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Teaching Evidence-Based Practice in Nursing Undergraduate and Graduate Programs in Turkey: A Descriptive and Cross-Sectional Study

Yıl 2023, , 406 - 415, 29.12.2023
https://doi.org/10.22312/sdusbed.1325039

Öz

Aim: This study was conducted to examine evidence-based practice teaching in the curricula of undergraduate, graduate and doctoral nursing education programs in Turkey.
Methods: Data scanning of a descriptive and cross-sectional study was conducted between 15 March-15 May 2023. The sample of the study consisted of 70 undergraduate nursing, 56 graduate and 88 doctoral programs that conducted evidence-based practice teaching. Bologna systems were scanned from the web pages of the universities. The information of the courses for the teaching of Evidence-Based Practice (EBP) was recorded in the "Course Evaluation Form". Data were analyzed with IBM SPSS 22 program.
Results: It was determined that 39.8% of the nursing undergraduate programs, 44.8% of the master's programs and 78.6% of the doctoral programs had evidence-based practice-oriented courses. Of the nursing undergraduate programs, 67.1% of the EBP courses have 1-3 ECTS, 92.9% of them are in the elective course category, 48.6% of them are 7th-8th grades of the course. It was determined that 82.9% of the programs had course content. It was determined that 55.4% of the master's programs were in the 4-6 ECTS value of EBP courses, 96.4% were in the elective course category, and 66.1% of the programs had course content. It was found that 42.0% of the doctoral programs were worth 4-6 ECTS, 90.9% were in the elective category, and 77.3% of the doctoral programs had course content. Ten contents were determined in the subject contents.
Conclusion: In Turkey, the existence of a EBP teaching course in the nursing curriculum is less than half. It is seen that there is no certain standardization in undergraduate and graduate education.

