Factors Affecting the Sustainable Improvement of Nurses' Competency After Receiving an Evidence-based Practice Training Program

September 12, 2023 updated by: Sameh Elhabashy, Cairo University

Evidence-based practice (EBP) is a problem-solving and decision-making approach to improving the quality of care and closing the malpractice gap, especially for critical care nurses. Critical care nurses are responsible for the assessment of patients and the provision of care in intensive care units (ICUs). Critical care nurses need expertise and evidence to recognize clinical changes and prevent patient complications.

Despite the emphasis on EBP being applied in nurses' daily practice, a significant number of nurses have not gotten involved in EBP and are not fully aware of the concept of EBP. Nurses are unprepared to implement EBP due to a lack of information literacy skills in information searching and retrieval. Therefore, several studies have been conducted on the effects of different nursing skill training programs designed based on evidence. The almost short-term effect of the EBP training program is likely to be successful. Nevertheless, there is little evidence regarding the sustainability effects of these training activities over time. Therefore, the study aims to explore the factors affecting the sustainable improvement of nurses' competency after receiving an evidence-based practice training program.

Research question What are the factors that affect the sustainable improvement of nurses' competency after receiving an evidence-based practice training program? Study design A mixed, sequential method design with one qualitative and one quantitative method will be utilized in the study to facilitate a more comprehensive evaluation of the factors affecting the sustainable improvement of nurses' competency after receiving an EBP training program. We identified these factors from reviewing the literature

Study variables The study variables of this study are the factors affecting the sustainable improvement of nurses' competency after receiving an evidence-based practice training program. qualitative and quantitative research methods will be used, four main factors will be assessed quantitatively using the following four measurement adopted instruments.

-Sustained Implementation Support Scale (SISS)

Self-efficacy: General Self-Efficacy Scale (GSE):

Self-regulation: Self-Regulation Questionnaire (SRQ) The seven subscales

Motivation assessment scale:

The reliability and validity of the quantitative measuring tool content and face validity will be checked to ensure that the tools measure specifically what the study intends to measure. Internal consistency (Cronbach's alpha) will be used. Also, trustworthiness will be established for qualitative findings.

Study Overview

Status

Completed

Conditions

Detailed Description

Evidence-based practice (EBP) is a problem-solving and decision-making approach to improving the quality of care and closing the malpractice gap, especially for critical care nurses. Critical care nurses are responsible for the assessment of patients and the provision of care in intensive care units (ICUs). Critical care nurses need expertise and evidence to recognize clinical changes and prevent patient complications.

Despite the emphasis on EBP being applied in nurses' daily practice, a significant number of nurses have not gotten involved in EBP and are not fully aware of the concept of EBP. Nurses are unprepared to implement EBP due to a lack of information literacy skills in information searching and retrieval. Therefore, several studies have been conducted on the effects of different nursing skill training programs designed based on evidence. The almost short-term effect of the EBP training program is likely to be successful. Nevertheless, there is little evidence regarding the sustainability effects of these training activities over time. Therefore, the study aims to explore the factors affecting the sustainable improvement of nurses' competency after receiving an evidence-based practice training program.

Research question What are the factors that affect the sustainable improvement of nurses' competency after receiving an evidence-based practice training program? Study design A mixed, sequential method design with one qualitative and one quantitative method will be utilized in the study to facilitate a more comprehensive evaluation of the factors affecting the sustainable improvement of nurses' competency after receiving an EBP training program.

The inductive, category-generating qualitative approach will be employed using in-depth focus group semi-structured interview techniques to explore the participants' own experiences, beliefs, and perceptions using an open-ended question based on the participants' statements for addressing the contributing factors that affect the sustained implementation of the given EBPNTP into real-world practices. without the influence of supplementary texts or the researcher's internal suppositions.

Study variables The study variables of this study are the factors affecting the sustainable improvement of nurses' competency after receiving an evidence-based practice training program. qualitative and quantitative research methods will be used, four main factors will be assessed quantitatively using the following four measurement adopted instruments.

-Sustained Implementation Support Scale (SISS)

Self-efficacy: General Self-Efficacy Scale (GSE):

Self-regulation: Self-Regulation Questionnaire (SRQ) The seven subscales

Motivation assessment scale:

The reliability and validity of the quantitative measuring tool content and face validity will be checked to ensure that the tools measure specifically what the study intends to measure. Internal consistency (Cronbach's alpha) will be used. Also, trustworthiness will be established for qualitative findings.

Data collection procedure After obtaining the ethical approval of the IRB and the nurses' agreement to participate, the purpose and method of the research will be explained to nurses. the qualitative will start first by establishing a focus group interview based on predetermined interview guidelines. Then quantitative method will start by asking the nurses to respond to the self-reported questionnaires.

Study Type

Observational

Enrollment (Actual)

37

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Egypt
      • Cairo, Egypt, 11612
        • Cairo University Hospital

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

N/A

Sampling Method

Non-Probability Sample

Study Population

Participants sample and setting The study will be conducted in adult ICUs at the NHTMRI in Cairo, Egypt. The total capacity of the ICUs is 14 beds, divided into two sections. All nurses who participated as an intervention group (n = 37) in a previously unpublished yet study entitled "Effect of Evidence-Based Nursing Practices Training Program on the Competency of Nurses Caring for Mechanically Ventilated Patients: A Randomized Controlled Trial" who received the evidence-based nursing practice training program (EBNPTP) will be invited to participate in the current study.

Description

Inclusion Criteria:

  • ICU nurses.
  • nurses who took the EBP Training Program.

Exclusion Criteria:

- not willing to participate

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
This is an observational study. Four questionnaires will be aggregated to assess one reported variable : The variable is (factor affecting the sustainable improvement of nurses' competency after receiving an EBP training program).
Time Frame: up to 3 weeks

The four specific inventories are;

  1. Sustained Implementation Support Scale: 28-item measure assessing five categories of common barriers and enablers of sustained educational program implementation, 5-point scale from 1 (strongly disagree) to 5 (strongly agree).
  2. Self-efficacy Scale: 10 items used to measure how much people believe they can achieve their goals, despite difficulties, 4-point scale from 1 (Not at all true) to 4 (Exactly true).
  3. Self-regulation Questionnaire: 63 items, employed to measure the generalized ability to regulate behavior, 5-point scale from 1 (strongly disagree) to 5 (strongly agree).
  4. Motivation assessment scale: 12 items were used that correspond to intrinsic and extrinsic self-motivating factors, 5-point scale from 1 (strongly disagree) to 5 (strongly agree).

The average item score will be used; the assessed factors with higher scores mean it has a higher contribution.
up to 3 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Cairo University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

July 1, 2023

Primary Completion (Actual)

July 30, 2023

Study Completion (Actual)

July 30, 2023

Study Registration Dates

First Submitted

May 24, 2023

First Submitted That Met QC Criteria

July 7, 2023

First Posted (Actual)

July 12, 2023

Study Record Updates

Last Update Posted (Actual)

September 13, 2023

Last Update Submitted That Met QC Criteria

September 12, 2023

Last Verified

September 1, 2023

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • NHTMRI-IRB 13-23

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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