Promoting evidence-based practice through a research training program for point-of-care clinicians
Agnes T Black, Lynda G Balneaves, Candy Garossino, Joseph H Puyat, Hong Qian, Agnes T Black, Lynda G Balneaves, Candy Garossino, Joseph H Puyat, Hong Qian
Abstract
Objectives: The purpose of this study was to evaluate the effect of a research training program on clinicians' knowledge, attitudes, and practices related to research and evidence-based practice (EBP).
Background: EBP has been shown to improve patient care and outcomes. Innovative approaches are needed to overcome individual and organizational barriers to EBP.
Methods: Mixed-methods design was used to evaluate a research training intervention with point-of-care clinicians in a Canadian urban health organization. Participants completed the Knowledge, Attitudes, and Practice Survey over 3 timepoints. Focus groups and interviews were also conducted.
Results: Statistically significant improvement in research knowledge and ability was demonstrated. Participants and administrators identified benefits of the training program, including the impact on EBP.
Conclusions: Providing research training opportunities to point-of-care clinicians is a promising strategy for healthcare organizations seeking to promote EBP, empower clinicians, and showcase excellence in clinical research.
Conflict of interest statement
The authors declare no conflicts of interest.
Figures
References
- Fineout-Overholt E, Melnyk B, & Schultz A. Transforming health care from the inside out: advancing evidence-based practice in the 21st century. J Prof Nurs. 2005; 21: 335- 344.
- Peterson ED, Bynum DZ, & Roe MT. Association of evidence-based care processes and outcomes among patients with acute coronary syndromes: performance matters. J Cardiovasc Nurs. 2008; 23( 1): 50- 55.
- Considine J, & McGillivray B. An evidence-based practice approach to improving nursing care of acute stroke in an Australian emergency department. J Clin Nurs. 2010; 19( 1-2): 138- 144.
- de Pedro-Gomez J, Morales-Asencio JM, & Bennasar-Veny M. Determining factors in evidence-based clinical practice among hospital and primary care nursing staff. J Adv Nurs. 2012; 68( 2): 452- 459.
- Squires JE, Estabrooks CA, Gustavsson P, & Wallin L. Individual determinants of research utilization by nurses: a systematic review update. Implement Sci. 2011; 6: 1- 20.
- Udod SA, & Care WD. Setting the climate for evidence-based nursing practice: what is the leader’s role? Nurs Leadersh. 2004; 17( 4): 64- 75.
- Retsas A. Barriers to using research evidence in nursing practice. J Adv Nurs. 2000; 31( 3): 599- 606.
- Chau JPC, Lopez V, & Thompson DR. A survey of Hong Kong nurses’ perceptions of barriers to and facilitators of research utilization. Res Nurs Health. 2008; 31( 6): 640- 649.
- Paramonczyk A. Barriers to implementing research in clinical practice. Can Nurs. 2005; 101( 3): 12- 15.
- Leasure AR, Stirlen J, & Thompson C. Barriers and facilitators to the use of evidence-based best practices. Dimens Crit Care Nurs. 2008; 27( 2): 74- 84.
- Chan GK, Barnason S, & Dakin CL. Barriers and perceived needs for understanding and using research among emergency nurses. J Emerg Nurs. 2011; 37( 1): 24- 31.
- Gerrish K, Guillaume L, Kirshbaum M, McDonnell A, Tod A, & Nolan M. Factors influencing the contribution of advanced practice nurses to promoting evidence-based practice among front-line nurses: findings from a cross-sectional survey. J Adv Nurs. 2011; 67( 5): 1079- 1090.
- Chummun H, & Tiran D. Increasing research evidence in practice: a possible role for the consultant nurse. J Nurs Manag. 2008; 16( 3): 327- 333.
- Grant HS, Stuhlmacher A, & Bonte-Eley S. Overcoming barriers to research utilization and evidence-based practice among staff nurses. J Nurses Staff Dev. 2012; 28( 4): 163- 165.
- Wilson B, Kelly L, & Reifsnider E. Creative approaches to increasing hospital-based nursing research. J Nurs Adm. 2013; 43( 10): 80- 88.
- Kelly K, Turner A, & Speroni K. National survey of hospital nursing research, Part 2. J Nurs Adm. 2013; 43( 10): 18- 23.