Kaynakça

  • [1] Patelarou, A. E., Mechili, E. A., Ruzafa-Martinez, M., Dolezel, J., Gotlib, J., Skela-Savič, B., Ramos-Morcillo, A. J., Finotto, S,. Jarosova, D., Smodiš, M., Mecugni, D., Panczyk, M., Patelarou, E. 2020. Educational Interventions for Teaching Evidence-Based Practice to Undergraduate Nursing Students: A Scoping Review. International Journal of Environmental Research and Public Health, 17(17), 6351.
  • [2] Hung, H. Y., Huang, Y. F., Tsai, J. J., Chang, Y. J. 2015. Current State Of Evidence-Based Practice Education for Undergraduate Nursing Students in Taiwan: A Questionnaire Study. Nurse Education Today, 35(12):1262–1267. Ryan, E. J. 2016. Undergraduate Nursing Students' Attitudes and Use of Research and Evidence-based Practice-an Integrative Literature Review. Journal of Clinical Nursing, 25(11-12), 1548–1556.
  • [3] Ryan, E. J. 2016. Undergraduate Nursing Students' Attitudes and Use of Research and Evidence-Based Practice-An Integrative Literature Review. Journal of Clinical Nursing, 25(11-12), 1548–1556.
  • [4] Ruzafa-Martínez, M., López-Iborra, L., Armero Barranco, D., Ramos-Morcillo, A. J. 2016. Effectiveness of an Evidence-based practice (EBP) Course on the EBP Competence of Undergraduate Nursing Students: A Quasi-experimental Study. Nurse Education Today, 38, 82–87.
  • [5] Melnyk, B. M., Gallagher-Ford, L., Zellefrow, C., Tucker, S., Thomas, B., Sinnott, L. T. 2018. The First U.S. Study on Nurses’ Evidence-Based Practice Competencies Indicates Major Deficits That Threaten Healthcare Quality, Safety, and Patient Outcomes. Worldviews on Evidence-Based Nursing, 15(1), 16-25.
  • [6] Kim, J. S., Gu, M. O., Chang, H. 2019. Effects of an Evidence-based Practice Education Program using Multifaceted Interventions: A Quasi-experimental Study with Undergraduate Nursing Students. BMC Med Educ., 19(71), 1-10.
  • [7] Sin, M. K., Bliquez, R. 2017. Teaching Evidence Based Practice to Undergraduate Nursing Students. Journal of Professional Nursing, 33(6), 447–451.
  • [8] Malik, G., McKenna, L., Griffiths, D. 2018. Endeavoring to Contextualize Curricula within an EBP Framework: A Grounded Theory Study. Western Journal of Nursing Research, 40(12), 1765–1784.
  • [9] Oh, E. G., Yang, Y. L., Yoo, J. Y., Lim, J. Y., Sung, J. H. 2016. Mixed Method Research Investigating Evidence-based Practice Self-efficacy, Course Needs, Barriers, and Facilitators: From the Academic Faculty and Clinical Nurse Preceptors. J Korean Acad Nurs., 46(4), 501-13.
  • [10] Hung, H. Y., Wang, Y. W., Feng, J. Y., Wang, C. J., Lın, E. C. L., Chan, Y. J. 2019. Evidence-based Practice Curriculum Development for Undergraduate Nursing Students: The Preliminary Results of an Action Research Study in Taiwan. The Journal of Nursing Research, 27(4), 1-11.
  • [11] Rojjanasrirat, W., Rice, J. 2017. Evidence-based Practice Knowledge, Attitudes, and Practice of Online Graduate Nursing Students. Nurse Education Today, 53, 48–53.
  • [12] EBP e-Toolkit Project. 2022. https://europeannursingebp.eu/the-project/ (Erişim Tarihi: 15.03.2023).
  • [13] Malik, G., McKenna, L., Griffiths, D. 2016. How Do Nurse Academics Value and Engage with Evidence-based Practice Across Australia: Findings from a Grounded Theory Study. Nurse Education Sánchez-García, I., Ureña Molina, M. D. P., López-Medina, I. M., Pancorbo Today, 41, 54–59.
  • [14] Sánchez-García I, Ureña Molina MDP, López-Medina IM, Pancorbo-Hidalgo, P. L. 2019. Knowledge, Skills and Attitudes Related to Evidence-based Practice Among Undergraduate Nursing Students: A Survey at Three Universities in Colombia, Chile and Spain. Nurse Education in Practice, 39, 117–123.
  • [15] Hemşirelik Ulusal Çekirdek Eğitim Programı (HUCEP). 2014. http://tyyc.yeniyuzyil.edu.tr/Page/SBF/Hemsirelik/files/Hucep-2014.pdf (Erişim Tarihi: 23.05.2023).
  • [16] Resmî Gazete. Hemşirelik Yönetmeliği 2010. https://www.resmigazete.gov.tr/eskiler/2010/03/20100308-4.htm (Erişim Tarihi: 07.02.2023).
  • [17] Yükseköğretim Program Atlası. https://yokatlas.yok.gov.tr/ (Erişim Tarihi10.03.2023).
  • [18] Skela-Savič, B., Gotlib, J., Panczyk, M., Patelarou, A. E., Bole, U., Ramos-Morcillo, A. J., Ruzafa-Martínez, M. 2020. Teaching Evidence-based Practice (EBP) in Nursing Curricula in Six European Countries—A descriptive Study. Nurse Education Today, 94:104561.
  • [19] Akdeniz Kudubeş, A., Özkan, S., Semerci, R. 2022. Status of Palliative Care Course in Undergraduate and Postgraduate Nursing Programs: Practice of Turkey Hemşirelik Lisans ve Lisansüstü Programlarında Palyatif Bakım Dersinin Yeri: Türkiye Uygulaması. Journal of Pediatric Emergency and Intensive Care Medicine (Turkey), 9(1):17-26.
  • [20] Melnyk, B. M., Fineout-Overholt, E. 2019. Evidence-based practice in nursing & healthcare: A guide to best practice. Wolters Kluwer. Philadelphia, PA.
  • [21] Yükseköğretim Kurulu. Derece ve Öğrenim Sürelerinin Tanınması. https://uluslararasi.yok.gov.tr/uluslararasilasma/bologna/bologna-s%C3%BCreci-ana-faaliyet-alanlar%C4%B1/diploma-ve-derecelerin-taninmasi. (Erişim Tarihi: 25.05.2023).
  • [22] Kyriakoulis, K., Patelarou, A., Laliotis, A., Wan, A. C., Matalliotakis, M., Tsiou, C., Patelarou, E. 2016. Educational Strategies for Teaching Evidence-based Practice to Undergraduate Health Students: Systematic Review. J Educ Eval Health Prof, 13(34), 1-10.
  • [23] Malik, G., McKenna, L., Griffiths, D. 2015. An Analysis of Evidence-based Practice Curriculum Integration in Australian Undergraduate Nursing Programs. GSTF J Nurs Health Care, 3(1), 158-164.
  • [24] Hickman, L. D., DiGiacomo, M., Phillips, J., Rao, A., Newton, P. J., Jackson, D., Ferguson, C. 2018. Improving Evidence Based Practice in Postgraduate Nursing Programs: A Systematic Review: Bridging the Evidence Practice Gap (BRIDGE project). Nurse Education Today, 63, 69-75.
  • [25] American Association of Colleges of Nursing. 2015. The doctor of nursing practice:Current issues and clarifying recommendations. www.aacnnursing.org/Portals/42/DNP/DNP-Implementation.pdf (Erişim Tarihi: 07.02.2023).
  • [26] Aglen, B. 2016. Pedagogical Strategies to Teach Bachelor Students Evidence-based Practice: A Systematic Review. Nurse Education Today, 36, 255–263.

