2018 Dec 19;18(3):344–9.
• Daştan B, Hintistan S. D, Determination of the Attitudes of Nurses Working in Internal Clinics for Evidence Based Nursing: Rural Region Example. Ordu University Journal of Nursing Studies. 2018;1(1):1–9.
• Durmuş M. S, The Effect of Healthcare Workers' Problem Solving Skills on Their Perceptions of Experience-Based Attitudes. J Acad Soc Sci. 2017;52(52):648–61.
• Abuejheisheh A, Tarawneh O, Qaddumi JAS, Almahmoud O, Darawad MW. Predictors of Intensive Care Unit Nurses’ Practice of Evidence-Based Practice Guidelines. Inq J Heal Care Organ Provision, Financ. 2020 Jan 28;57:1–7. Eid AbuRuz M, Abu Hayeah H, Al Dweik G, Yousef Al Akash H. Knowledge, Attitudes, and Practice about Evidence-Based Practice: A Jordanian Study. Heal Sci J. 2017;11(2). Elsayed WA. Relation between Nursing Informatics Competency and Nurses’ Attitude toward Evidence-Based Practice among Qualified Nurses at Mansoura Oncology Center. Int J Nurs Didact. 2017;7(6):26–33. Asi̇ Karakaş S, Şahi̇n Altun Ö, Polat H, Öztürk Z. Examination of evidence‐based nursing attitudes and the relationship with professional self‐concept in nurses working in a psychiatric hospital. Perspect Psychiatr Care. 2020 Dec 16;(November):ppc.12708.