The opinions of postgraduate nursing students about evidence-based practice: A qualitative study
Yıl 2023,
Cilt: 13 Sayı: 2, 286 - 292, 15.06.2023
Seher Yurt
,
Nurcan Kolaç
,
Esra Şen
Öz
Objective: This study was conducted for the purpose of exploring the opinions and experiences of postgraduate nursing students regarding evidence-based practice and its use in the clinical setting in Turkey.
Methods: A qualitative study design was employed. Data in this research study were collected through Semi-structured questions were asked face-to-face in focus group discussions.
Results: The findings of the study set forth the individual and organizational barriers that faced postgraduate nursing students in their efforts
to implement evidence-based practices. The main themes of the study were highlighted as: perceptions regarding evidence-based practice, the impact on the group cared for, challenges faced in the implementation, institutional support in applying practices. Subthemes were data verification, useful and reliable application, difficulties in communicating with colleagues, traditional views, troubles with team collaboration, the indifference of young colleagues, insufficient resources, and the need for a mentor in the workplace.
Conclusion: The students in their undergraduate programs, and elective courses on EBP should be added to the curriculum. In order to eliminate organizational barriers, institutions should establish EBP committee and mentoring system.
Destekleyen Kurum
Araştırmayı destekleyen kurum yoktur.
Proje Numarası
Proje değildir
Teşekkür
Acknowledgements: We are much obliged to the postgraduate students who participated in our research, to Aslihan Ozpay who worked on the transcription, and to Esra Bakiler, Mualla Yilmaz and Hasibe Kadioglu, who provided their expert opinions in the article
Kaynakça
- Stevens KR. The impact of evidence-based practice in nursing and the next big ideas. Online J Issues Nurs. 2013;18(2):4 DOI:10.3912/OJIN.Vol18No02Man04
- Wallis L. Barriers to implementing evidence-based practice remain high for U.S. nurses: getting past "we've always done it this way" is crucial. Am J Nurs. 2012; 112(12):15 DOI:10.1097/01.NAJ.0000423491.98489.70
- Merih YD, Potur, DC, Esencan, TY. Merih YD, Potur, DC, Esencan, TY. Doğum sonu kliniklerinde çalışan ebe ve hemşireler kanıta dayalı uygulamaların neresinde? Sağlık ve Hemşirelik Yönetimi Dergisi 2017;4(1):8-14 DOI:10.5222/SHYD.2017.008 (Turkish).
- Güneş Ü. Hemşirelikte kanıta dayalı uygulama sürecinin adımları. Uluslararası Hakemli Hemşirelik Araştırmaları Dergisi 2017; 9:171-187 (Turkish)
- Melnyk BM, Gallagher-Ford L, Long LE, Fineout-Overholt E. The establishment of evidence‐based practice competencies for practicing registered nurses and advanced practice nurses in real‐world clinical settings: proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews Evid Based Nurs. 2012;11(1):5–15 DOI: 10.1111/wvn.12021
- Bostrom AM, Rudman A, Ehrenberg A, Gustavsson, JP. Wallin L. Factors associated with the evidence-based practice among registered nurses in Sweden: a national cross-sectional study. BMC Health Serv Res. 2013;4(13):165 DOI: 10.1186/1472-6963-13-165
- Stokke K, Olsen NR, Espehaug B. Nortvedt, MW. Evidence-based practice beliefs and application among nurses: a cross-sectional study. BMC Nurs. 2014;13(8):1-10. DOI:10.1186/1472-6955-13-8