Türkiye’de Hemşirelik Lisans ve Lisansüstü Programlarında Kanıta Dayalı Uygulama Öğretimi: Tanımlayıcı ve Kesitsel Çalışma

Yıl 2023, , 406 - 415, 29.12.2023
https://doi.org/10.22312/sdusbed.1325039

Öz

Amaç: Bu çalışma Türkiye’de hemşirelik lisans, yüksek lisans ve doktora eğitim programlarının müfredatlarında kanıta dayalı uygulama öğretiminin incelenmesi amacıyla yapıldı.
Yöntem: Tanımlayıcı ve kesitsel türde bir araştırmanın, veri taraması 15 Mart-15 Mayıs 2023 tarihleri arasında yapıldı. Araştırmanın örneklemini kanıta dayalı uyulama öğretimini yürüten 70 hemşirelik lisans, 56 yüksek lisans ve 88 doktora programı oluşturdu. Üniversitelerin web sayfalarından Bologna sistemleri tarandı. Kanıta Dayalı Uygulamaya (KDU) öğretimine yönelik derslerin bilgileri “Ders Değerlendirme Formu” kayıt edildi. Veriler IBM SPSS 22 programı ile analiz edildi.
Bulgular: Hemşirelik lisans programlarının %39,8’inde, yüksek lisans programlarının %44,8’inde ve doktora programlarının %78,6’sında KDU’ya yönelik dersin olduğu belirlendi. Hemşirelik lisans programlarının, %67,1’inde KDU dersinin 1-3 AKTS değerine sahip olduğu, %92,9’unun seçmeli ders kategorisinde olduğu, %48,6’sınde dersin 7.-8. dönemde verildiği ve programların %82,9’unda ise ders içeriğinin var olduğu saptandı. Yüksek lisans programlarının, %55,4’ünde KDU dersinin 4-6 AKTS değerinde, %96,4’ünün seçmeli ders kategorisinde olduğu ve programların %66,1’inde ders içeriğinin olduğu belirlendi. Doktora programlarının, %42,0’sinde KDU dersinin 4-6 AKTS değerinde, %90,9’ünün seçmeli ders kategorisinde olduğu ve doktora programlarının %77,3’ünde ise ders içeriği bulundu. Konu içeriklerinde ise on içerik belirlendi.
Sonuç: Türkiye’de hemşirelik müfredatında KDU öğretimine yönelik dersin olma durumu yarıdan azdır. Lisans ve lisansüstü eğitimde belirli standardizasyonun olmadığı görülmektedir.

