The Determination of Nursing Students’ Problem-Solving Skills and Attitudes Towards Evidence-Based Practice

Yıl 2023, Cilt: 5 Sayı: 3, 219 - 226, 13.12.2023

Berrin Pazar , Kadriye Demir

https://doi.org/10.48071/sbuhemsirelik.1278381

Öz

Introduction: Nurses with problem-solving skills and positive attitudes towards evidence-based practices was known to increase the quality of care given to patients.
Aim: To determine nursing students’ problem-solving skills and attitudes towards evidence-based practices.
Method: The descriptive study was conducted with 132 students studying at a foundation university in Ankara between November 2021-February 2022. The data were collected using the Descriptive Information Form, Problem-Solving Inventory and the Scale of Attitudes Towards Evidence-Based Nursing. The difference between two independent groups were analyzed by independent sample t test and the difference between more than two independent groups were analyzed by one-way analysis of variance.
Results: In the study, 88.6% of the participants were female and the mean age was 21.74 ± 1.58 years. The mean score of the Problem Solving Inventory was 101.19 ± 18.12 and the mean score of the Attitude Toward Evidence-Based Nursing Scale was 50.04 ± 7.80. A statistically significant, moderate positive correlation was found between the scores of the Problem-Solving Inventory and the scores of the Scale of Attitudes Toward Evidence-Based Nursing (r = 0.315; p < 0.05).
Conclusion: In this study, nursing students’ attitudes towards evidence-based nursing and problem-solving skills were seen to be at a good level. The students with positive attitudes towards evidence-based practices were determined to feel inadequate regarding problem-solving skills. In line with these results, it is recommended that educational institutions implement strategies to improve students’ problem-solving skills and attitudes towards evidence-based nursing.

Anahtar Kelimeler

Attitude, evidence-based nursing, nursing students, problem solving

Hemşirelik Öğrencilerinin Problem Çözme Becerileri ve Kanıta Dayalı Uygulamaya İlişkin Tutumlarının Belirlenmesi

Öz

Giriş: Problem çözme becerisine sahip ve kanıta dayalı uygulamalara ilişkin olumlu tutum sağlayan hemşirelerin hastalara verilen bakımın kalitesini artırdığı bilinmektedir.
Amaç: Bu çalışma, hemşirelik öğrencilerinin problem çözme becerileri ve kanıta dayalı uygulamalar ile ilgili tutumlarını belirlemek amacıyla planlandı.
Yöntem: Tanımlayıcı olarak yapılan çalışma, Kasım 2021 - Şubat 2022 tarihinde Ankara’daki bir vakıf üniversitesinde öğrenim gören 132 öğrencinin katılımıyla gerçekleştirildi. Veriler, Tanıtıcı Bilgi Formu, Problem Çözme Envanteri ve Kanıta Dayalı Hemşireliğe Yönelik Tutum Ölçeği ile toplandı. İki bağımsız grup arasındaki fark bağımsız örneklem t testi, ikiden fazla bağımsız grup arasındaki fark ise tek yönlü varyans analizi ile değerlendirildi.
Bulgular: Katılımcıların %88,6’sı kadın olup, yaş ortalaması 21,74 ± 1,58 yıldır. Öğrencilerin Problem Çözme Envanteri puan ortalaması 101,19 ± 18,12 iken Kanıta Dayalı Hemşireliğe Yönelik Tutum Ölçeği puanlarının ortalaması ise 50,04 ± 7,80’dir. Problem Çözme Envanteri puanları ile Kanıta Dayalı Hemşireliğe Yönelik Tutum Ölçeği puanları arasında istatistiksel olarak anlamlı zayıf düzeyde pozitif yönlü ilişki bulundu (r = 0,315, p < 0,05).
Sonuç: Bu çalışmada hemşirelik öğrencilerinin kanıta dayalı hemşireliğe yönelik tutumlarının ve problem çözme becerilerinin iyi düzeyde olduğu görüldü. Kanıta dayalı uygulamalara yönelik olumlu tutum içerisinde olanların problem çözme becerisi açısından kendilerini yetersiz hissettikleri tespit edildi. Bu sonuçlar doğrultusunda eğitim kurumlarının öğrencilerin problem çözme becerilerini ve kanıta dayalı hemşireliğe yönelik tutumlarını geliştiren stratejileri uygulaması önerilmektedir.