- Shafie E, Baratimarnani A, Goharinezhad S, Kalhor R, Azmal M. Nurses perceptions of evidence-based practice: a quantitative study at a teaching hospital in Iran. Med J Islam Repub Iran 2014;28:135
- Cruz JP, Colet PC, Alquwez N, Alqubeilat H, Boshtawi MA, Ahmet EA, Cruz, CP. Evidence-based practice beliefs and implementation among the nursing bridge program students of a Saudi university. Int J Health Sci (Qassim) 2016;10(3):405-414
- Özer KE, Çakmak S, Kapucu S, Koç M, Kahveci R. Hemşirelik Öğrencilerinin Kanıta Dayalı Hemşirelik Uygulamalarına İlişkin Farkındalıklarının Belirlenmesi. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi. 2017; 4(2) :1-12 (Turkish)
- Koehn ML, Lehman K. Nurses perception of evidence-based nursing practice. J Adv Nurs. 2008;62(2):209-215. DOI:10.1111/j.1365-2648.2007.04589.x
- Belita E, Yost J, Squries JE, Ganann R, Burnett T, Dobbins M. Measures assessing attributes of evidence-informed decision-making (EIDM) competence among nurses: a systematic review protocol. Syst Rev. 2018;3;7(1):181. DOI: 10.1186/s13643-018-0849-8
- Senyuva E. Hemşirelik eğitimi ve kanıta dayalı uygulamalar. F.N. Hem. Derg, 2016; 24(1):59-65 (Turkish)
- Muslu KG, Baybek H, Tozak Yıldız HT, Kıvrak A. Öğrencilerin kanıta dayalı hemşirelik konusundaki bilgi, tutum ve davranışları ölçeği’nin Türkçe geçerlilik ve güvenirlik çalışması . Uluslararası Hakemli Hemşirelik Araştırmaları Dergisi 2015;2(3):1-12. DOI: 10.17371/UHD.2015310844 (Turkish)
- Yılmaz D, Düzgün F, Dikmen Y. Hemşirelerin Kanıta Dayalı Hemşireliğe Yönelik Tutumlarının İncelenmesi. ACU Sağlık Bilim Derg. 2019;10(4):713-719
- Dikmen Y, Filiz NY, Tanrıkulu F, Yilmaz, D. Kuzgun H. Attitudes of intensive care nurses towards evidence-based nursing. Int J Health Sci Res. 2018;8(1):138-140
- Streubert HJ, Carpenter DR. Qualitative research in nursing advancingthe humanistic imperative (2nd ed.). Philadelphia-New York-Baltimore: Lippincott; 1999.
- Kümbetoğlu B. Sosyolojide ve Antropolojide Niteliksel Yöntem ve Araştırma. Istanbul Baglam Publishing; 2005 (Turkish).
- Çokluk Ö, Yılmaz K, Oğuz E. Nitel bir görüşme yöntemi: Odak grup görüşmesi. Kuramsal Eğitimbilim 2011;4 (1):95-107 (Turkish)
- Creswell, JW. 30 Essential skills for the qualitative researcher. Sage Publications; 2015.
- Tong A, Sainsbury P, Graig, J. Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349-357 DOI:10.1093/intqhc/mzm042
- Karaahmetoglu U, Kütahyalıoglu N, Narayan M. Factors associated with nurses’ attitudes towards evidence- based practice in Turkey. Clin Exp Health Sci. 2022;12(1):209-216 DOI:10.33808/clinexphealthsci.877108
- Fairbrothe G, Cashin A, Rafferty R, Symes A, Graham I. Evidence based clinical nursing practice in a regional Australian healthcare setting: Predictors of skills and behaviours. Collegian. 2016;23(1):29-37 DOI: 10.1016/j.colegn.2014.09.011
- Durmuş M, Gercek A, Çiftçi N. Sağlık çalışanlarının problem çözme becerilerinin kanıta dayalı tutum algıları üzerindeki etkisi. Uluslararası Sosyal Bilimler Dergisi. 2017; 5(53): 648-661 DOI : 10.16992/ASOS.12679 (Turkish)
- Lamontagne K, Florentino J. Evidence-based practice. Am J Nurs. 2013;133(4):12 DOI: 10.1097/01.NAJ.0000428724.93276. a6.