- Wells N, Free M, & Adams R. Nursing research internship: enhancing evidence-based practice among staff nurses. J Nurs Adm. 2007; 37( 3): 135- 143.
- Funk SG, Champagne MY, Wiese RA, & Tornquist EM. BARRIERS: the barriers to research utilization scale. Appl Nurs Res. 1991; 4( 1): 39- 45.
- Funk SG, Champagne MY, Wiese RA, & Tornquist EM. Barriers to using research findings in practice: the clinician’s perspective. Appl Nurs Res. 1991; 4( 2): 90- 95.
- Flodgren G, Rojas-Reyes MX, Cole N, & Foxcroft DR. Effectiveness of organisational infrastructures to promote evidence-based nursing practice. Cochrane Database Syst Rev. 2012; 2 CD002212.
- Karkos B, & Peters K. A Magnet community hospital: fewer barriers to nursing research utilization. J Nurs Admin. 2006; 36( 7/8): 377- 382.
- Sandelowski M. Combining qualitative and quantitative sampling, data collection, and analysis techniques in mixed method studies. Res Nurs Health. 2000; 23( 3): 246- 255.
- Johnson RB, & Onwuegbuzie AJ. Mixed methods research: a research paradigm whose time has come. Educ Res. 2004; 33( 7): 14- 26.
- van Mullem C, Burke LJ, & Dohmeyer K. Strategic planning for research use in nursing practice. J Nurs Adm. 1999; 29( 12): 38- 45.
- Lizarondo L, Grimmer-Somers K, & Kumar S. A systematic review of the individual determinants of research evidence use in allied health. J Multidiscip Healthc. 2011; 4: 261- 272.
- Patel PC, Panzera A, DeNigris J, Dunn R, Chabot J, & Conners S. Evidence-based practice and a nursing journal club: an equation for positive patient outcomes and nursing empowerment. J Nurses Staff Dev. 2011; 27( 5): 227- 230.
- Luby M, Riley JK, & Towne G. Nursing research journal clubs: bridging the gap between practice and research. Medsurg Nurs. 2006; 15( 2): 100- 102.
- Hart P, Eaton L, & Buckner M. Effectiveness of a computer-based educational program on nurses’ knowledge, attitude, and skill level related to evidence-based practice. Worldviews Evid Based Nurs. 2008; 5( 2): 75- 84.
- Fruth SJ, van Veld RD, Despos CA, Martin RD, Hecker A, & Sincroft EE. The influence of a topic-specific, research-based presentation on physical therapists’ beliefs and practices regarding evidence-based practice. Physiother Theory Pract. 2010; 26( 8): 537- 557.
- Scurlock-Evans L, Upton P, & Upton D. Evidence-based practice in physiotherapy: a systematic review of barriers, enablers and interventions. Physiotherapy. 2014; 100( 3): 208- 219.
- Levin RF, Fineout-Overholt E, Melnyk BM, Barnes M, & Vetter MJ. Fostering evidence-based practice to improve nurse and cost outcomes in a community health setting: a pilot test of the advancing research and clinical practice through close collaboration model. Nurs Adm Q. 2011; 35( 1): 21- 33.
- Morgan LA. A mentoring model for evidence-based practice in a community hospital. J Nurses Staff Dev. 2012; 28( 5): 233- 237.
- Stevenson K, Lewis M, & Hay E. Does physiotherapy management of low back pain change as a result of an evidence-based educational programme. J Eval Clin Pract. 2006; 12( 3): 365- 375.
- Schreiber J, Stern P, Marchetti G, & Provident I. Strategies to promote evidence-based practice in pediatric physical therapy: a formative evaluation pilot project. Phys Ther. 2009; 89( 9): 918- 933.
- Grimshaw JM, & Eccles MP. Is evidence-based implementation of evidence-based care possible? Med J Aust. 2004; 180( suppl 6): S50- S51.
- Grimshaw JM, Eccles MP, Lavis JN, Hill SJ, & Squires JE. Knowledge translation of research findings. Implement Sci. 2012; 7: 50.
- Straus SE, Brouwers M, & Johnson D. Core competencies in the science and practice of knowledge translation: description of a Canadian strategic training initiative. Implement Sci. 2011; 6: 127.
Source: PubMed