Anahtar Kelimeler

Hemşirelik öğrencileri, kanıta dayalı hemşirelik, problem çözme, tutum

Kaynakça

• Adams, S. (2009). Use of evidence-based practice in school nursing: Survey of school nurses at a national conference. The Journal of School Nursing, 25(4), 302-313. doi: 10.1177/10598405093350
• Alkhatib, A.H., Ibrahim, E.A., Ameenuddin, M., & Ibrahim, I.A. (2021). Nurses’ knowledge, perception, and attitude towards evidence-based practice at King Abdullah Medical City-Saudi Arabia. American Journal of Nursing Research, 9(1), 1-7. doi: 10.12691/ajnr-9-1-1
• Amit-Aharon, A., Melnikov, S., & Warshawski, S. (2020). The effect of evidence-based practice perception, information literacy self-efficacy, and academic motivation on nursing students’ future implementation of evidence-based practice. Journal of Professional Nursing, 36(6), 497-502. doi: 10.1016/j.profnurs.2020.04.001
• Ancel, G. (2016). Problem-solving training: Effects on the problem-solving skills and self-efficacy of nursing students. Eurasian Journal of Educational Research, 64, 231-246. doi: 10.14689/ejer.2016.64.13
• Andre, B., Aune, A.G., & Braend, J.A. (2016). Embedding evidence-based practice among nursing undergraduates: Results from a pilot study. Nurse Educ Pract. 18, 30-35. doi: 10.1016/j.nepr.2016.03.004
• Ayhan, Y., Kocaman, G., ve Bektaş, M. (2015). Kanıta Dayalı Hemşireliğe Yönelik Tutum Ölçeği”nin Türkçe’ye uyarlanması: Geçerlik ve güvenirlik çalışması. Hemşirelikte Araştırma Geliştirme Dergisi, 17(2-3), 21-35.
• Beşer, A., & Kıssal, A. (2009). Critical thinking dispositions and problem- solving skills among nursing students. Dokuz Eylül Üniversitesi Hemşirelik Yüksekokulu Dergisi, 2(3), 88-94.
• Cardoso, D., Rodrigues, M., Pereira, R., Parola, V., Coelho, A., Ferraz, L., ... Apostolo, J. (2021). Nursing educators’ and undergraduate nursing students’ beliefs and perceptions on evidence-based practice, evidence implementation, organizational readiness and culture: An exploratory cross-sectional study. Nurse Education in Practice, 54, 103122. doi: 10.1016/j.nepr.2021.103122
• Choi, E., Lindquist, R., & Song, Y. (2014). Effects of problem-based learning vs. traditional lecture on Korean nursing students’ critical thinking, problem-solving, and self-directed learning. Nurse Education Today, 34(1), 52-56. doi: 10.1016/j.nedt.2013.02.012.
• Cruz, J.P., Colet, P.C., Alquwez, N., Alqubeilat, H., Bashtawi, M.A., Ahmed, E.A., & Cruz, C.P. (2016). Evidence-based practice beliefs and implementation among the nursing bridge program students of a Saudi University. International Journal of Health Sciences, 10(3), 405-414.
• Disler, R.T., White, H., Franklin, N., Armari, E., & Jackson, D. (2019). Reframing evidence-based practice curricula to facilitate engagement in nursing students. Nurse Education in Practice, 41, 102650. doi: 10.1016/j. nepr.2019.102650
• Durmuş, M., Gerçek, A., ve Çiftçi, N. (2017). Sağlık çalışanlarının problem çözme becerilerinin kanıta dayalı tutum algıları üzerindeki etkisi. Akademik Sosyal Araştırmalar Dergisi, 5(53), 648-661. doi: 10.16992/ ASOS.12679
• Feizi Konjini, L., Fadakar Soghe, R., Chehrzad, M.M., & Kazemnejad Leili, E. (2016). Problem solving skills and their related factors in nursing students. Journal of Holistic Nursing and Midwifery, 26(3), 86-95.
• Heppner, P.P., & Petersen, C.H. (1982). The development and implications of a personal problem-solving inventory. Journal of Counseling Psychology, 29(1), 66-75. doi: 10.1037/0022-0167.29.1.66
• Heydari, A., Mazlom, S.R., Ranjbar, H., & Scurlock-Evans, L. (2014). A Study of Iranian nurses’ and midwives’ knowledge, attitudes, and implementation of evidence-based practice: The time for change has arrived. Worldviews on Evidence-Based Nursing, 11(5), 325-331. doi: 10.1111/wvn.12052