- Verloo H, Desmedt M, Morin D. Beliefs and application of evidence-based practice among nurses and allied healthcare providers in the Valais hospital, Switzerland. J Eval Clin Pract. 2017;23(1):139-148. DOI: 10.1111/jep.12653
- Ozga D, Jędrzejczyk-Cwanek, M, Woźniak K, Niemczyk E, Mędrzycka-Dąbrowska, W. Knowledge, behaviors, and attitudes of polish nurses as compared with evidence-based practice in relation to the guidelines of the European resuscitation council. Glob Adv Integr Med Health. 2019;8:1-7 DOI: 10.1177/2164956119897566
- Huang FF, Zhang N, Han XY, Qi XN, Pan L, Zhang JP, Li H. Improve nursing in evidence-based practice: How Chinese nurses' read and comprehend scientific literatüre. Int J Nurs Sci. 2017;114(3):296-302. DOI: 10.1016/j.ijnss.2017.05.003
- Tas AF, Celen R. Hemşirelik Öğrencilerinin Kanıta Dayalı Hemşireliğe Yönelik Tutumlarının Belirlenmesi. STED. 2018;27(2):99-106 (Turkish)
- Sin MK, Biguez R. Teaching evidence-based practice to undergraduate nursing students. J Prof Nurs. 2017;33(6):447-451. DOI: 10.1016/j.profnurs.2017.06.003
- Fisher C, Cusack G, Cox K. Feigenbaum K. Developing competency to sustain the evidence-based practice. J Nurs Adm. 2016;46(11):581–585 DOI:10.1097/NNA.0000000000000408
Yıl 2023,
Cilt: 13 Sayı: 2, 286 - 292, 15.06.2023
Seher Yurt
,
Nurcan Kolaç
,
Esra Şen
Proje Numarası
Proje değildir
Kaynakça
- Stevens KR. The impact of evidence-based practice in nursing and the next big ideas. Online J Issues Nurs. 2013;18(2):4 DOI:10.3912/OJIN.Vol18No02Man04
- Wallis L. Barriers to implementing evidence-based practice remain high for U.S. nurses: getting past "we've always done it this way" is crucial. Am J Nurs. 2012; 112(12):15 DOI:10.1097/01.NAJ.0000423491.98489.70
- Merih YD, Potur, DC, Esencan, TY. Merih YD, Potur, DC, Esencan, TY. Doğum sonu kliniklerinde çalışan ebe ve hemşireler kanıta dayalı uygulamaların neresinde? Sağlık ve Hemşirelik Yönetimi Dergisi 2017;4(1):8-14 DOI:10.5222/SHYD.2017.008 (Turkish).
- Güneş Ü. Hemşirelikte kanıta dayalı uygulama sürecinin adımları. Uluslararası Hakemli Hemşirelik Araştırmaları Dergisi 2017; 9:171-187 (Turkish)
- Melnyk BM, Gallagher-Ford L, Long LE, Fineout-Overholt E. The establishment of evidence‐based practice competencies for practicing registered nurses and advanced practice nurses in real‐world clinical settings: proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews Evid Based Nurs. 2012;11(1):5–15 DOI: 10.1111/wvn.12021
- Bostrom AM, Rudman A, Ehrenberg A, Gustavsson, JP. Wallin L. Factors associated with the evidence-based practice among registered nurses in Sweden: a national cross-sectional study. BMC Health Serv Res. 2013;4(13):165 DOI: 10.1186/1472-6963-13-165
- Stokke K, Olsen NR, Espehaug B. Nortvedt, MW. Evidence-based practice beliefs and application among nurses: a cross-sectional study. BMC Nurs. 2014;13(8):1-10. DOI:10.1186/1472-6955-13-8
- Shafie E, Baratimarnani A, Goharinezhad S, Kalhor R, Azmal M. Nurses perceptions of evidence-based practice: a quantitative study at a teaching hospital in Iran. Med J Islam Repub Iran 2014;28:135
- Cruz JP, Colet PC, Alquwez N, Alqubeilat H, Boshtawi MA, Ahmet EA, Cruz, CP. Evidence-based practice beliefs and implementation among the nursing bridge program students of a Saudi university. Int J Health Sci (Qassim) 2016;10(3):405-414
- Özer KE, Çakmak S, Kapucu S, Koç M, Kahveci R. Hemşirelik Öğrencilerinin Kanıta Dayalı Hemşirelik Uygulamalarına İlişkin Farkındalıklarının Belirlenmesi. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi. 2017; 4(2) :1-12 (Turkish)
- Koehn ML, Lehman K. Nurses perception of evidence-based nursing practice. J Adv Nurs. 2008;62(2):209-215. DOI:10.1111/j.1365-2648.2007.04589.x
- Belita E, Yost J, Squries JE, Ganann R, Burnett T, Dobbins M. Measures assessing attributes of evidence-informed decision-making (EIDM) competence among nurses: a systematic review protocol. Syst Rev. 2018;3;7(1):181. DOI: 10.1186/s13643-018-0849-8
- Senyuva E. Hemşirelik eğitimi ve kanıta dayalı uygulamalar. F.N. Hem. Derg, 2016; 24(1):59-65 (Turkish)
- Muslu KG, Baybek H, Tozak Yıldız HT, Kıvrak A. Öğrencilerin kanıta dayalı hemşirelik konusundaki bilgi, tutum ve davranışları ölçeği’nin Türkçe geçerlilik ve güvenirlik çalışması . Uluslararası Hakemli Hemşirelik Araştırmaları Dergisi 2015;2(3):1-12. DOI: 10.17371/UHD.2015310844 (Turkish)
- Yılmaz D, Düzgün F, Dikmen Y. Hemşirelerin Kanıta Dayalı Hemşireliğe Yönelik Tutumlarının İncelenmesi. ACU Sağlık Bilim Derg. 2019;10(4):713-719
- Dikmen Y, Filiz NY, Tanrıkulu F, Yilmaz, D. Kuzgun H. Attitudes of intensive care nurses towards evidence-based nursing. Int J Health Sci Res. 2018;8(1):138-140
- Streubert HJ, Carpenter DR. Qualitative research in nursing advancingthe humanistic imperative (2nd ed.). Philadelphia-New York-Baltimore: Lippincott; 1999.