Kaynakça

  • [1] Patelarou, A. E., Mechili, E. A., Ruzafa-Martinez, M., Dolezel, J., Gotlib, J., Skela-Savič, B., Ramos-Morcillo, A. J., Finotto, S,. Jarosova, D., Smodiš, M., Mecugni, D., Panczyk, M., Patelarou, E. 2020. Educational Interventions for Teaching Evidence-Based Practice to Undergraduate Nursing Students: A Scoping Review. International Journal of Environmental Research and Public Health, 17(17), 6351.
  • [2] Hung, H. Y., Huang, Y. F., Tsai, J. J., Chang, Y. J. 2015. Current State Of Evidence-Based Practice Education for Undergraduate Nursing Students in Taiwan: A Questionnaire Study. Nurse Education Today, 35(12):1262–1267. Ryan, E. J. 2016. Undergraduate Nursing Students' Attitudes and Use of Research and Evidence-based Practice-an Integrative Literature Review. Journal of Clinical Nursing, 25(11-12), 1548–1556.
  • [3] Ryan, E. J. 2016. Undergraduate Nursing Students' Attitudes and Use of Research and Evidence-Based Practice-An Integrative Literature Review. Journal of Clinical Nursing, 25(11-12), 1548–1556.
  • [4] Ruzafa-Martínez, M., López-Iborra, L., Armero Barranco, D., Ramos-Morcillo, A. J. 2016. Effectiveness of an Evidence-based practice (EBP) Course on the EBP Competence of Undergraduate Nursing Students: A Quasi-experimental Study. Nurse Education Today, 38, 82–87.
  • [5] Melnyk, B. M., Gallagher-Ford, L., Zellefrow, C., Tucker, S., Thomas, B., Sinnott, L. T. 2018. The First U.S. Study on Nurses’ Evidence-Based Practice Competencies Indicates Major Deficits That Threaten Healthcare Quality, Safety, and Patient Outcomes. Worldviews on Evidence-Based Nursing, 15(1), 16-25.
  • [6] Kim, J. S., Gu, M. O., Chang, H. 2019. Effects of an Evidence-based Practice Education Program using Multifaceted Interventions: A Quasi-experimental Study with Undergraduate Nursing Students. BMC Med Educ., 19(71), 1-10.
  • [7] Sin, M. K., Bliquez, R. 2017. Teaching Evidence Based Practice to Undergraduate Nursing Students. Journal of Professional Nursing, 33(6), 447–451.
  • [8] Malik, G., McKenna, L., Griffiths, D. 2018. Endeavoring to Contextualize Curricula within an EBP Framework: A Grounded Theory Study. Western Journal of Nursing Research, 40(12), 1765–1784.
  • [9] Oh, E. G., Yang, Y. L., Yoo, J. Y., Lim, J. Y., Sung, J. H. 2016. Mixed Method Research Investigating Evidence-based Practice Self-efficacy, Course Needs, Barriers, and Facilitators: From the Academic Faculty and Clinical Nurse Preceptors. J Korean Acad Nurs., 46(4), 501-13.
  • [10] Hung, H. Y., Wang, Y. W., Feng, J. Y., Wang, C. J., Lın, E. C. L., Chan, Y. J. 2019. Evidence-based Practice Curriculum Development for Undergraduate Nursing Students: The Preliminary Results of an Action Research Study in Taiwan. The Journal of Nursing Research, 27(4), 1-11.
  • [11] Rojjanasrirat, W., Rice, J. 2017. Evidence-based Practice Knowledge, Attitudes, and Practice of Online Graduate Nursing Students. Nurse Education Today, 53, 48–53.
  • [12] EBP e-Toolkit Project. 2022. https://europeannursingebp.eu/the-project/ (Erişim Tarihi: 15.03.2023).
  • [13] Malik, G., McKenna, L., Griffiths, D. 2016. How Do Nurse Academics Value and Engage with Evidence-based Practice Across Australia: Findings from a Grounded Theory Study. Nurse Education Sánchez-García, I., Ureña Molina, M. D. P., López-Medina, I. M., Pancorbo Today, 41, 54–59.
