Attitudes of Nurses Working in Private Hospitals About Evidence-Based Practices and Affecting Factors

Yıl 2024, , 413 - 425, 28.08.2024

Emre Yanıkkerem , İlknur Şen

https://doi.org/10.53424/balikesirsbd.1397634

Öz

Objective: The aim of the study was to determine the attitudes of nurses working in private hospitals about evidence-based practice and the affecting factors. Materials and Methods: The universe of the study consisted of nurses working in 10 private hospitals in the city center of Manisa, Türkiye (n=460). The data were collected from 214 nurses by visiting hospitals between 20 October 2022 and 20 December 2022 through face-to-face interviews. The nurses' introductory characteristics questionnaire and the Attitude towards Evidence Based Nursing Questionnaire were used in this study. The attitude towards Evidence-Based Nursing Questionnaire consists of 15 items and three sub-dimensions as follows: beliefs and expectations towards evidence-based nursing, the intention of conduct towards evidence-based nursing, and feelings towards evidence-based nursing. Results: It was stated that 73.8% of the nurses knew the concept of evidence-based nursing and 68.2% applied evidence-based practices in their clinic. The mean score of the Attitudes towards Evidence-Based Nursing Questionnaire was found to be 61.5±8.8 (min=30 max=75). The total mean score of the Attitudes towards Evidence-Based Nursing Questionnaire was found to be statistically significantly higher in nurses working in service, who followed the current nursing literature, who knew the concept of evidence-based nursing, who applied evidence-based practices in their clinics and who knew the literature review. Conclusion: It is very important to determine the factors affecting the knowledge, attitudes and behaviors of nurses towards evidence-based practice and to organize training programs in this direction in terms of professional development and increasing the quality of health care.

Anahtar Kelimeler

Attitude towards evidence-based nursing, Evidence-based nursing, Evidence-based practice

Etik Beyan

Ethical approval of the study was received from Manisa Celal Bayar University Faculty of Medicine Health Sciences Ethics Committee (Date: 12.10.2022 Number: E-20478486-050.04.04-405879).

Destekleyen Kurum

There is no supporting institution

Proje Numarası

yok

Teşekkür

We thank the nurses who partıcıpated ın the study.

Özel Hastanelerde Çalışan Hemşirelerin Kanıta Dayalı Uygulamalar Hakkında Tutumları ve Etkileyen Faktörlerin Belirlenmesi

Öz

Amaç: Araştırmanın amacı özel hastanelerde çalışan hemşirelerin kanıta dayalı uygulamaya ilişkin tutumlarını ve etkileyen faktörleri belirlemektir. Gereç ve Yöntem: Araştırmanın evrenini Manisa ili merkezinde bulunan 10 özel hastanede çalışan hemşireler (n=460) oluşturmuştur. Veriler 20 Ekim 2022 ile 20 Aralık 2022 tarihleri arasında hastane ziyaretleri yapılarak 214 hemşireden yüz yüze görüşme yoluyla toplanmıştır. Bu çalışmada hemşirelerin tanıtıcı özellikleri anketi ve Kanıta Dayalı Hemşirelik Tutum Anketi kullanılmıştır. Kanıta Dayalı Hemşireliğe Yönelik Tutum Anketi, 15 maddeden ve kanıta dayalı hemşireliğe yönelik inanç ve beklentiler, kanıta dayalı hemşireliğe yönelik davranış niyeti ve kanıta dayalı hemşireliğe yönelik duygular olmak üzere üç alt boyuttan oluşmaktadır. Bulgular: Hemşirelerin %73,8'i kanıta dayalı hemşirelik kavramını bilmekte ve %68,2'si kliniğinde kanıta dayalı uygulamaları uygulamaktadır. Kanıta Dayalı Hemşirelik Tutum Ölçeği puan ortalaması 61,5±8,8 (min=30 maks=75) olarak belirlenmiştir. Kanıta Dayalı Hemşirelik Tutum Anketi toplam puan ortalaması serviste çalışan, güncel hemşirelik literatürünü takip eden, kanıta dayalı hemşirelik kavramını bilen, kanıta dayalı hemşirelik uygulamalarını kendi kliniklerinde uygulayan ve literatür taramasını bilen hemşirelerde istatistiksel olarak anlamlı olarak yüksek bulunmuştur. Sonuç: Hemşirelerin kanıta dayalı uygulamaya yönelik bilgi, tutum ve davranışlarını etkileyen faktörlerin belirlenmesi ve bu doğrultuda eğitim programlarının düzenlenmesi mesleki gelişim ve sağlık hizmetinin kalitesinin artırılması açısından oldukça önemlidir.

Anahtar Kelimeler

Kanıta dayalı hemşireliğe yönelik tutum, Kanıta dayalı hemşirelik, Kanıta dayalı uygulama

Etik Beyan

Araştırmanın etik onayı Manisa Celal Bayar Üniversitesi Tıp Fakültesi Sağlık Bilimleri Etik Kurulu'ndan alındı (Tarih: 12.10.2022 Sayı: E-20478486-050.04.04-405879).