- Kümbetoğlu B. Sosyolojide ve Antropolojide Niteliksel Yöntem ve Araştırma. Istanbul Baglam Publishing; 2005 (Turkish).
- Çokluk Ö, Yılmaz K, Oğuz E. Nitel bir görüşme yöntemi: Odak grup görüşmesi. Kuramsal Eğitimbilim 2011;4 (1):95-107 (Turkish)
- Creswell, JW. 30 Essential skills for the qualitative researcher. Sage Publications; 2015.
- Tong A, Sainsbury P, Graig, J. Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349-357 DOI:10.1093/intqhc/mzm042
- Karaahmetoglu U, Kütahyalıoglu N, Narayan M. Factors associated with nurses’ attitudes towards evidence- based practice in Turkey. Clin Exp Health Sci. 2022;12(1):209-216 DOI:10.33808/clinexphealthsci.877108
- Fairbrothe G, Cashin A, Rafferty R, Symes A, Graham I. Evidence based clinical nursing practice in a regional Australian healthcare setting: Predictors of skills and behaviours. Collegian. 2016;23(1):29-37 DOI: 10.1016/j.colegn.2014.09.011
- Durmuş M, Gercek A, Çiftçi N. Sağlık çalışanlarının problem çözme becerilerinin kanıta dayalı tutum algıları üzerindeki etkisi. Uluslararası Sosyal Bilimler Dergisi. 2017; 5(53): 648-661 DOI : 10.16992/ASOS.12679 (Turkish)
- Lamontagne K, Florentino J. Evidence-based practice. Am J Nurs. 2013;133(4):12 DOI: 10.1097/01.NAJ.0000428724.93276. a6.
- Verloo H, Desmedt M, Morin D. Beliefs and application of evidence-based practice among nurses and allied healthcare providers in the Valais hospital, Switzerland. J Eval Clin Pract. 2017;23(1):139-148. DOI: 10.1111/jep.12653
- Ozga D, Jędrzejczyk-Cwanek, M, Woźniak K, Niemczyk E, Mędrzycka-Dąbrowska, W. Knowledge, behaviors, and attitudes of polish nurses as compared with evidence-based practice in relation to the guidelines of the European resuscitation council. Glob Adv Integr Med Health. 2019;8:1-7 DOI: 10.1177/2164956119897566
- Huang FF, Zhang N, Han XY, Qi XN, Pan L, Zhang JP, Li H. Improve nursing in evidence-based practice: How Chinese nurses' read and comprehend scientific literatüre. Int J Nurs Sci. 2017;114(3):296-302. DOI: 10.1016/j.ijnss.2017.05.003
- Tas AF, Celen R. Hemşirelik Öğrencilerinin Kanıta Dayalı Hemşireliğe Yönelik Tutumlarının Belirlenmesi. STED. 2018;27(2):99-106 (Turkish)
- Sin MK, Biguez R. Teaching evidence-based practice to undergraduate nursing students. J Prof Nurs. 2017;33(6):447-451. DOI: 10.1016/j.profnurs.2017.06.003
- Fisher C, Cusack G, Cox K. Feigenbaum K. Developing competency to sustain the evidence-based practice. J Nurs Adm. 2016;46(11):581–585 DOI:10.1097/NNA.0000000000000408