• Himmet, S. (2021). Cerrahi hemşirelerinin bireysel yenilikçilik ve profesyonellik düzeylerinin kanıta dayalı hemşireliğe yönelik tutumlarına etkisi. (Yayımlanmamış Yüksek Lisans Tezi). İstanbul Medipol Üniversitesi, Sağlık Bilimleri Enstitüsü.
• Karki, S., Acharya, R., Budhwani, H., Shrestha, P., Chalise, P., Shrestha, U., … Wilson, L. (2015). Perceptions and attitudes towards evidence based practice among nurses and nursing students in Nepal. Kathmandu Univ Med J, 52(4), 308-315. doi: 10.3126/kumj.v13i4.16829
• Kim, H.R., Song, Y., Lindquist, R., & Kang, H.Y. (2016). Effects of team-based learning on problem-solving, knowledge and clinical performance of Korean nursing students. Nurse Education Today, 38, 115-118. doi: 10.1016/j.nedt.2015.12.003
• Körpe, G., ve Demir, S. (2018). Hemşirelik öğrencilerinin yaratıcılık düzeyleri ve problem çözme becerileri. Uluslararası Hakemli Hemşirelik Araştırmaları Dergisi, 12, 1-20. doi: 10.17371/UHD.2018.1.8
• Leach, M.J., Hofmeyer, A., & Bobridge, A. (2016). The impact of research education on student nurse attitude, skill and uptake of evidence based practice: A descriptive longitudinal survey. J Clin Nurs, 25(1-2), 194-203. doi: 10.1111/jocn.13103
• Martin, P., Potocnik, K., & Fras, A.B. (2017). Determinants of students’ innovation in higher education. Studies in Higher Education, 42(7), 1229-1243. doi: 10.1080/03075079.2015.1087993.
• Nickerson, C.J., & Thurkettle, M.A. (2013). Cognitive maturity and readiness for evidence-based nursing practice. Journal of Nursing Education, 52(1), 17-23. doi: 10.3928/01484834-20121121-04
• Park, M., Jeong, M., Lee, M., & Cullen, L. (2020). Web-based experiential learning strategies to enhance the evidence-based practice competence of undergraduate nursing students. Nurse Education Today, 91, 104466. doi: 10.1016/j.nedt.2020.104466
• Ruzafa-Martinez, M., López-Iborra, L., & Madrigal-Torres, M. (2011). Attitude Towards Evidence-Based Nursing Questionnaire: Development and psychometric testing in Spanish community nurses. Journal of Evaluation in Clinical Practice, 17(4), 664-670. doi: 10.1111/j.1365- 2753.2011.01677.x
• Ruzafa-Martinez, 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 Educ Today, 38, 82-87. doi: 10.1016/j.nedt.2015.12.012
• Ryan, E.J. (2016). Undergraduate nursing students’ attitudes and use of research and evidence-based practice–an integrative literature review. J Clin Nurs, 25(11-12), 1548-1556. doi: 10.1111/jocn.13229
• Sahin, N., Sahin, N.H., & Heppner, P.P. (1993). Psychometric properties of the Problem Solving Inventory in a group of Turkish university students. Cognitive Therapy and Research, 17(4), 379-396. doi: 10.1007/ BF01177661
• Taylan, S. (1990). Heppner’in problem çözme envanterinin uyarlama, güvenirlik ve geçerlik çalışmaları. (Yayımlanmamış Yüksek Lisans Tezi). Ankara Üniversitesi, Fen Bilimleri Enstitüsü.
• Visconti, C.F. (2010). Problem-based learning: Teaching skills for evidence- based practice. Perspectives on Issues in Higher Education, 13(1), 27-31. doi: 10.1044/ihe13.1.27
• Yıldırım Keskin, A., ve Şentürk, S. (2020). Hemşirelik öğrencilerinin problem çözme becerilerinin kanıta dayalı bilgi, tutum ve davranışları üzerine etkisi. Türkiye Klinikleri Hemşirelik Bilimleri Dergisi, 12(4), 584-595. doi: 10.5336/nurses.2020-74504
• Zelenikova, R., Beach, M., Ren, D., Wolff, E., & Sherwood, P. (2014). Faculty perception of the effectiveness of EBP courses for graduate nursing students. Worldviews Evid Based Nurs, 11(6), 401-413. doi: 10.1111/wvn.12068
• Zhang, Q., Zeng, T., Chen, Y., & Li, X. (2012). Assisting undergraduate nursing students to learn evidence-based practice through self-directed learning and workshop strategies during clinical practicum. Nurse Educ Today, 32(5), 570-575. doi: 10.1016/j.nedt.2011