  • [14] Sánchez-García I, Ureña Molina MDP, López-Medina IM, Pancorbo-Hidalgo, P. L. 2019. Knowledge, Skills and Attitudes Related to Evidence-based Practice Among Undergraduate Nursing Students: A Survey at Three Universities in Colombia, Chile and Spain. Nurse Education in Practice, 39, 117–123.
  • [15] Hemşirelik Ulusal Çekirdek Eğitim Programı (HUCEP). 2014. http://tyyc.yeniyuzyil.edu.tr/Page/SBF/Hemsirelik/files/Hucep-2014.pdf (Erişim Tarihi: 23.05.2023).
  • [16] Resmî Gazete. Hemşirelik Yönetmeliği 2010. https://www.resmigazete.gov.tr/eskiler/2010/03/20100308-4.htm (Erişim Tarihi: 07.02.2023).
  • [17] Yükseköğretim Program Atlası. https://yokatlas.yok.gov.tr/ (Erişim Tarihi10.03.2023).
  • [18] Skela-Savič, B., Gotlib, J., Panczyk, M., Patelarou, A. E., Bole, U., Ramos-Morcillo, A. J., Ruzafa-Martínez, M. 2020. Teaching Evidence-based Practice (EBP) in Nursing Curricula in Six European Countries—A descriptive Study. Nurse Education Today, 94:104561.
  • [19] Akdeniz Kudubeş, A., Özkan, S., Semerci, R. 2022. Status of Palliative Care Course in Undergraduate and Postgraduate Nursing Programs: Practice of Turkey Hemşirelik Lisans ve Lisansüstü Programlarında Palyatif Bakım Dersinin Yeri: Türkiye Uygulaması. Journal of Pediatric Emergency and Intensive Care Medicine (Turkey), 9(1):17-26.
  • [20] Melnyk, B. M., Fineout-Overholt, E. 2019. Evidence-based practice in nursing & healthcare: A guide to best practice. Wolters Kluwer. Philadelphia, PA.
  • [21] Yükseköğretim Kurulu. Derece ve Öğrenim Sürelerinin Tanınması. https://uluslararasi.yok.gov.tr/uluslararasilasma/bologna/bologna-s%C3%BCreci-ana-faaliyet-alanlar%C4%B1/diploma-ve-derecelerin-taninmasi. (Erişim Tarihi: 25.05.2023).
  • [22] Kyriakoulis, K., Patelarou, A., Laliotis, A., Wan, A. C., Matalliotakis, M., Tsiou, C., Patelarou, E. 2016. Educational Strategies for Teaching Evidence-based Practice to Undergraduate Health Students: Systematic Review. J Educ Eval Health Prof, 13(34), 1-10.
  • [23] Malik, G., McKenna, L., Griffiths, D. 2015. An Analysis of Evidence-based Practice Curriculum Integration in Australian Undergraduate Nursing Programs. GSTF J Nurs Health Care, 3(1), 158-164.
  • [24] Hickman, L. D., DiGiacomo, M., Phillips, J., Rao, A., Newton, P. J., Jackson, D., Ferguson, C. 2018. Improving Evidence Based Practice in Postgraduate Nursing Programs: A Systematic Review: Bridging the Evidence Practice Gap (BRIDGE project). Nurse Education Today, 63, 69-75.
  • [25] American Association of Colleges of Nursing. 2015. The doctor of nursing practice:Current issues and clarifying recommendations. www.aacnnursing.org/Portals/42/DNP/DNP-Implementation.pdf (Erişim Tarihi: 07.02.2023).
  • [26] Aglen, B. 2016. Pedagogical Strategies to Teach Bachelor Students Evidence-based Practice: A Systematic Review. Nurse Education Today, 36, 255–263.
Toplam 26 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Hemşirelik (Diğer)
Bölüm Araştırma Makaleleri
Yazarlar

Fatma Taş Arslan 0000-0001-5584-6933

Sevinç Akkoyun 0000-0003-0557-9413

Gonca Karayağız Muslu 0000-0001-7066-6826

Yayımlanma Tarihi 29 Aralık 2023
Gönderilme Tarihi 10 Temmuz 2023
Yayımlandığı Sayı Yıl 2023

Kaynak Göster

Vancouver Taş Arslan F, Akkoyun S, Karayağız Muslu G. Türkiye’de Hemşirelik Lisans ve Lisansüstü Programlarında Kanıta Dayalı Uygulama Öğretimi: Tanımlayıcı ve Kesitsel Çalışma. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi. 2023;14(3):406-15.

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