Destekleyen Kurum

destekleyen kurum bulunmamaktadır

Proje Numarası

yok

Teşekkür

çalışamaya katılan hemşirelere teşekkür ederiz

Kaynakça

• Alatawi, M., Aljuhani, E., Alsufiany, F., Aleid, K., Rawah, R., Aljanabi, S., & Banakhar, M. (2020). Barriers to implementing evidence-based practice in the nursing profession: A literature review. American Journal of Nursing Science, 9(1), 35-42. https://doi.org/10.11648/j.ajns.20200901.16
• Alperen, A., & Şahin O. A. (2022). Investigation of nurses’ knowledge and attitudes about evidence-based nursing: a descriptive and cross-sectional study. Turkiye Klinikleri Journal of Nursing Sciences, 14(1), 149-159. https://doi.org/10.5336/nurses.2021-82436
• Ammouri, A. A., Raddaha, A. A., Dsouza, P., Geethakrishnan, R., Noronha, J. A., Obeidat, A. A., & Shakman, L. (2014). Evidence-based practice: knowledge, attitudes, practice and perceived barriers among nurses in Oman. Sultan Qaboos University Medical Journal, 14(4), e537-545.
• Arslan, F. T., & Çelen, R. (2018). Determination of the attitudes among nursing students towards evidence-based nursing. Journal of Continuing Medical Education, 27(2), 99-106.
• Aslan, H. & Gürdap, Z. (2021). Nurses' attitudes towards evidence-based nursing and their knowledge levels to prevent infection associated with the peripheral venous catheter. The Journal of Turkish Family Physician, 12(2), 84-98. https://doi.org/10.15511/tjtfp.21.00284
• Aydın, Y., Adıgüzel, A., & Topal, E. A. (2015). Ebe ve hemşirelerin bilimsel çalışmalara yönelik tutumlarının belirlenmesi (Determining the attitudes of midwives and nurses towards scientific studies). Journal of Human Rhythm, 1(4), 168-175.
• Aygün, Ö., & Yıldırım, M. (2021). Determining the attitudes of nurses towards evidence-based practices. Izmir Democracy University Health Sciences Journal, 4(3), 327-338. https://doi.org/10.52538/iduhes.1033115
• Ayhan, Y., Kocaman, G., & Bektaş, M. (2015). The validity and reliability of attitude towards evidence based nursing questionnaire for Turkish. Hemşirelikte Araştırma Geliştirme Dergisi, 17(2/3), 21-35.
• Baltacı, N., & Deniz, H. T. (2019). Evaluation of students' research anxiety and use of information technologies and attitudes towards evidence-based nursing. Journal of Samsun Health Sciences, 4(2), 60-68.
• Baran, G. K., Atasoy, S., & Şahin, S. (2020). Evaluation of awareness and attitudes of nurses towards evidence-based nursing practices. Manisa Celal Bayar University Journal of Institute of Health Science, 7(3), 352-359. https://doi.org/10.34087/cbusbed.699410
• Breimaier, H. E., Halfens, R. J., & Lohrmann, C. (2011). Nurses’ wishes, knowledge, attitudes and perceived barriers on implementing research findings into practice among graduate nurses in Austria. Journal of Clinical Nursing, 20 (11‐12), 1744-1756. https://doi.org/10.1111/j.1365-2702.2010.03491.x
• Chen, L., Wu, Y., Zhou, C., Li, X., & Zhao, H. (2020). Value, knowledge and implementation on evidence-based practice among nurse managers in China: a regional cross-sectional survey. Journal of Nursing Management, 28,139-147. https://doi.org/10.1111/jonm.12907
• Dalheim, A., Harthug, S., Nilsen, R. M., & Nortvedt, M. W. (2012). Factors influencing the development of evidence-based practice among nurses: a self-report survey. BMC Health Services Research, 12, 367. https://doi.org/10.1186/1472-6963-12-367
• Daştan, B., & Hintistan, S. (2018). Determination of the attitudes of nurses working in internal clinics for evidence-based nursing: rural region example. Ordu University Journal of Nursing Studies, 1(1), 1-9.
• Doğan, E. S., Cin A., Demirağ H., & Uçan, M. F. (2021). Investigation of nurses' attitudes toward evidence-based nursing practices. International Anatolian Social Sciences Journal, 5(2), 612-622. https://doi.org/10.47525/ulasbid.879094
• Kavlak, T., Öz, S., & Özen, N. (2022). Analysing of nurses' attitudes towards evidence-based practices and affecting factors: a descriptive study. Turkiye Klinikleri Journal of Nursing Sciences, 14(2), 279-287. https://doi.org/10.5336/nurses.2021-84508
• Kılıç, M., Öcal N. Ü., & Uslukılıç, G. (2022). The effect of nursing professional satisfaction and teamwork attitude on evidence-based nursing attitude: a multivariate analysis. Turkiye Klinikleri Journal of Nursing Sciences, 14(2), 434-444. https://doi.org/10.5336/nurses.2021-84661
• Köstekli, S., Çelik, S., & Karahan, E. (2020). Cerrahi birimlerde çalışan hemşirelerin ameliyathaneye hasta transferi konusundaki kanıta dayalı bilgi düzeyleri (Evidence based knowledge levels of nurses working in surgical units on patient transfer of the operating room). Health Academy Kastamonu, 5(1), 52-64. https://doi.org/10.25279/sak.580761
• Kuuppelomäki, M., & Tuomi, J. (2003). Finnish nurses’ views on their research activities. Journal of Clinical Nursing, 12(4), 589-600. https://doi.org/10.1046/j.1365-2702.2003.00756.x
• Menekli, T., & Korkmaz, M. (2021). Dâhiliye hemşirelerinin kanıta dayalı hemşireliğe yönelik tutumları (Internal medicine nurses' attitudes towards evidence-based nursing). E-Journal of Dokuz Eylul University Nursing Faculty, 14(1), 38-47. https://doi.org/10.46483/deuhfed.782131
• Merih, Y. D., Potur, D. Ç. & Esencan, T. Y. (2017). Doğum sonu kliniklerinde çalışan ebe ve hemşireler kanıta dayalı uygulamaların neresinde? (Where can we find postpartum clinic midwives and nurses in the context of evidence based practice?). Journal of Health and Nursing Management, 1(4), 8-14. https://doi.org/10.5222/SHYD.2017.008
• Shayan, S. J., Kiwanuka, F., & Nakaye, Z. (2019). Barriers associated with evidence‐based practice among nurses in low‐and middle‐income countries: A systematic review. Worldviews on Evidence‐Based Nursing, 16(1), 12-20. https://doi.org/10.1111/wvn.12337
• Saunders, H., Gallagher-Ford, L. & Vehviläinen-Julkunen, K. (2019). Practicing health care professionals’ evidence-based practice competencies: an overview of systematic reviews. Worldviews on Evidence-Based Nursing, 16(3), 176-185. https://doi.org/10.1111/wvn.12363
• Saifan, A., Devadas, B., Daradkeh, F., Abdel-Fattah, H., Aljabery, M., & Michael, L. M. (2021). Solutions to bridge the theory-practice gap in nursing education in the UAE: a qualitative study. BMC Medical Education, 21, 490. https://doi.org/10.1186/s12909-021-02919-x
• Şen, E. Ş., & Yurt, S. (2021). Hemşirelerin kanıta dayalı uygulamalara yönelik tutumlarının belirlenmesi (Determining the attitudes of nurses towards evidence-based practices). E-Journal of Dokuz Eylul University Nursing Faculty, 14(2), 102-107. https://doi.org/10.46483/deuhfed.737729
• Tomotaki, A. İ., Fukahori, H., & Sakai, I. (2020). Exploring sociodemographic factors related to practice, attitude, knowledge, and skills concerning evidence-based practice in clinical nursing. Japan Journal of Nursing Science, 17(1), e12260. https://doi.org/10.1111/jjns.12260
• Yanmış, S., & Özcan, Ş. (2022). Dahiliye kliniklerindeki hemşirelerin yenilikçi özelliklerinin ve kanit temelli hemşireliğe ilişkin tutumlarının belirlenmesi (Determination of innovative characteristics and attitudes towards evidence-based nursing in internal medicine clinics). Hacettepe Journal of Health Administration, 25(2), 319-334.
• Yıldırım, M. S., & Yıldız, E. (2020). Hemşirelerin kanıta dayalı hemşireliğe yönelik tutumlarının belirlenmesi (The determination of attitude towards evidence based nursing of nurses). Journal of Nursing Science, 3(2), 24-29.
• Yılmaz, D., Düzgün, F., & Dikmen, Y. (2019). Hemşirelerin kanıta dayalı hemşireliğe yönelik tutumlarının incelenmesi (An investigation into nurses’ attitudes towards evidence-based nursing). Acıbadem University Health Sciences Journal, 10(4), 713-719.
• Yılmaz, İ., Kaya, E. G., & Akansel, N. (2020). Ameliyathane hemşirelerinin kanıta dayalı uygulamalar hakkındaki bilgileri (Operating room nurses’ knowledge on evidence-based practices). Journal of Health Sciences of Adıyaman University, 6(1), 84-92. https://doi.org/10.30569.adiyamansaglik.662217
• Yılmaz, E., Çeçen, D., Aslan, A., Kara, H., Toğaç, H. K., & Mutlu, S. (2018). Cerrahi kliniklerde çalışan hemşirelerin kanıta dayalı hemşireliğe yönelik tutumları ve araştırma kullanımında algıladıkları engeller (Attitudes towards evidence-based nursing and perceptions of obstacles in using research of nurses working in surgical clinics). Journal of Education and Research in Nursing, 15(4), 235-241. https://doi.org/10.5222/HEAD.2018.235